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Psychotherapists show a great variation in their ability to achieve positive outcomes in therapy. Specifically, they vary in terms of their ability to identify and repair ruptures in the therapeutic alliance. Alliance ruptures are a frequent phenomenon but often go undetected; however, repairing alliance ruptures represents a great opportunity to improve the psychotherapy process and therapy outcome. Empirical research suggests that patient feedback should be included in the psychotherapy process to be able to detect alliance ruptures better. From a psychodynamic point of view, a “sufficiently good” therapist is a therapist who can acknowledge the countertransference-based limitations in evaluating the therapeutic alliance with patients and the need to use feedback in order to detect and repair inevitable alliance ruptures. The consequences for research, practice and psychotherapy training are considered.  相似文献   
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This longitudinal study of gay men examined safer sex within steady relationships and assessed whether relationship quality influenced safer sex with casual partners. The theoretical frameworks of Rusbult's (1980) investment model of romantic relationships and of Ajzen's (1988, 1991) model of planned behavior were used. Unprotected intercourse with a steady partner was practiced significantly more often when both partners in a steady relationship were seronegative and had an explicit agreement to keep it safe with casual partners. However, there was no indication that explicit agreements reduced the occurrence of unsafe extrarelational sex. Both the investment model of romantic relationships and the model of planned behavior were successful in accounting for sexual risk behavior outside the relationship.  相似文献   
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Vonk & van Vliet (1998) criticise the methods used in the study by Wagner, Elejabarrieta & Lahnsteiner (1995). They conclude that methodological flaws render some findings of the study invalid. It is shown that those flaws are in fact not present and that the remaining part of the conceptual critique is at least debatable. © 1998 John Wiley & Sons, Ltd.  相似文献   
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A comparison of 234 call centre agents with 572 workers in traditional jobs with long lasting training revealed lower job control and task complexity/variety and higher uncertainty among call agents. However, time pressure, concentration demands, and work interruptions were lower in call agents. Within the call agent sample, controlling for negative affectivity and other working conditions, job control predicted intention to quit, and job complexity/variety predicted job satisfaction and affective commitment. Social stressors and task-related stressors predicted uniquely indicators of well-being and job-related attitudes. Furthermore, data confirm the role of emotional dissonance as a stressor in its own right, as it explained variance in irritated reactions and psychosomatic complaints beyond other working conditions. Results indicate that strong division of labour may be a rather general phenomenon in call centres. Therefore, working conditions of call agents require a redesign by means of job enrichment or—better—organization development. Moreover, measures of social stressors and emotional dissonance should be integrated routinely into stress-related job analyses in service jobs.  相似文献   
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