■本系统综述的目的是扩大我们对联盟在心理治疗中的潜在机制的了解。这是通过检查联盟破裂和修复过程与人际协调动态之间的关联来完成的。
■根据PRISMA指南进行了系统审查,针对调查联盟破裂和修复事件与不同行为模式之间关联的论文(即,生理学,运动)在心理治疗互动中。17项研究纳入全文分析。
■结果表明,破裂和修复发作与人际协调动力学有关。不同的模式(运动,心率,和发声)被发现是联盟破裂和修复事件的标志。面部表情,生理唤醒,发声,和行为被发现在与相互情绪调节相关的治疗相互作用中起重要作用,移情反应,安全,信任,和意义制造。
■讨论了本评论的局限性,包括在审查的研究中观察到的巨大的方法学差异和选择偏差。提出了该领域未来研究的建议。总的来说,发现人际协调动态有可能帮助识别和管理联盟破裂并促进治疗相互作用中的修复,这对未来的临床工作和培训具有很高的潜力。
UNASSIGNED: The purpose of this systematic review is to expand our knowledge of the underlying mechanisms of the alliance in psychotherapy. This is done by examining the association between alliance rupture and repair processes and interpersonal coordination dynamics.
UNASSIGNED: A systematic review based on PRISMA guidelines was conducted, aimed at papers investigating the association between alliance rupture and repair episodes and different behavioral modalities (i.e., physiology, movement) in the psychotherapeutic interaction. Seventeen studies were included for full text-analysis.
UNASSIGNED: The results indicate that rupture and repair episodes were associated with interpersonal coordination dynamics. Different modalities (movement, heart rate, and vocalization) were found to serve as markers for alliance rupture and repair events. Facial expressions, physiological arousal, vocalization, and behavior were found to play important roles in the therapeutic interaction in relation to mutual emotion regulation, empathic response, safety, trust, and meaning-making.
UNASSIGNED: Limitations of this review are discussed, including the great methodological variation and selection bias observed in the reviewed studies. Recommendations for future research in this area are presented. Overall, interpersonal coordination dynamics was found to have the potential to help identify and manage alliance ruptures and foster repairs in the therapeutic interaction, which has high potential for future clinical work and training.