CAJ | 학술논문

为了解短程咨询中工作同盟和领悟对咨询效果的影响，以12个个案94次会谈为对象，考察工作同盟、领悟分别与会谈效果、治疗效果的关系，并考察二者共同作用于效果的方式。结果表明，咨访双方评定的工作同盟都可以正向预测会谈效果，但不能预测治疗效果；领悟与会谈有效性正相关，领悟正向预测治疗效果；咨询师评定的同盟的三个维度以领悟为中介影响其对会谈效果的评价。
위료해단정자순중공작동맹화령오대자순효과적영향，이12개개안94차회담위대상，고찰공작동맹、령오분별여회담효과、치료효과적관계，병고찰이자공동작용우효과적방식。결과표명，자방쌍방평정적공작동맹도가이정향예측회담효과，단불능예측치료효과；령오여회담유효성정상관，령오정향예측치료효과；자순사평정적동맹적삼개유도이령오위중개영향기대회담효과적평개。
Working alliance and insight are two key variables in counseling process-outcome research. The relationship between working alliance and therapeutic outcome has been confirmed by many studies. Comparing with it, studies of the relationship between insight and outcome are not that many. Limited research shows that insight could positively influence outcome, including immediate outcome, session outcome, therapeutic outcome and tracing outcome. However, up to now researchers haven＇t put these two important variables together to predict outcome. There may be some relationship between working alliance, insight and outcome. In order to investigate the relationship, and the way in which these two variables influence outcome, 94 sessions of 12 complete cases in a university counseling center were studied. Their session recordings were first transcribed. And then 6 observers who were divided into 2 groups evaluated insight in these sessions. Their evaluation tool was Insight Evaluation Manual. It was formed through a qualitative study and a measurement study before. Its reliability and validity has been confirmed through the studies. Transcripts were divided into speaking turns. Observers then judged whether there was insight in each speaking turn according to Insight Evaluation Manual. Clients and counselors completed some questionnaires before or after each session. WAI-SR which measures working alliance, SEQ and one question about session effectiveness with Likert 7-ratings which measure session outcome were filled Out after each session by both clients and counselors. OQ were filled out by clients before each session. Data were analyzed through Hierarchical Linear Model 6.0. Results show that working alliance positively influence session outcome, no matter evaluated by clients or counselors, but they cannot predict therapeutic outcome. All of the three facets of working alliance which were evaluated by counselors could positively predict session outcome, and these effects are partially mediated by insight. It probably implies that when the three facts of working alliance are good, counselors are more inclined to use influencing skills, such as interpretation, which could more powerfully facilitate insight＇s appearance. Insight is positively related with session effectiveness rated by clients and also positively influence therapeutic outcome. Working alliance doesn＇t play a mediating role in the relationship.