Alliance and Technique for Predicting Outcome in Short-and Long-Term Analytic Psychotherapy

Gaston, Louise; Piper, William E.; Debbane, Elie G.; Bienvenu, Jean-Pierre; Garant, Jacques

doi:10.1080/10503309412331333952

Cited by 51 publications

(42 citation statements)

References 20 publications

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“…These areas have been addressed in prior psychotherapy studies (e.g., Gaston et al, 1994) and identified as central by experts in the field (Lambert, Horowitz, & Strupp, 1997). The basic idea behind this categorization was to investigate content at the moment-to-moment level that is consistent with the patterns and behaviors that are the targets of therapeutic intervention.…”

Section: Methodsmentioning

confidence: 97%

“…The individual psychotherapy research literature provides few models of the consideration of immediate interpersonal context in therapist affirmation, and with a few exceptions (e.g., Mueller, 1969;Tracey, 1994), the majority of studies conducted on other related context-sensitive processes (e.g., Gaston, Piper, Debbane, Bienvenu, & Garant, 1994) do not contain precise moment-to-moment information. Regardless, in-session context might be particularly important in individual therapy sessions, where patients often do not display characteristic maladaptive patterns to therapists (Connolly et al, 1996) but rather describe them, and therapists must make in-session decisions about their own behaviors and communications based upon patients' descriptions of their process outside the therapy session as well as their in-session process.…”

Section: Multiple Impacts Of Affirmationmentioning

confidence: 98%

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Therapist affirmation and the process and outcome of psychotherapy: Two sequential analytic studies

Karpiak

Benjamin

2004

J Clin Psychol

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Therapist affirmation was examined in two studies, the first with cognitive-behavioral therapy (CBT, N = 22) and the second with time-limited dynamic psychotherapy (TLDP, N = 20). Affirmation was identified using Structural Analysis of Social Behavior (SASB), and sequential analysis used to gauge its impact on therapy process and outcome. It was hypothesized that affirmation would correspond with patients' continuation of the current topic of conversation, but relate negatively to outcome if generally offered after maladaptive statements. Patients in Study 1 (CBT) were more likely to continue a topic after it was affirmed, and affirmation of maladaptive statements reliably differentiated patients who evidenced clinically significant change from those who did not at termination and at 12-months posttreatment. Affirmation of maladaptive statements in Study 2 (TLDP) corresponded with poorer outcome in relationships with significant others, but unexpectedly with improvements in self-concept.

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Section: Methodsmentioning

confidence: 97%

Section: Multiple Impacts Of Affirmationmentioning

confidence: 98%

Therapist affirmation and the process and outcome of psychotherapy: Two sequential analytic studies

Karpiak

Benjamin

2004

J Clin Psychol

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“…Although this position is intuitive, there are few empirical studies addressing this premise (Barber, 2009). For instance, Gaston et al (1994Gaston et al ( , 1998 found that the greater use of exploratory techniques (e.g., processing clients' reactions) interacted with alliance to predict better therapy outcomes in dynamic treatment. In psychodynamic therapies for cocaine dependency, two studies have found contrasting results.…”

mentioning

confidence: 95%

Interaction Between Alliance and Technique in Predicting Patient Outcome During Psychodynamic Psychotherapy

Owen¹,

Hilsenroth²

2011

Journal of Nervous &Amp; Mental Disease

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The current study examined whether alliance interacted with psychodynamic interventions to predict patients' psychotherapy outcomes. A prospective study of psychodynamic psychotherapy with 68 outpatients who were treated by 23 therapists was used. The patients rated the alliance with their therapist early in treatment. Therapist use of psychodynamic techniques was reliably rated by independent clinicians for the same sessions. The therapy outcomes were measured at the end of treatment based on the patients' global symptomatology as well as estimate of improvement across a broad range of functioning. In all models, we controlled for the patients' pretherapy psychiatric severity. Analyses were conducted using multilevel modeling to account for therapist effects. Results revealed that patient rated alliance was significantly related to improvement on a measure of broad band functioning. In addition, alliance and psychodynamic interventions interacted to predict this scale of multidimensional therapy outcome. Further, results showed that several individual psychodynamic techniques interacted with alliance that were meaningfully related to this measure of broad band outcome including (1) linking current feelings or perceptions to the past; (2) focusing attention on similarities among patient's relationships repeated over time, settings, or people; and (3) identifying recurrent patterns in patient's actions, feelings, and experiences. In this sample of outpatient psychodynamic treatments, the dynamic techniques were most effective when provided in the context of strong alliances.

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“…Rogers, pour sa part, a été le premier à introduire spécifiquement la contribution du thérapeute à l'établissement d'une bonne alliance thérapeutique. Les conceptions de l'alliance thérapeutique plus récentes (Bordin, 1979;Gaston, 1991) (Bordin, 1979;Gaston, Piper, Debbane, Bienvenue, & Garant, 1994;Greenson, 1965;Hatcher & Barends, 1996;Horvath & Symonds, 1991;Iwakabe, Rogan, & Stalikas, 2000). Selon Asay et al (Horvath, 2001), en plus d'assumer une responsabilité conjointe pour l'ensemble du traitement (Goudreau & Côté, 2001).…”

Section: Détresse Psychologiqueunclassified

Relation entre l'alliance thérapeutique, la santé mentale ainsi que la satisfaction envers la thérapie au cours d'un processus psychothérapeutique chez l'adulte /

Boutin¹

2005

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Alliance and Technique for Predicting Outcome in Short-and Long-Term Analytic Psychotherapy

Cited by 51 publications

References 20 publications

Therapist affirmation and the process and outcome of psychotherapy: Two sequential analytic studies

Therapist affirmation and the process and outcome of psychotherapy: Two sequential analytic studies

Interaction Between Alliance and Technique in Predicting Patient Outcome During Psychodynamic Psychotherapy

Relation entre l'alliance thérapeutique, la santé mentale ainsi que la satisfaction envers la thérapie au cours d'un processus psychothérapeutique chez l'adulte /

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