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心理咨询中的突然获益：工作同盟及初始症状的影响
Sudden Gains in Psychotherapy: The Influences of Working Alliance and Initial Symptom Severity
对82位当事人在咨询中的症状改变过程进行纵向研究，检验突然获益模式（Sudden Gain, SG）的发生及其与咨询效果的联系，并探索初始症状水平、工作同盟对SG的影响。结果表明，24.93%的当事人经历了SG，咨询效果显著好于其他当事人；SG组与对照组在初始症状水平和总体工作同盟水平上差异显著。结论：SG出现于本土心理咨询中，经历SG的当事人取得了更好的咨询效果，工作同盟与初始症状水平与SG的发生相关。
The authors conducted a longitudinal study on 82 clients to examine the occurrence of sudden gains and its relationship to the outcome. Then it was tested whether the initial symptom severity and working alliance would be associated with sudden gain. Results indicated that 24.93% of the sample experienced sudden gains. These sudden gainers had significantly better outcome compared with the other clients. At the same time, the initial symptom severity and working alliance of the sudden gainers were both higher than other clients. These results suggested that the sudden gains did exist in Chinese clients; and the sudden gainers got better outcome than the other clients. Besides, the working alliance and initial symptom severity had significantly influences on the occurrence of sudden gains.
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