Mutual Smiling Episodes and Therapeutic Alliance in a Therapist-Couple Discussion Task

2008 ◽  
Vol 67 (4) ◽  
pp. 231-239 ◽  
Author(s):  
Joëlle Darwiche ◽  
Yves de Roten ◽  
Daniel J. Stern ◽  
Fabienne Crettaz von Roten ◽  
Antoinette Corboz-Warnery ◽  
...  
Keyword(s):  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Rating Scale ◽  
Marital Adjustment ◽  
Coding System ◽  
Social Functions ◽  
Rater Reliability ◽  
Triadic Interaction ◽  
Functional Perspective

We observed mutual smiling episodes (MSEs) during therapist-couple triadic interaction as a key element of affective exchanges that serve to regulate the therapeutic relationship. Based on a functional perspective, we developed a new rating scale, the MSE Coding System (MSE-CS) that allows us to distinguish between four different MSEs, which correspond to four social functions: supporting mutual binding, sharing miseries, repairing, and confronting. MSEs were analyzed in a sample of eight therapist-couple triads. Therapeutic alliance and marital adjustment were also measured. The instrument (MSE-CS) demonstrated satisfactory inter-rater reliability, and initial indications of validity are promising. Results showed that number of MSEs was positively correlated with triadic therapeutic alliance. Types of MSEs were also distributed differently depending on the level of triadic therapeutic alliance.

Examining for the Protective Effects of Therapeutic Engagement on Child Aggression

2020 ◽  
pp. 106342662098070
Author(s):  
Qshequilla P. Mitchell ◽  
S. Taylor Younginer ◽  
John E. Lochman ◽  
Eric M. Vernberg ◽  
Nicole P. Powell ◽  
...  
Keyword(s):  
Therapeutic Alliance ◽  
Externalizing Behaviors ◽  
Preventive Intervention ◽  
Therapeutic Process ◽  
Task Orientation ◽  
Protective Effects ◽  
Coding System ◽  
Diverse Range ◽  
Research With Children ◽  
Coping Power

Therapeutic alliance is associated with treatment outcomes across a diverse range of intervention models and clinical populations. Likewise, the perceived quality of working alliance in adult psychotherapy has been a consistent predictor of engagement, while research with children is limited. This study draws from a sample of 180 children who were involved in a study of the Coping Power preventive intervention for elementary students with aggressive behavior. Approximately 1,080 individual intervention sessions were coded using the Therapeutic Process Observational Coding System (TPOCS-A). Results suggest that bonding, in the early sessions of Coping Power, predicted a reduction in teacher-reported externalizing behaviors. In addition, data analyses revealed that bonding interacted with children’s gender in the latter portions of Coping Power. Higher bonding for girls in later sessions predicted lower teacher-rated externalizing behaviors at 1-year follow-up. Finally, initial levels of aggression moderated the relationship between bond and parent-rated externalizing behaviors during the early and late sessions of Coping Power, with stronger effects for moderately aggressive children. Task orientation, a component of therapeutic alliance, in late sessions had counter-intuitive effect on parent-rated externalizing behaviors, possibly due to therapists’ efforts to impose more structure with children who were not progressing well.

Inter-rater reliability of the International Cooperative Ataxia Rating Scale (ICARS)

2004 ◽  
Vol 19 (2) ◽  
pp. 190-192 ◽  
Author(s):  
Elsdon Storey ◽  
Kate Tuck ◽  
Robert Hester ◽  
Andrew Hughes ◽  
Andrew Churchyard
Keyword(s):  
Rating Scale ◽  
Rater Reliability

scholarly journals Validation of the French Versions of Two Brief,Clinician-friendly Outcome Monitoring Tools: The ORS and SRS.

