scholarly journals The impact of the therapeutic alliance on treatment outcome in patients with dissociative disorders

2014 ◽  
Vol 5 (1) ◽  
pp. 22676 ◽  
Author(s):  
Elisabeth Cronin ◽  
Bethany L. Brand ◽  
Jonathan F. Mattanah
Keyword(s):  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Dissociative Disorders ◽  
The Impact

Working alliance and its relationship with treatment outcome

2016 ◽  
Vol 33 (S1) ◽  
pp. s277-s277
Author(s):  
A. Cardoso ◽  
P. Aguiar ◽  
M. Byrne ◽  
M. Xavier
Keyword(s):  
Mental Health ◽  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Treatment Adherence ◽  
Mental Health Professionals ◽  
Clinical Skills ◽  
Skills Training ◽  
Future Research ◽  
Convenience Sample ◽  
The Impact

IntroductionThe therapeutic alliance might be the most important part of beginning clinical relationship and may have an important impact in treatment adherence. In fact, many studies indicate that the therapeutic alliance is the best predictor of treatment outcome.ObjectivesTo assess clinical skills and attitudes in mental health professionals(MHP).AimsThis study explore the impact of clinical skills and socio-demographic factors related MHP may have on treatment adherence of patients with mental health disorders (MHD).MethodsIn this cross sectional study, we use a convenience sample of MHP working in the mental health departments of three general hospitals in Lisbon great area. Data is being collected through individual interviews. We used a optimism scale (ETOS), Medication Alliance Beliefs Questionnaire (MABQ), and socio-demographic and clinical questionnaire.ResultsA convenience sample composed of sixty-five mental health clinician working in a variety of settings is being collected. We don’t found statistically significant differences between the therapeutic optimism and the socio-demographic and clinical characteristics of MHP. The average values of optimism found in MHP with additional training in skills training it was higher (t test = 1,64). The results demonstrate that the most of clinicians (n = 42; agree 64,6%; strongly agree, n = 19; 29,2%) believe that have the capacity to positively influence outcomes for people with mental disorders.ConclusionThis topic, along with a detailed examination of the relationship between therapeutic alliance and treatment adherence, will be the subject of future research projects.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The Impact of Clients’ and Therapists’ Characteristics on Therapeutic Alliance and Outcome

2021 ◽  
Author(s):  
Volker Tschuschke ◽  
Margit Koemeda-Lutz ◽  
Agnes von Wyl ◽  
Aureliano Crameri ◽  
Peter Schulthess
Keyword(s):  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Attachment Styles ◽  
Naturalistic Study ◽  
Working Alliances ◽  
Alliance Ruptures ◽  
Vantage Points ◽  
The Impact

AbstractThis article investigates distances between therapists and their clients in their experience of the therapeutic alliance across the duration of the psychotherapeutic treatments in a naturalistic study. We looked at the working alliances from different vantage points—rupture, repair of ruptures, distances in the alliance impressions of both clients and therapists—and their correlation with treatment outcome. The only predictive variable of alliance ruptures was the inability of therapists to bond sufficiently with their clients regarding a sustainable working atmosphere, which could be identified through a continuous distant alliance rating by the therapists. Alliance ruptures in turn significantly predicted premature termination of treatments, whereas alliance ruptures per se did not necessarily predict treatment outcome. The paper discusses the possible role of the quality of therapists’ attachment styles as a potentially crucial variable in an effective working alliance in psychotherapy.

The Content, Quality and Impact of Cognitive Behavioural Case Formulation During Treatment of Obsessive Compulsive Disorder

2014 ◽  
Vol 43 (5) ◽  
pp. 590-601 ◽  
Author(s):  
Anna Nattrass ◽  
Stephen Kellett ◽  
Gillian E. Hardy ◽  
Tom Ricketts
Keyword(s):  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Obsessive Compulsive Disorder ◽  
Routine Practice ◽  
Case Formulation ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
The Impact

Background: Case formulation (CF) is considered a core component of cognitive behavioural therapy (CBT). Despite this, few studies have explored the content and quality of CFs in routine practice and any associated impact on treatment outcome. Aims: This study investigated (1) the content, timing and quality of CF for patients (N = 29) with Obsessive Compulsive Disorder; (2) the impact of CF on symptoms, distress and therapeutic alliance; and (3) the relationship between CF quality and treatment outcome. Method: CF content and quality were assessed from audiotapes of routine CBT sessions using a validated coding manual and evaluated against treatment outcomes at different stages of therapy. Results: CFs were developed early during treatment and contained strong behavioural and cognitive components, with a focus on symptoms and maintaining factors. CF quality ratings ranged from rudimentary to excellent. A significant improvement in distress and the therapeutic alliance occurred following the introduction of CF, but no significant relationship was found between CF quality and outcome at any stage of treatment. Conclusion: CF may be valuable in reducing patient attrition, due to its impact early in treatment. Further research is needed to explore the most important components of CF. Theoretically sound and disorder specific measurement tools for evaluating CFs are required.

