PDF(Pubmed)
Abstract：
BACKGROUND: This article contributes to knowledge and practice of core processes that are shared by evidence-based alcohol or other drug (AOD) therapies. It is the fourth in a series with this aim, and here we discuss perhaps the most universally acknowledged ingredient of effective therapy - the therapeutic relationship. We consider various related terms and definitions in the literature, but in the present review, we offer a definition that underscores the context of behavior change.
METHODS: This study conducted a literature review and qualitative content analysis to derive a set of principles and practices for facilitating and maintaining the therapeutic relationship. The sources for this review included government-issued practice guidelines, therapy manuals or books, demonstration videos, and peer-reviewed articles (61 sources). The content analysis was performed in NVIVO, and reliability analysis showed moderate agreement between raters (kappa = 0.60).
RESULTS: Six principles and 16 practices were identified. The distribution of principles and practices could be broken into three categories: 1) the facilitation of client behavior change mechanisms (i.e., self-determination, motivation, self-efficacy), 2) partnership considerations (e.g., goal and task alignment), and 3) therapist interpersonal skills (e.g., empathy).
CONCLUSIONS: The therapeutic relationship is foundational to the behavior change process. We frame it as a combination of broader interpersonal considerations and attention to key mechanisms of client behavior change. The present work provides a novel resource for trainees, clinicians, and clinical supervisors interested in fostering therapy relationships with clients in AOD or other behavior change settings.
METHODS: This study conducted a literature review and qualitative content analysis to derive a set of principles and practices for facilitating and maintaining the therapeutic relationship. The sources for this review included government-issued practice guidelines, therapy manuals or books, demonstration videos, and peer-reviewed articles (61 sources). The content analysis was performed in NVIVO, and reliability analysis showed moderate agreement between raters (kappa = 0.60).
RESULTS: Six principles and 16 practices were identified. The distribution of principles and practices could be broken into three categories: 1) the facilitation of client behavior change mechanisms (i.e., self-determination, motivation, self-efficacy), 2) partnership considerations (e.g., goal and task alignment), and 3) therapist interpersonal skills (e.g., empathy).
CONCLUSIONS: The therapeutic relationship is foundational to the behavior change process. We frame it as a combination of broader interpersonal considerations and attention to key mechanisms of client behavior change. The present work provides a novel resource for trainees, clinicians, and clinical supervisors interested in fostering therapy relationships with clients in AOD or other behavior change settings.
摘要：
背景：本文为基于证据的酒精或其他药物（AOD）疗法共享的核心过程的知识和实践做出了贡献。这是该系列中的第四个，在这里，我们讨论有效治疗的最普遍公认的成分-治疗关系。我们考虑文献中的各种相关术语和定义，但在本次审查中,我们提供了一个强调行为变化背景的定义。
方法：本研究进行了文献综述和定性内容分析，以得出一套促进和维持治疗关系的原则和实践。这次审查的来源包括政府发布的实践指南，治疗手册或书籍，演示视频,和同行评审的文章(61个来源)。在NVIVO中进行了内容分析，可靠性分析表明，评估者之间的一致性中等(kappa=0.60)。
结果：确定了6项原则和16项实践。原则和实践的分布可以分为三类：1）促进客户行为改变机制（即，自决,动机，自我效能)，2)伙伴关系考虑因素(例如，目标和任务对齐)，和3)治疗师人际交往能力(例如，移情）。
结论：治疗关系是行为改变过程的基础。我们将其构建为更广泛的人际考虑的组合(即，人类纽带)和对客户行为改变的关键机制的关注(即，自决,动机，自我效能感)。目前的工作为学员提供了一种新颖的资源，临床医生,和临床主管有兴趣在AOD或其他行为改变设置中促进与客户的治疗关系。
方法：本研究进行了文献综述和定性内容分析，以得出一套促进和维持治疗关系的原则和实践。这次审查的来源包括政府发布的实践指南，治疗手册或书籍，演示视频,和同行评审的文章(61个来源)。在NVIVO中进行了内容分析，可靠性分析表明，评估者之间的一致性中等(kappa=0.60)。
结果：确定了6项原则和16项实践。原则和实践的分布可以分为三类：1）促进客户行为改变机制（即，自决,动机，自我效能)，2)伙伴关系考虑因素(例如，目标和任务对齐)，和3)治疗师人际交往能力(例如，移情）。
结论：治疗关系是行为改变过程的基础。我们将其构建为更广泛的人际考虑的组合(即，人类纽带)和对客户行为改变的关键机制的关注(即，自决,动机，自我效能感)。目前的工作为学员提供了一种新颖的资源，临床医生,和临床主管有兴趣在AOD或其他行为改变设置中促进与客户的治疗关系。
