“…However, in the past century, research on the alliance-outcome association for other psychiatric disorders has accumulated in an overwhelming fashion. Across different measures and definitions of alliance, various therapeutic modalities, and diverse patient diagnoses, the therapeutic alliance is consistently associated with treatment outcome (Friedlander, Escudero, Heatherington, & Diamond, 2011;Horvath & Symonds, 1991;Karver, Handelsman, Fields, & Bickman, 2006;Martin, Garske, & Davis, 2000;McLeod, 2011;Shirk & Karver, 2003;Shirk, Karvey, & Brown, 2011).…”