청소년 내담자의 애착과 상담기대가 작업동맹에 미치는 영향 = Impact of Adolescent client attachment and Expectations about counseling on Working alliance

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the impact of adolescent client attachment(anxiety, avoidance) and expectations about counseling(EAC) on working alliance. The research participants were 97 adolescent clients in 13-19 year old. Prior to intake, clients completed the attachment and the EAC and clients completed the working alliance following the 3rd session. Results were as follows. First, the avoidance attachment affected directly on working alliance. The higher avoidance attachment was, the lower working alliance was. Second, the working alliance was affected by the EAC. Third, the working alliance was anticipated by both the avoidance attachment and the EAC. And the working alliance was affected by more EAC than the avoidance attachment. Fourth, the avoidance attachment affected significantly on the EAC. In the concrete, client's attitude and behavior toward counseling and counselor's character were anticipated by avoidance attachment. Also, counselor's attitude and behavior was anticipated by anxiety attachment. Fifth, EAC was the mediator between avoidance attachment and working alliance. The impact of avoidance attachment on working alliance changed in the levels of EAC. Limitations as well as implications of the study were discussed.

국문 초록 (Abstract)

본 연구의 목적은 청소년 내담자의 애착차원(회피, 불안)과 상담기대가 작업동맹에 미치는 영향을 밝히는데 있다. 연구대상은 상담을 받고 있는 13세부터 19세까지의 남여 청소년 내담자 97명이었으며, 애착과 상담기대 질문지는 1회기 전에, 그리고 작업동맹 질문지는 3회기 후에 실시되었다. 연구결과를 요약하면 다음과 같다. 첫째, 회피애착이 높을수록 작업동맹 수준은 낮았다. 둘째, 상담기대가 높을수록 작업동맹은 높았다. 셋째, 회피애착과 상담기대 모두는 작업동맹을 유의하게 예측하였으며, 회피애착보다 상담기대가 작업동맹에 더 큰 영향을 미치는 것으로 나타났다. 넷째, 회피애착이 높을수록 상담기대의 하위요인 중 내담자의 태도와 행동, 그리고 상담자의 특성에 대한 기대가 부정적이었다. 그리고 불안애착이 높을수록 상담자에 대한 태도와 행동에 대한 기대가 높았다. 다섯째, 회피애착과 작업동맹 간의 관계에서 상담기대는 조절자의 역할을 하였다. 즉, 상담기대의 수준에 따라 회피애착이 작업동맹에 미치는 영향력이 달라졌다. 연구결과의 의의와 한계점에 대해 논의하였다.

참고문헌 (Reference)

