Tag
alliance
Articles tagged "alliance".
55 articles
The Role of Empathic Listening in Rupture-Repair Training
The association between the therapeutic alliance and outcome is now well-established and widely known (Flückiger et al., 2018), highlighting a need to better understand the factors that influence the quality of the alliance. Thinking around therapists’ capacities to establish and maintain the alliance has grown increasingly sophisticated, as researchers have long-investigated ruptures and repairs in […]
Shannon L. McIntyre, Ph.D.
April 9, 2023
The Relationship Between Measures of Alliance and Outcome in Psychotherapy Lasting More Than Five Sessions
The purpose of this paper is to explore the relationship between alliance measures and improvement on the outcome measure for clients in longer term treatment (six to 20 sessions). This is the second of a two part series. The first article (Mahon et al., 2021) explored the relationship between alliance scores and improvement on the […]
Daryl Mahon, D.SoC, MA + 2 more
August 1, 2021
The Relationship Between Session-to-Session Change on a Therapeutic Alliance Measure and Outcome of Treatment for Short Term Psychotherapy
The therapeutic alliance (Bordin, 1979) remains one of the most studied constructs in psychotherapy outcome research (Norcross & Lambert, 2019), and is a robust predictor of client outcome (Flückiger et al., 2018; 2020; Wampold & Imel, 2015). It has been established that therapists vary in their ability to build and maintain an effective alliance, which […]
Daryl Mahon, D.SoC, MA + 2 more
July 18, 2021
When Adolescents Stop Psychological Therapy
Abstract The therapeutic alliance predicts dropout from psychological therapy, and ruptures in the therapeutic alliance may also predict dropout, yet there is a dearth of research with adolescents. This study investigated whether markers of rupture–repair in the alliance were indicative of different types of treatment ending in adolescents receiving psychological treatment for depression. Data were from the IMPACT study, […]
Sally O'Keeffe + 2 more
December 16, 2020
Trainee Therapist Characteristics in the Prediction of Client Rated Alliance
Ample research suggests that therapists differ in their level of effectiveness (Blow et. al., 2007; Wampold, 2001). Even more striking is that therapist effects appear to be larger than treatment effects (e.g., Lindgren et al., 2010). These findings suggest that “who” the therapist is may be more important than the type of treatment used. Moreover, […]
Jenelle Slavin-Mulford, Ph.D.
March 8, 2020
Therapist Attachment-Related Behaviors and Their Effects on Psychotherapy Process and Outcome
For more than 20 years, our attachment research teams at Western Michigan University (WMU) have been using Bowlby’s attachment theory to examine important psychotherapy process and outcome variables. What have we found? Generally speaking, client and therapist attachment do matter in psychotherapy—often times, in many of the same ways that John Bowlby would have predicted. […]
Eric M. Sauer, Ph.D. + 3 more
March 2, 2020
Balancing Alliances With Couples and Families
Many therapists in training, and even experienced therapists, anticipate working with couples and families with trepidation. As family therapists and researchers, we understand that trepidation, and indeed, sometimes find ourselves experiencing these same feelings! However, we know that understanding systemic interactions really helps in learning to work with couples and families; thus, we offer some […]
Laurie Heatherington, Ph.D. + 2 more
November 12, 2019
Crossing the Distance Between You and Me
The interpersonal difficulties experienced by patients diagnosed with a personality disorder (PD) can pose difficulty in negotiating a strong therapeutic alliance between patient and therapist (Muran, Segal, Samstag, & Crawford, 1994; Stern, 1938; Vaillant, 1992; Waldinger & Gunderson, 1984). For instance, therapists of patients diagnosed with Cluster B (i.e., “dramatic, emotional, erratic”) PDs often rate […]
Benjamin N. Johnson, M.S. + 1 more
June 23, 2019
The State of Multicultural Counseling Competencies Research
Due to changes in demographics in the United States, counselors and therapists are likely to serve clients who have a culturally diverse background. Data from the 2010 United States (U.S.) Census indicated that foreign-born individuals represented 13.3% of the U.S. population, some 42.3 million people (Colby & Ortman, 2014). In 2014, the U.S. population by […]
Minnah W. Farook, M.A., Ed.S.
December 12, 2018
Personality Disorder & A Missed Clinical Turning Point
The interpersonal difficulties experienced by patients diagnosed with a personality disorder (PD) tend to pose great difficulty in negotiating a strong therapeutic alliance between patient and therapist (Muran, Segal, Samstag, & Crawford, 1994; Stern, 1938; Vaillant, 1992; Waldinger & Gunderson, 1984). Patients with PDs often generate intense and uncomfortable reactions in their therapists, sometimes producing […]
Lauren M. Lipner, Ph.D. + 1 more
December 12, 2018
Rupture-Resolution Processes in Early Treatment for Borderline Personality Disorder
The quality of the therapeutic alliance is a robust predictor of psychotherapy outcomes (Horvath, Del Re, Flückinger, & Symonds, 2011). Recent studies have shown that some therapists are consistently better at developing and maintaining alliances with their patients than others (Baldwin, Wampold, & Imel, 2007; Dinger, Strack, Leichsenring, Wilmers, & Schauenburg, 2008; Zuroff, Kelly, Leybman, […]
Tali Z. Boritz, Ph.D.
December 12, 2018
Does Having Clients and Therapists Practice Mindfulness Together Have a Positive Impact on Psychotherapy Sessions?
Over the past decade, the practice of mindfulness has received a significant amount of attention in the psychotherapy research literature. The existing research on mindfulness has demonstrated that it can produce positive health and mental health benefits for psychotherapy clients (Davis & Hayes, 2011). A smaller body of research has also demonstrated that the practice […]
Joshua K. Swift, Ph.D. + 1 more
December 6, 2018