2019 ◽  
Author(s):  
Christophe Cazauvieilh ◽  
Kamel Gana ◽  
Scott D Miller ◽  
Bruno Quintard
Keyword(s):  
Therapeutic Relationship ◽  
Rating Scale ◽  
Well Being ◽  
Routine Outcome Monitoring ◽  
Factorial Structure ◽  
Monitoring Tools ◽  
Outcome Monitoring ◽  
Session Rating Scale ◽  
French Validation ◽  
Outcome Rating Scale

<b>French Validation of two brief Routine Outcome Monitoring (ROM)</b> scales <b>from the PCOMS system</b> : the <b>ORS</b> (Outcome Rating Scale, Miller et al., 2005) <b>designed to assess </b>various dimensions of <b>well-being and progression during care</b>, and the <b>SRS</b> (Session Rating Scale 3.0; Miller et al., 2002) <b>designed to assess dimensions of the therapeutic relationship</b>. <b>The research implied clinical and non clinical populations</b> <b>and brings estimates</b> <b>regarding</b> factorial structure, validity, reliability, preliminary index and norms of <b>the two scales in French.</b>

scholarly journals Videoconferencing Psychotherapy: a literature review of the perspective of relationships for patients and psychologists (Preprint)

2020 ◽  
Author(s):  
Francesco Cataldo ◽  
Shanton Chang ◽  
Antonette Mendoza ◽  
George Buchanan
Keyword(s):  
Literature Review ◽  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Active Role ◽  
High Demand ◽  
Face To Face ◽  
Patient Relationships ◽  
The Impact ◽  
The Relationship

BACKGROUND During the COVID-19 pandemic, people are being encouraged to maintain social distance. Technology is helping people to reschedule meetings from “face-to-face” interactions to remote videoconferencing. Psychologists are in high demand, due to an increase in stress as a result of COVID. Many seek to both keep treating their current patients, and welcome new ones, given the current high demand for their services. Videoconferencing provides an opportunity to do this. However, shifting treatment from face-to-face to the videoconferencing is not simple as both the psychologist and the patient miss the in-person information and cues, such as body language provides. OBJECTIVE A new theoretical framework is proposed to guide the design of future studies on the impact of the computer as a mediator of psychologist-patient relationships, and the influence of videoconferencing on the whole relationship process. METHODS A literature review has been conducted, screening studies focusing on communication, and the key concepts of therapeutic relationship and therapeutic alliance. RESULTS Studies report that patients are generally satisfied with videoconference therapy in terms of the relationship with their therapists and the establishment of the “therapeutic alliance”. However, psychologists report difficulties in establishing same quality of therapeutic relationship and therapeutic alliance. The analysed studies lead us to interpret data under a different perspective. A new model of relationship is proposed, along with further hypotheses. CONCLUSIONS It is important to consider the computer as having an active role in psychologists and patients’ relationships. CLINICALTRIAL

Development and assessment of the inter-rater and intra-rater reproducibility of a self-administration version of the ALSFRS-R

2019 ◽  
Vol 91 (1) ◽  
pp. 75-81 ◽  
Author(s):  
Leonhard A Bakker ◽  
Carin D Schröder ◽  
Harold H G Tan ◽  
Simone M A G Vugts ◽  
Ruben P A van Eijk ◽  
...  
Keyword(s):  
Rating Scale ◽  
Clinical Care ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
The Self ◽  
Coefficient Alpha ◽  
Rater Agreement ◽  
Self Administration ◽  
Limits Of Agreement ◽  
Rater Reliability

ObjectiveThe Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) is widely applied to assess disease severity and progression in patients with motor neuron disease (MND). The objective of the study is to assess the inter-rater and intra-rater reproducibility, i.e., the inter-rater and intra-rater reliability and agreement, of a self-administration version of the ALSFRS-R for use in apps, online platforms, clinical care and trials.MethodsThe self-administration version of the ALSFRS-R was developed based on both patient and expert feedback. To assess the inter-rater reproducibility, 59 patients with MND filled out the ALSFRS-R online and were subsequently assessed on the ALSFRS-R by three raters. To assess the intra-rater reproducibility, patients were invited on two occasions to complete the ALSFRS-R online. Reliability was assessed with intraclass correlation coefficients, agreement was assessed with Bland-Altman plots and paired samples t-tests, and internal consistency was examined with Cronbach’s coefficient alpha.ResultsThe self-administration version of the ALSFRS-R demonstrated excellent inter-rater and intra-rater reliability. The assessment of inter-rater agreement demonstrated small systematic differences between patients and raters and acceptable limits of agreement. The assessment of intra-rater agreement demonstrated no systematic changes between time points; limits of agreement were 4.3 points for the total score and ranged from 1.6 to 2.4 points for the domain scores. Coefficient alpha values were acceptable.DiscussionThe self-administration version of the ALSFRS-R demonstrates high reproducibility and can be used in apps and online portals for both individual comparisons, facilitating the management of clinical care and group comparisons in clinical trials.

