The Relationship Between Working Alliance and Rehabilitation Outcomes

2002 ◽  
Vol 46 (1) ◽  
pp. 24-32 ◽  
Author(s):  
Daniel C. Lustig ◽  
David R. Strauser ◽  
N. Dewaine Rice ◽  
Tom F. Rucker
Keyword(s):  
Working Alliance ◽  
Rehabilitation Outcomes ◽  
The Relationship

Traumatic Brain Injury and Rehabilitation Outcomes: Does the Working Alliance Make a Difference?

2003 ◽  
Vol 34 (4) ◽  
pp. 30-37 ◽  
Author(s):  
Daniel C. Lustig ◽  
David R. Strauser ◽  
Gail H. Weems ◽  
Chandra M. Donnell ◽  
Lisa D. Smith
Keyword(s):  
Job Satisfaction ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Vocational Rehabilitation ◽  
Working Alliance ◽  
Rehabilitation Counselors ◽  
Rehabilitation Outcomes ◽  
Shared Commitment ◽  
The Impact ◽  
The Relationship

This study investigated the impact of the working alliance on vocational rehabilitation outcomes for individuals with traumatic brain injury. The working alliance is defined as collaboration between the client and counselor supported by the development of an attachment bond as well as a shared commitment to the goals and tasks of counseling. Research supports the relationship between the working alliance and positive counseling outcomes. This study extends previous research and considers the relationship between working alliance and employment, job satisfaction, and view of future employment prospects for 49 vocational rehabilitation clients with traumatic brain injury. Results showed a relationship between the working alliance and employment outcomes and future employment prospects but not job satisfaction. Implications for rehabilitation counselors are discussed.

scholarly journals Relationship of patient shame to working alliance and satisfaction: a preliminary investigation

2019 ◽  
Vol 14 (4) ◽  
pp. 251-263
Author(s):  
Daniel J. Carabellese ◽  
Michael J. Proeve ◽  
Rachel M. Roberts
Keyword(s):  
Patient Satisfaction ◽  
Working Alliance ◽  
Preliminary Investigation ◽  
Community Members ◽  
Content Type ◽  
Mediation Analyses ◽  
External Shame ◽  
Relationship Of ◽  
The Relationship

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.

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
Keyword(s):  
Working Alliance ◽  
Goal Attainment ◽  
Therapeutic Goal ◽  
The Relationship

Influence of Cognitive Impairment on Rehabilitation Received and Its Mediating Effect on Functional Recovery

2021 ◽  
pp. 1-12
Author(s):  
Ilona Dutzi ◽  
Michael Schwenk ◽  
Marietta Kirchner ◽  
Eva Jooss ◽  
Jürgen M. Bauer ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Status ◽  
Mediating Effect ◽  
Future Research ◽  
Rehabilitation Outcome ◽  
Rehabilitation Outcomes ◽  
Rehabilitation Programs ◽  
Observational Cohort ◽  
The Relationship ◽  
State Examination

Background: Cognitive impairment (CI) has been reported to negatively impact rehabilitation outcomes. Knowledge about differences in rehabilitation received in dependence of CI as a potential mediating factor is limited. Objective: To analyze whether CI affects amount and frequency of rehabilitation received and if associations between CI and rehabilitation outcome are mediated by the provided amount of therapy. Methods: Observational cohort study in ward-based geriatric rehabilitation consecutively including 373 patients (mean age 82.0±6.69 years, mean MMSE 23.66±5.31). Outcome measures were amount, frequency, and type of multi-professional therapy sessions and rehabilitation outcome assessed with the Barthel Index (BI). Cognitive status was measured with the Mini-Mental-State Examination (MMSE) classifying three patient subgroups according to cognitive status were considered. Results: Patients with more severe CI received least total therapy hours (TTH) (MMSE <  17, 13.67±6.58 versus MMSE 17–26, 16.12±7.19 and MMSE >  26, 17.79±8.88 h, p = 0.014) and were less often included in occupational therapy (MMSE <  17, 48.9%versus MMSE 17–26, 65.5%and MMSE >  26, 71.4%, p = 0.019) and group-based physiotherapy (MMSE <  17, 73.3%versus MMSE 17–26, 88.5%and MMSE >  26, 81.2%, p = 0.027). Regression models showed that CI negatively impacted TTH (β= 0.24, p = 0.003) and rehabilitation outcome (β= 0.41, p = 0.008). In the mediation model, TTH accounted for 23.18%(p <  0.001) of the relationship between CI and rehabilitation outcome. Conclusion: Cognitive impairment negatively impacted rehabilitation received. The lower TTH partly mediated the negative association between CI and rehabilitation outcome. Future research should identify specific barriers to therapy provision and optimal length, intensity, and dosage of rehabilitation programs to optimize rehabilitation outcomes in CI.

The Relationship Between Counselor Verbal Response Modes and the Working Alliance in Career Counseling

2003 ◽  
Vol 51 (3) ◽  
pp. 259-273 ◽  
Author(s):  
Karen D. Multon ◽  
Carrie A. Ellis-Kalton ◽  
Mary J. Heppner ◽  
Norman C. Gysbers
Keyword(s):  
Working Alliance ◽  
Career Counseling ◽  
Verbal Response ◽  
Response Modes ◽  
Verbal Response Modes ◽  
The Relationship

The relationship between working alliance and client outcomes in coaching: A meta-analysis

2019 ◽  
Vol 73 (1) ◽  
pp. 35-58 ◽  
Author(s):  
Carolin Graßmann ◽  
Franziska Schölmerich ◽  
Carsten C Schermuly
Keyword(s):  
Working Alliance ◽  
Meta Analysis ◽  
Cognitive Coaching ◽  
Client Outcomes ◽  
Negative Effects ◽  
High Quality ◽  
Helping Relationships ◽  
Key Factor ◽  
Coaching Outcomes ◽  
The Relationship

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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