ISSN 0439-755X
CN 11-1911/B
主办:中国心理学会
   中国科学院心理研究所
出版:科学出版社

心理学报 ›› 2015, Vol. 47 ›› Issue (10): 1279-1287.doi: 10.3724/SP.J.1041.2015.01279

• 论文 • 上一篇    下一篇

心理咨询中工作同盟的发展模式与咨询效果

朱旭;胡岳;江光荣   

  1. (青少年网络心理与行为教育部重点实验室, 华中师范大学心理学院,
    湖北省人的发展与心理健康重点实验室, 武汉 430079)
  • 收稿日期:2014-12-29 出版日期:2015-10-25 发布日期:2015-10-25
  • 通讯作者: 江光荣, E-mail: grjiang@yeah.net
  • 基金资助:

    教育部人文社科研究青年基金项目(14YJC190028)成果。

The Developmental Patterns of Working Alliance in Counseling: Relationships to Therapeutic Outcomes

ZHU Xu; HU Yue; JIANG Guangrong   

  1. (Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education; School of Psychology, Central China Normal University; Key Laboratory of Human Development and Mental Health of Hubei Province, Wuhan 430079, China)
  • Received:2014-12-29 Online:2015-10-25 Published:2015-10-25
  • Contact: JIANG Guangrong, E-mail: grjiang@yeah.net

摘要:

为了探索工作同盟在咨询过程中的发展模式, 采用Stiles等(2004)提出的4个变化特征参数(shape-of-change parameters)对30个个案的工作同盟在咨询过程中的发展变化进行描述。聚类分析的结果显示有3类工作同盟的发展模式, 分别是线性增长、线性下降和二次增长模式。不过, 3种发展模式、4个变化特征参数及同盟的破裂?修复片段对咨询效果均没有影响。比较咨询效果不同的当事人在工作同盟发展模式上的差异, 发现同一个发展模式对于不同的个案可能有着不同的含义, 咨询师在早期对同盟关系的处理与调控对咨询效果有着重要的影响。

关键词: 工作同盟, 发展模式, 效果, 心理咨询

Abstract:

 

Working alliance in counseling has been a highly attended research area for several decades. Although a positive relationship between working alliance and counseling outcome has been well established, little do we know how working alliance functions in counseling process. Studying the development of working alliance would contribute to this understanding. Some theories have focused on describing developmental patterns of working alliance based on existing research findings, such as the U-shaped model and the rupture-repair episodes model. However, empirical effort has failed to show significant effect of these hypothesized developmental patterns on counseling outcomes. This naturalistic study aimed at exploring the developmental patterns of working alliance as emerged in counseling sessions and examining the relationship between these patterns and therapeutic outcomes.
The participants included 30 clients from 4 university counseling centers, 10 males and 20 females, with the number of sessions ranging from 4 to11, M = 6.53, SD = 2.03, Mdn = 6. By the time of data collection, all of the clients had finished their therapies. There were 20 therapists in the study, 3 males and 17 females, with professional experience from 1 to 22 years. They rated their therapeutic orientations using a 5-point Likert scale, which resulted in the strength of endorsement, from high to low, on person-centered, cognitive-behavioral and psychodynamic approaches. Each therapist offered 1 to 3 cases respectively. Clients filled out measurements of working alliance and depression symptoms after each session. Four shape-of-change parameters (Stiles et al., 2004) were used to describe the developmental patterns of working alliance in the counseling process of these 30 cases.

Results from the cluster analysis revealed three developmental patterns, labeled as linear increase, linear decrease, and quadratic increase. However, none of these developmental patterns had significant effects on the counseling outcomes. Then, correlations between the four shape-of-change parameters (i.e., indicators of developmental patterns) and outcomes were tested, but none of the correlations was significant either. It was also found that the rupture-repair episodes defined in terms of various criteria could not differentiate good outcomes from poor ones. Notably, the levels of working alliance were still found to predict outcomes. In order to explore the reasons why the developmental patterns had no relationship with outcomes, we conducted case studies comparing the working alliance developmental patterns in cases with good or poor outcomes. Results showed that the same developmental patterns emerged in both types of cases, but these pattern may have different meanings for different clients. It appeared that therapists’ regulations of working alliance in early sessions may have great influence on therapeutic outcomes.

Key words: working alliance, developmental patterns, outcomes, counseling