Therapeutic alliance: Its place as a process and outcome variable in dynamic psychotherapy research.

1986 ◽  
Vol 54 (1) ◽  
pp. 32-38 ◽  
Author(s):  
Siebolt H. Frieswyk ◽  
Jon G. Allen ◽  
Donald B. Colson ◽  
Lolafaye Coyne ◽  
Glen O. Gabbard ◽  
...  
Keyword(s):  
Therapeutic Alliance ◽  
Psychotherapy Research ◽  
Outcome Variable ◽  
Dynamic Psychotherapy ◽  
Process And Outcome

scholarly journals Development and Characteristics of the Therapeutic Alliance in a Short-Term Dynamic Psychotherapy: A Descriptive Case Study

2013 ◽  
Vol 16 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Diego Rocco ◽  
Alessandro Gennaro ◽  
Francesco De Bei ◽  
Diego Zanelli ◽  
Valeria Condino
Keyword(s):  
Therapeutic Alliance ◽  
Psychotherapy Research ◽  
Research Literature ◽  
Short Term ◽  
General Process ◽  
Descriptive Case Study ◽  
Process And Outcome ◽  
Collaborative Interaction

Despite the long tradition in psychotherapy research literature concerning the role of therapeutic alliance (TA), both in terms of process and outcome in clinical inter-vention, little is known about its specific characteristics in short term dynamic psy-chotherapy (STDP). Accordingly, the main aim of the present work is to focus on the formal features of TA in a good outcome STDP. We applied the Collaborative Interaction Scale (Colli & Lingiardi, 2009) to verbatim transcripts in order to track macro and micro evolution of TA while considering the interplay of both therapist and patient contributions. Data were analyzed in terms of TA general trend, TA climate onset and high impact session TA characteristics. Results sustain the STDP theory of technique (Davanloo, 1990) concerning the general process, the onset fea-tures and patient therapist interplay from a TA perspective.

Therapist–Patient Alliance, Patient–Therapist Alliance, Mutual Therapeutic Alliance, Therapist–Patient Concordance, and Outcome of CBT in GAD

2008 ◽  
Vol 22 (1) ◽  
pp. 68-79 ◽  
Author(s):  
Christin Langhoff ◽  
Thomas Baer ◽  
Doris Zubraegel ◽  
Michael Linden
Keyword(s):  
Anxiety Disorder ◽  
Therapeutic Alliance ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Therapeutic Process ◽  
Generalized Anxiety ◽  
Cognitive Behavior ◽  
Process And Outcome ◽  
Observer Ratings ◽  
Hamilton Anxiety Scale

The therapeutic alliance is seen as an important dimension in any type of psychotherapy. But patient, therapist, or observers can have different views on the therapeutic alliance. The question is which perspective best represents the therapeutic alliance, and what are the differences between these alternative views. In the present study, the therapist–patient alliance (TPA, the view of the therapist), patient–therapist alliance (PTA, the view of the patient), and mutual therapeutic alliance (MTA, the view of an observer) were measured simultaneously in cognitive behavior therapy of patients suffering from generalized anxiety disorder. Additionally, the concordance between patient and therapist ratings (TPC) was calculated. Cognitive behavior therapists attained high positive scores in all perspectives for all dimensions of the therapeutic alliance, such as empathy, cooperation, transparency, focusing, and assurance of progress. Correlations were consistently higher for ratings between therapist and patient than between observer and patient. A relation with outcome (Hamilton Anxiety Scale) was only found for observer ratings. It was concluded that cognitive behavior therapists can achieve good alliances with their patients. Different perspectives on the therapeutic alliance should be distinguished and taken into account separately in studies on the therapeutic process and outcome.

scholarly journals Therapeutic alliance in the initial phase of psychotherapy with adolescents: different perspectives and their association with therapeutic outcomes

2016 ◽  
Vol 19 (1) ◽  
Author(s):  
Olga María Fernandez ◽  
Mariane Krause ◽  
Janet Carola Pérez
Keyword(s):  
Therapeutic Alliance ◽  
Working Alliance ◽  
Initial Phase ◽  
Psychotherapy Research ◽  
Positive Association ◽  
Outcome Questionnaire ◽  
The Third ◽  
Working Alliance Inventory ◽  
Therapeutic Outcomes