The Impact of Patientsʼ and Therapistsʼ Views of the Therapeutic Alliance on Treatment Outcome in Psychotherapy

2020 ◽  
Vol 208 (1) ◽  
pp. 56-64
Author(s):  
Volker Tschuschke ◽  
Margit Koemeda-Lutz ◽  
Agnes von Wyl ◽  
Aureliano Crameri ◽  
Peter Schulthess
Keyword(s):  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
The Impact

The Impact of Attachment Style on Therapeutic Alliance and Group Dynamics in Trauma Therapy Group

2008 ◽  
Author(s):  
Catherine Classen ◽  
Robert Muller ◽  
Ritu Bedi ◽  
Karina Zorzella
Keyword(s):  
Therapeutic Alliance ◽  
Attachment Style ◽  
Group Dynamics ◽  
Therapy Group ◽  
Trauma Therapy ◽  
The Impact

scholarly journals Pre-treatment clinical and gene expression patterns predict developmental change in early intervention in autism

2021 ◽  
Author(s):  
Michael V. Lombardo ◽  
Elena Maria Busuoli ◽  
Laura Schreibman ◽  
Aubyn C. Stahmer ◽  
Tiziano Pramparo ◽  
...  
Keyword(s):  
Gene Expression ◽  
Treatment Outcome ◽  
Early Intervention ◽  
Developmental Change ◽  
Expression Patterns ◽  
Gene Expression Patterns ◽  
Time In Treatment ◽  
Pre Treatment ◽  
Blood Leukocyte ◽  
The Impact

AbstractEarly detection and intervention are believed to be key to facilitating better outcomes in children with autism, yet the impact of age at treatment start on the outcome is poorly understood. While clinical traits such as language ability have been shown to predict treatment outcome, whether or not and how information at the genomic level can predict treatment outcome is unknown. Leveraging a cohort of toddlers with autism who all received the same standardized intervention at a very young age and provided a blood sample, here we find that very early treatment engagement (i.e., <24 months) leads to greater gains while controlling for time in treatment. Pre-treatment clinical behavioral measures predict 21% of the variance in the rate of skill growth during early intervention. Pre-treatment blood leukocyte gene expression patterns also predict the rate of skill growth, accounting for 13% of the variance in treatment slopes. Results indicated that 295 genes can be prioritized as driving this effect. These treatment-relevant genes highly interact at the protein level, are enriched for differentially histone acetylated genes in autism postmortem cortical tissue, and are normatively highly expressed in a variety of subcortical and cortical areas important for social communication and language development. This work suggests that pre-treatment biological and clinical behavioral characteristics are important for predicting developmental change in the context of early intervention and that individualized pre-treatment biology related to histone acetylation may be key.

Maternal PTSD and Behavioral Parent Training Treatment for a Girl With Conduct Disorder and Callous–Unemotional Traits

2018 ◽  
Vol 17 (6) ◽  
pp. 482-498 ◽  
Author(s):  
Sara L. Mills ◽  
Dara E. Babinski ◽  
Daniel A. Waschbusch
Keyword(s):  
Treatment Outcome ◽  
Conduct Disorder ◽  
Parent Training ◽  
Parental Psychopathology ◽  
Behavioral Parent Training ◽  
Ptsd Symptoms ◽  
Negative Behaviors ◽  
Cu Traits ◽  
Callous Unemotional ◽  
The Impact

Very little is known about the impact of parental psychopathology on treatment outcome for youth with conduct problems (CPs) and callous–unemotional (CU) traits. This case study describes behavioral parent training (BPT) for “Amy,” an 11-year-old girl presenting with CP/CU traits who had a mother diagnosed with posttraumatic stress disorder (PTSD). Maternal and paternal reports of child behavior problems and impairments were collected to assess treatment outcome. Weekly ratings of maternal PTSD were also collected to examine changes in maternal psychopathology over the course of BPT. Parent ratings showed that treatment was associated with reductions in oppositional defiant disorder (ODD) symptoms, conduct disorder (CD) symptoms, and impairment, and with improvements in treatment goal progress. However, the frequency of negative behaviors remained high throughout treatment. Maternal PTSD symptoms remained in the clinical range throughout BPT, but there was some evidence of synchrony between maternal PTSD symptoms and child negative behaviors. These findings highlight the importance of examining parental psychopathology in understanding BPT outcomes for children with CP/CU traits and call for greater attention to addressing child and parent difficulties that may impede improvement in treatment for youth with CP/CU traits.

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