Examining the Relationship Between Working Alliance and Therapeutic Goal Attainment With Adolescents in Crisis

2017 ◽  
Vol 4 (1) ◽  
pp. 20-33 ◽  
Author(s):  
Erika L. Schmit ◽  
Richard S. Balkin ◽  
K. Michelle Hunnicutt Hollenbaugh ◽  
Marvarene Oliver
2019 ◽  
Vol 14 (4) ◽  
pp. 251-263
Author(s):  
Daniel J. Carabellese ◽  
Michael J. Proeve ◽  
Rachel M. Roberts

Purpose The purpose of this paper is to explore the relationship of two distinct variants of dispositional shame (internal and external shame) with collaborative, purpose-driven aspects of the patient–provider relationship (working alliance) and patient satisfaction. The aim of this research was to conduct a preliminary investigation into the relevance of dispositional shame in a general healthcare population. Design/methodology/approach In total, 127 community members (mean age 25.9 years) who reported that they had regularly seen a GP over the past year were recruited at an Australian university. Participants were asked to reflect on their relationship with their GP, and completed instruments assessing various domains of shame, as well as working alliance and patient satisfaction. Findings Non-parametric correlations were examined to determine the direction and strength of relationships, as well as conducting mediation analyses where applicable. Small, negative correlations were evident between external shame and working alliance. Both external and internal shame measures were also negatively correlated with patient satisfaction. Finally, the relationship of external shame to patient satisfaction was partially mediated by working alliance. Practical implications Both the reported quality of patient–provider working alliance, and level of patient satisfaction are related to levels of dispositional shame in patients, and working alliance may act as a mediator for this relationship. Originality/value The findings from this preliminary study suggest that internal and external shame are important factors to consider in the provision of medical care to maximise the quality of patient experience and working alliance.


2013 ◽  
Vol 35 (3) ◽  
pp. 270-280 ◽  
Author(s):  
Benjamin J.I. Schellenberg ◽  
Patrick Gaudreau ◽  
Peter R.E. Crocker

This study examined the relationship between harmonious and obsessive passion and coping, and assessed whether coping mediated the relationship between passion types and changes in burnout and goal attainment. College- and university-level volleyball players (N = 421) completed measures of passion, coping, burnout, and goal attainment at the start and end of a season. Results of structural equation modeling, using a true latent change approach, supported a model whereby types of passion were indirectly related to changes in burnout and goal attainment via coping. Harmonious passion was positively related to task-oriented coping which, in turn, was positively associated with change in goal attainment. Obsessive passion was positively associated with disengagement-oriented coping which, in turn, was positively and negatively associated with changes in burnout and goal attainment, respectively. This study identifies coping as a reason why passionate athletes may experience changes in burnout and goal attainment over the course of a season.


2002 ◽  
Vol 46 (1) ◽  
pp. 24-32 ◽  
Author(s):  
Daniel C. Lustig ◽  
David R. Strauser ◽  
N. Dewaine Rice ◽  
Tom F. Rucker

2003 ◽  
Vol 51 (3) ◽  
pp. 259-273 ◽  
Author(s):  
Karen D. Multon ◽  
Carrie A. Ellis-Kalton ◽  
Mary J. Heppner ◽  
Norman C. Gysbers

2019 ◽  
Vol 73 (1) ◽  
pp. 35-58 ◽  
Author(s):  
Carolin Graßmann ◽  
Franziska Schölmerich ◽  
Carsten C Schermuly

A growing number of studies emphasize the working alliance between the client and the coach to be a key factor in coaching. Synthesizing 27 samples ( N = 3563 coaching processes), this meta-analysis sheds light on the relationship between working alliance and a broad range of coaching outcomes for clients. The meta-analytic results indicate a moderate and consistent overall relationship between a high-quality working alliance and coaching outcomes for clients ( r = .41, 95% CI [.34, .48], p < .001). Working alliance was positively related to all desirable coaching outcomes (range: r = .32 to .64), with the strongest relationship to affective and cognitive coaching outcomes. Moreover, working alliance was negatively related to unintended negative effects of coaching ( r = –.29). Results revealed no differences regarding the type of clients, coaches’ expertise, number of coaching sessions, and clients’ or coaches’ perspectives. Similar to other helping relationships like psychotherapy or mentoring, the results support the importance of a high-quality working alliance in coaching.


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