Psychotherapy research focusing on adults as well as on children and adolescents has revealed a positive association between the quality of the therapeutic alliance (TA) in the first sessions and therapeutic outcomes. Nevertheless, there is controversy regarding which perspective (of the adolescents, therapists, or parents) and what moment of evaluation (first, second, or third session) is most strongly associated with outcome. This study aims to describe the TA during the initial phase of psychotherapy with adolescents, from several perspectives, and relate it to the intermediate and final outcomes of the therapy. The study is descriptive-correlational and was conducted in naturalistic settings. The sample comprised 20 individual psychotherapeutic processes (15 females, 5 males; average age: 15.8 years; standard deviation=1.04). The variables studied were: TA, measured with the Working Alliance Inventory, applied to adolescents, therapists, and parents, and therapeutic outcomes, measured using Lambert’s Outcome Questionnaire (OQ- 45.2). The results show that the TA improved from session one to session three, both in the adolescents and the therapists. The TA, as perceived by the adolescents in the third session, is positively correlated with final outcomes (r=-.732*, P=.025). The TA evaluated from the therapists’ perspective in the third session, specifically the bond component of the TA, predicts the final success of psychotherapy with adolescent patients [β=0.426, Exp. (B)=1.531, degree of freedom=1, P=0.034]. The importance of the initial construction of the working alliance by both participants is discussed.

scholarly journals Ruptures and repairs of group therapy alliance. An untold story in psychotherapy research

2019 ◽  
Vol 22 (1) ◽  
Author(s):  
Gianluca Lo Coco ◽  
Giorgio A. Tasca ◽  
Paul L. Hewitt ◽  
Samuel F. Mikail ◽  
Dennis M. Kivlighan, Jr.
Keyword(s):  
Group Therapy ◽  
Therapeutic Alliance ◽  
Group Intervention ◽  
Psychotherapy Research ◽  
Substantial Contribution ◽  
Clinical Vignettes ◽  
Group Treatments ◽  
Alliance Ruptures ◽  
Group Members ◽  
Suitable Framework

Although previous studies investigated the characteristics of therapeutic alliance in group treatments, there is still a dearth of research on group alliance ruptures and repairs. The model by Safran and Muran was originally developed to address therapeutic alliance in individual therapies, and the usefulness of this approach to group intervention needs to be demonstrated. Alliance ruptures are possible at member to therapist, member to member, member to group levels. Moreover, repairs of ruptures in group are quite complex, i.e., because other group members have to process the rupture even if not directly involved. The aim of the current study is to review the empirical research on group alliance, and to examine whether the rupture repair model can be a suitable framework for clinical understanding and research of the complexity of therapeutic alliance in group treatments. We provide clinical vignettes and commentary to illustrate theoretical and research aspects of therapeutic alliance rupture and repair in groups. Our colleague Jeremy Safran made a substantial contribution to research on therapeutic alliance, and the current paper illustrates the enduring legacy of this work and its potential application to the group therapy context.

Intensive Short-Term Dynamic Psychotherapy for Severe Music Performance Anxiety: Assessment, Process, and Outcome of Psychotherapy with a Professional Orchestral Musician

2014 ◽  
Vol 29 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Dianna T Kenny ◽  
Stephen Arthey ◽  
Allan Abbass
Keyword(s):  
Music Performance ◽  
Performance Anxiety ◽  
Assessment Process ◽  
Successful Outcome ◽  
Short Term ◽  
Dynamic Psychotherapy ◽  
Music Performance Anxiety ◽  
Professional Musician ◽  
Process And Outcome

This paper reports on the process and outcome of therapy using intensive short-term dynamic psychotherapy (ISTDP) with a professional musician who had suffered severe music performance anxiety over the course of his entire 30-year career. In this paper, we describe the nature of the therapy, the case history of the musician, the first assessment and trial therapy session, and the course and successful outcome of therapy. The patient underwent 10 sessions of ISTDP over a period of 4 months. This paper reports on the first 6 sessions, which were most relevant to the understanding and treatment of the patient’s severe music performance anxiety. This case study is the first reported application of ISTDP to a professional musician. We believe that this case study provides initial support that moderate to severe performance anxiety, in at least some cases, has its origins in unresolved complex emotions and defences arising from ruptures to early attachment relationships.

scholarly journals A TLDP Therapist Meets the Buddha on a Road and No One Is Killed

2016 ◽  
Vol 12 (4) ◽  
pp. 319
Author(s):  
Thomas E. Schacht
Keyword(s):  
Therapeutic Alliance ◽  
Outcome Assessment ◽  
Case Studies ◽  
Patient Recruitment ◽  
Dynamic Psychotherapy ◽  
Recruitment And Selection ◽  
The Buddha ◽  
Psychological Concepts

<p>Samlin&rsquo;s (2016) case studies demonstrate the creative integration of Time-Limited Dynamic Psychotherapy (TLDP) and selected Buddhist psychological concepts. In this commentary I analyze epistemological, theoretical, cultural, and clinical complexities involved in this integration from the perspectives of patient recruitment and selection, therapeutic alliance, diagnostic and outcome assessment, and the nature of the Cyclic Maladaptive Pattern (CMP) concept.&nbsp;<strong></strong></p>

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