• 1 지승희, "회피형 내담자가 지각하는 상담 과정 및 변화 요인 연구,애착이론적 조망에서" 이화여자대학교. 2000
• 2 김성현, "친밀 관계 경험 검사 개정판 타당화 연구:확증적 요인분석과 문항 반응이론을 중심으로" 서울대학교. 2004
• 3 박영종, "청소년의 애착과 작업동맹의 관계:사회적 지지의 매개효과" 전남대학교 2008
• 4 장휘숙, "청소년의 애착과 MMPI 하위척도들의 관계" 16 (16): 323-341, 1997
• 5 황재원, "청소년의 상담에 대한 소극적 참여요인 탐색" 서울대학교 2005
• 6 김혜숙, "청소년상담모형개발연구Ⅱ-비협조적 내담자의 상담" 청소년대화의 광장 30 : 1996
• 7 최인화, "청소년 내담자의 애착이 작업동맹 및 상담성과에 미치는 영향" 홍익대학교 2007
• 8 양미진, "질적분석을 통한 비자발적 청소년 내담자의 상담지속요인 연구" 숙명여자대학교 2005
• 9 장성숙, "자아강도와 자기은폐에 따른 상담 동기와 상담자에 대한 기대" 22 : 39-55, 2006
• 10 Marrone,M, "애착이론과 심리치료" 시그마프레스 2005
• 11 방은령, "아동과 치료자간의 치료적 관계 척도의 타당화 연구" 한국심리학회 산하 한국발달심리학회 17 (17): 101-122, 2004
• 12 이장호, "상담자에 대한 내담자의 기대" 3 : 23-43, 1990
• 13 김수정, "상담자,내담자 애착유형이 작업동맹에 미치는 영향" 이화여자대학교 2005
• 14 박애선, "상담에 대한 내담자의 기대감연구" 숙명여자대학교 1985
• 15 김인규, "상담에 대한 기대와 청소년 상담" 6 : 40-59, 1998
• 16 이재창, "상담에 대한 기대에 관한 연구" 16 : 95-117, 1999
• 17 이혜정, "대학생 애착 유형과 상담에 대한 기대" 서울대학교 2005
• 18 김태근, "u-Can 회귀분석" 인간과 복지 2006
• 19 Meeks, J. E, "the fragile alliance" Krieger publishing company 2001
• 20 Kokotovic, A. M., "Working alliance in the early phase of counseling" 37 : 16-21, 1990
• 21 Beutler, L. E, "Therapist variables in Bergin and Garfield's Handbook of psychotherapy and behavior change" Wiley 227-306, 2004
• 22 Eaton, T. T, "Therapeutic alliance and outcome: Impact of treatment length and pretreatment symptomatology" 25 (25): 536-542, 1988
• 23 Castonguay, L. G, "The working alliance: Where are we and where should we go?" 43 (43): 271-279, 2006
• 24 Greenson,R.R, "The working alliance and the transference neurosis" 34 : 155-181, 1965
• 25 Digiuseppe, R., "The therapeutic alliance in adolescent psychotherapy" 5 : 85-100, 1996
• 26 Horvath, A. O, "The role of the therapeutic alliance in psychotherapy" 61 (61): 561-573, 1993
• 27 Marmarosh, C. L, "The real relationship in psychotherapy: Relationships to adult attachments, working alliance, transference, and therapy outcome" 56 (56): 337-350, 2009
• 28 Bowlby,J, "The nature of the child’s tie his mother" 16 : 252-260, 1958
• 29 Bordin,E.S, "The generalizability of the psychoanalytic concept of the working alliance" 16 : 252-260, 1979
• 30 Greenberg, L. S, "Resolving decisional conflict by Gestalt two-chair dialogue: Relating process to outcome" 29 (29): 468-477, 1982
• 31 Martin, D. J, "Relation of therapeutic alliance with outcome and a meta-analytic review" 68 : 438-450, 2000
• 32 Lambert,M.J, "Psychotherapy outcome research:Implications for integrative and eclectical therapists in Handbook of psychotherapy integration" Basic Books 94-129, 1992
• 33 Ainsworth, M. D. S, "Patterns of attachment assessed in strange situation and at home" Basic Books 1978
• 34 Garland, A. F, "Multiple stakeholder agreement on desired outcomes for adolescents' mental health services" 55 : 671-676, 2004
• 35 Terr, L. G, "Moments in psychotherapy" 44 : 191-197, 2005
• 36 Karver, M. S, "Meta-analysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature" 26 (26): 50-65, 2006
• 37 Fraley,R.C, "Information on the Experiences in Close Relationships-Revised(ECR-R) adult attachment questionnaire"
• 38 Cassidy, J, "Handbook of Attachment, Theory, research, and clinical applications" The Guilford Press 1999
• 39 Joyce, A. S, "Expectancy, the Therapeutic Alliance, and Treatment Outcome in Short-Term Individual Psychotherapy" 7 : 236-248, 1998
• 40 Fuertes, J, "Correlates of the real relationship in psychotherapy: A study of dyads" 17 : 423-430, 2007
• 41 Al-Darmaki, F, "Congruence in client-counselor expectations for relationship and the working alliance" 40 : 379-384, 1993
• 42 Collins, N. L, "Cognitive representation of attachment:The Structure and function of working models in Advances in personal relationships," Jassica Kingsley 53-90, 1994
• 43 Shirk, S. R, "Clinical, Empirical and developmental perspectives on the therapeutic relationship in child psychotherapy" 4 : 713-728, 1992
• 44 Tokar, D. M, "Clients’ expectations about counseling and perceptions of the working alliance" 11 : 9-26, 1996
• 45 Tinsely. H. E. A., "Client expectations for counseling" 23 : 173-177, 1980
• 46 Mallinckrodt, B, "Client attachment to therapist, depth of in-session exploration, and object relations in brief psychotherapy" 42 : 85-100, 2005
• 47 Dolan, R, "Client attachment style and the psychotherapist’s interpersonal stance" 30 : 408-412, 1993
• 48 Satterfield, M. A, "Client attachment and the working alliance" 11 : 407-415, 1998
• 49 Hawley, K. M, "Child, parent, and therapist (dis)agreement on target problems in outpatient therapy: The therapist’s dilemma and its implications" 71 : 62-70, 2003
• 50 Horowitz, M. J, "Brief Psychotherapy of bereavement reactions" 41 : 438-448, 1984
• 51 Bartholomew.K, "Avoidance of intimacy; An attachment perspective" 7 : 147-178, 1990
• 52 Slade,A, "Attachment theory and research:Implications for the theroy and practice of individual psychotherapy with adults in Handbook of attachment:Theory,research,and clinical implications" Guilford Press 575-594, 1999
• 53 Bjorn Meyer, "Attachment style and personality disorders as predictors of symptom course" 15 (15): 371-389, 2001
• 54 Fraley, R. C, "An item response theory analysis of self-report measures of adult attachment" 78 : 350-365, 2000
• 55 Chu, B. C, "Alliance, technology and outcome in the treatment of anxious youth" 11 (11): 44-55, 2004
• 56 Meyer, B, "Adult attachment styles, personality disorders, and response to treatment" 15 : 371-389, 2001