Therapeutic Alliance in Cognitive Behavior Therapy for Schizophrenia: Association with History of Sexual Assault
| 详细信息 | 推荐本文 | |
- 作者：Paul H. Lysaker (12) plysaker@iupui.edu
Louanne Davis (12)
Samantha D. Outcalt (12)
Marc Gelkopf (34)
David Roe (3) - 关键词：Trauma – ; Sexual assault – ; Schizophrenia – ; Therapeutic alliance – ; Recovery – ; Cognitive behavior therapy
- 刊名：Cognitive Therapy and Research
- 出版时间：October 2011
- 出版年：2011
- 期刊代码：9_01475916
- 类别：en
- 卷：35
- 期：5
- 页码：456-462
- 数据来源：sp
摘要
History of sexual assault in schizophrenia has been suggested as a risk factor for psychosis and a graver course of illness. One possibility is that a history of this type of trauma affects responses to treatment by forming a barrier to a therapeutic alliance. To explore this possibility, we compared monthly ratings of therapeutic alliance for clients with schizophrenia with (n = 9) and without (n = 31) a history of sexual assault across 6 months of cognitive behavior therapy. Ratings were collected from clients and therapists and compared using a repeated measures analysis of variance controlling for level of positive symptoms. Results revealed that clients with a sexual trauma history produced lower overall rating of therapeutic alliance than clients without such a history. Therapist ratings of therapeutic alliance between both groups were not significantly different. Results suggest treatment may need to consider trauma histories as a barrier to therapeutic alliance.