Psychotherapy engagers versus non-engagers: Differences in alliance, therapist verbal response modes, and client attachment

被引：16

作者：

Huang, Teresa ^{[1
]}

Hill, Clara ^{[1
]}

Gelso, Charles ^{[1
]}

机构：

[1] Univ Maryland, Dept Psychol, College Pk, MD 20742 USA

来源：

PSYCHOTHERAPY RESEARCH | 2013年 / 23卷 / 05期

关键词：

psychotherapy; engagement; therapist verbal response modes; adult attachment; intake sessions; dropout; working alliance; WORKING ALLIANCE; METAANALYSIS; ADJUSTMENT; BEHAVIOR; STYLE;

D O I：

10.1080/10503307.2013.807378

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

For each of four therapists, we studied two clients who did not return after intake (non-engagers) and two clients who continued for at least eight sessions of psychodynamic psychotherapy (engagers), for a total of 16 cases yielding 3877 therapist verbal response units. Engagers and non-engagers did not differ in terms of working alliance measured after the intake session. In terms of therapist verbal response modes for non-engagers compared to engagers, therapists used more approval-reassurance in the beginning third of intake sessions, and more reflections of feeling but less information about the helping process in the last third of intake sessions. Non-engagers had higher pre-intake attachment anxiety than engagers. Implications for practice and research are discussed.

引用

页码：568 / 577

页数：10