Relationships among Patient and Therapist Ratings of Therapeutic Alliance and Patient Assessments of Therapeutic ProcessA Study of Cognitive Therapy with Long-Term Mentally Ill Patients
作者:
BENGT SVENSSON,
LARS HANSSON,
期刊:
The Journal of Nervous and Mental Disease
(OVID Available online 1999)
卷期:
Volume 187,
issue 9
页码: 579-585
ISSN:0022-3018
年代: 1999
出版商: OVID
数据来源: OVID
摘要:
The therapeutic alliance as rated by therapists and patients was assessed every 5 weeks throughout the treatment period in an in-patient treatment program for schizophrenic and other long-term mentally ill patients. The patients (N= 26) also assessed perceived curative factors (Curative Factors Questionnaire) and made therapy session evaluations (Session Evaluation Questionnaire). The most important patient rated factors showing a relationship with therapist-rated alliance were in the initial phase of treatment depth in the therapy sessions, in the working phase the experience of involvement in the treatment, and in the discharge phase perceived helpfulness of encouragement and reassurance. The investigation of curative factors, session evaluations, and alliance as rated by patients showed a relationship in the initial phase between alliance and encouragement, reassurance and awareness, in the working phase between alliance and depth in sessions and "talking to someone who understands," and in the discharge phase between alliance and self-understanding and problem solution.
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