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ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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내담자의 상담 기대와 실제 상담 성과와의 관계에서 치료동맹의 매개효과

Mediating Effect of Working Alliance in the relationship of Client’s Counseling Expectation and Counseling Outcome

초록

본 연구는 내담자의 상담에 대한 기대와 실제 상담 성과와의 관계에서 치료적 동맹이 어떤 역할을 하는지 검증하였다. 이를 위해 자발적으로 연구에 참여한 내담자 284명을 대상으로 접수 면접 시에 초기심각도와 상담성과에 대한 기대, 3회기에 치료적 동맹, 종결회기에 상담성과를 측정하였다. 상담기대와 상담성과의 관계에서 치료적 동맹이 매개하는 모형을 구조방정식모형분석을 사용하여 검증한 결과, 내담자의 상담에 대한 기대는 상담성과에 직접적인 영향을 주지 않고 상담 초기의 치료적 동맹을 통해서만 영향을 미치는 완전 매개 모형이 유의한 모형으로 선택되었다. 이러한 결과는 내담자의 상담에 대한 기대가 실제 상담 성과에 기여하기 위해서는 상담 초기 단계에 강한 치료동맹을 형성하는 것이 필수적임을 보여주어 상담관계의 중요성을 다시 한 번 확인해 주었다. 본 연구는 실제 국내 상담 종단 자료를 분석하여 내담자의 상담 직전, 과정, 종결의 전체 상담 과정 동안의 경험을 구조적으로 분석하였다는 점에서 주요한 의의를 지닌다. 연구 결과에 기초하여 상담실제 및 추후 연구에 대한 시사점을 논의하였다.

keywords
Counseling expectation, Therapeutic Alliance, Counseling Outcome, Longitudinal Study, 상담에 대한 기대, 동맹, 상담성과, 종단연구

Abstract

The purpose of the present study was to examine the mediating effect of working alliance on the relation of client’s counseling expectation and counseling outcome using counseling longitudinal data from 284 clients and 44 counselors in Korea. Client’s counseling expectation was measured at pre-treatment, working alliance at the third session and the counseling outcome at pre- and post-treatment. Result of structural equation modeling analysis supported a complete mediating effect of working alliance on the relation of client's counseling expectation and counseling outcome. Furthermore, results showed the importance of collaborative counseling relationship in the early phase of counseling process as a therapeutic context leading counseling expectation into positive counseling outcome. The implication for future studies and counseling practice are discussed based on the result of the present study.

keywords
Counseling expectation, Therapeutic Alliance, Counseling Outcome, Longitudinal Study, 상담에 대한 기대, 동맹, 상담성과, 종단연구

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