scholarly journals Visual assessment of movement quality in the single leg squat test: a review and meta-analysis of inter-rater and intrarater reliability

2019 ◽  
Vol 5 (1) ◽  
pp. e000541 ◽  
Author(s):  
John Ressman ◽  
Wilhelmus Johannes Andreas Grooten ◽  
Eva Rasmussen Barr
Keyword(s):  
Rating Scales ◽  
Rating Scale ◽  
Meta Analysis ◽  
Intraclass Correlation ◽  
Cochrane Library ◽  
Intrarater Reliability ◽  
Rater Reliability ◽  
Movement Quality ◽  
Step Down ◽  
Single Leg Squat

Single leg squat (SLS) is a common tool used in clinical examination to set and evaluate rehabilitation goals, but also to assess lower extremity function in active people.ObjectivesTo conduct a review and meta-analysis on the inter-rater and intrarater reliability of the SLS, including the lateral step-down (LSD) and forward step-down (FSD) tests.DesignReview with meta-analysis.Data sourcesCINAHL, Cochrane Library, Embase, Medline (OVID) and Web of Science was searched up until December 2018.Eligibility criteriaStudies were eligible for inclusion if they were methodological studies which assessed the inter-rater and/or intrarater reliability of the SLS, FSD and LSD through observation of movement quality.ResultsThirty-one studies were included. The reliability varied largely between studies (inter-rater: kappa/intraclass correlation coefficients (ICC) = 0.00–0.95; intrarater: kappa/ICC = 0.13–1.00), but most of the studies reached ‘moderate’ measures of agreement. The pooled results of ICC/kappa showed a ‘moderate’ agreement for inter-rater reliability, 0.58 (95% CI 0.50 to 0.65), and a ‘substantial’ agreement for intrarater reliability, 0.68 (95% CI 0.60 to 0.74). Subgroup analyses showed a higher pooled agreement for inter-rater reliability of ≤3-point rating scales while no difference was found for different numbers of segmental assessments.ConclusionOur findings indicate that the SLS test including the FSD and LSD tests can be suitable for clinical use regardless of number of observed segments and particularly with a ≤3-point rating scale. Since most of the included studies were affected with some form of methodological bias, our findings must be interpreted with caution.PROSPERO registration numberCRD42018077822.

The Impact of Interpersonal Style on Ruptures and Repairs in the Therapeutic Alliance Between Offenders and Therapists in Sex Offender Treatment

Sexual Abuse ◽  
2015 ◽  
Vol 29 (7) ◽  
pp. 709-728 ◽  
Author(s):  
Rachael Watson ◽  
Stuart Thomas ◽  
Michael Daffern
Keyword(s):  
Sex Offenders ◽  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Sexual Offenders ◽  
Group Treatment ◽  
Sex Offender ◽  
Psychological Treatment ◽  
Offender Treatment ◽  
Interpersonal Style ◽  
The Impact

The therapeutic relationship is a critical component of psychological treatment. Strain can occur in the relationship, particularly when working with offenders, and more specifically, those offenders with interpersonal difficulties; strain can lead to a rupture, which may affect treatment participation and performance. This study examined ruptures in the therapeutic relationship in sexual offenders participating in offense-focused group treatment. Fifty-four sex offenders rated the therapeutic alliance at the commencement and completion of treatment; at the completion of treatment, they also reported on the occurrence of ruptures and whether they believed these ruptures were repaired. Ruptures were separated by type, according to severity—Each relationship was therefore characterized as experiencing no rupture, a minor rupture, or a major rupture. Offender characteristics including interpersonal style (IPS) and psychopathy were assessed at the commencement of treatment; their relationship with ruptures was examined. Results revealed that more than half of the offenders (approximately 55%) experienced a rupture in the therapeutic alliance, with one in four of these ruptures remaining unresolved. Offenders who did not report a rupture rated the therapeutic alliance significantly higher at the end of treatment compared with those offenders who reported a rupture that was not repaired. Offenders who reported a major rupture in the therapeutic relationship were higher in interpersonal hostility and hostile-dominance. No interpersonal or offense-specific factors affected the likelihood of a rupture repair.

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