Associations between attachment, therapeutic alliance, and engagement in black people with psychosis living in the UK

Degnan, Amy; Shattock, Lucy; Edge, Dawn; Muller, Claire; Berry, Katherine

doi:10.1080/09638237.2021.2022613

Cited by 1 publication

(2 citation statements)

References 46 publications

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“…These results are in line with other research projects in which it is concluded that a secure attachment predicts a better TA [ 33 , 35 ]. In fact, there are also studies that provide the same conclusions from the opposite side: people with insecure attachment have worse TA [ 36 , 37 ]. In our opinion, it is logical that the subjects with secure attachment develop a better TA.…”

Section: Discussionmentioning

confidence: 98%

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Therapeutic Alliance in Online and Face-to-face Psychological Treatment: Comparative Study

Mercadal¹,

Segarra²

2022

JMIR Ment Health

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Background Since the COVID-19 pandemic, the number of online mental health treatments have grown exponentially. Additionally, it seems inevitable that this technical resource is here to stay at health centers. However, there is still very little scholarly literature published on this topic, and therefore, the impact of the changes that have had to be dealt with in this regard has not been studied. Objective This study aims to evaluate the differences in the establishment of the therapeutic alliance (TA) based on the intervention modality (online or face-to-face), the type of attachment, and diagnosis. Methods A total of 291 subjects participated in the study, 149 (51.2%) of whom were men and 142 were (48.8%) women between the ages of 18 and 30 years. The instruments used were sociodemographic data, SOFTA-o (System for Observing Family Therapeutic Alliances—observational), and Relationship Questionnaire. Results The results show that the treatments conducted face-to-face obtain significantly better scores in the creation of the TA than those conducted online (t=–42.045, df=289, P<.001). The same holds true with attachment, in that users with secure attachment show a better TA than those with insecure attachment (t=6.068, P<.001,), although there were no significant differences with the diagnosis (F=4.566, P=.44), age (r=0.02, P=.70), and sex (t=0.217, P=.33). Conclusions We believe that professionals are not yet prepared to conduct remote treatment with a degree of efficacy similar to that of face-to-face. It is essential for professionals to receive training in this new technical resource and to understand and incorporate the variants it entails into their daily practice.

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Section: Discussionmentioning

confidence: 98%

“…Conversely, patients with an insecure attachment pattern may avoid interpersonal closeness with the therapist or worry about the therapist’s investment in them. As a result, this can prevent or delay the formation of a good quality TA [ 33 , 36 , 37 ].…”

Section: Introductionmentioning

confidence: 99%

Therapeutic Alliance in Online and Face-to-face Psychological Treatment: Comparative Study

Mercadal¹,

Segarra²

2022

JMIR Ment Health

View full text Add to dashboard Cite

show abstract

Associations between attachment, therapeutic alliance, and engagement in black people with psychosis living in the UK

Cited by 1 publication

References 46 publications

Therapeutic Alliance in Online and Face-to-face Psychological Treatment: Comparative Study

Therapeutic Alliance in Online and Face-to-face Psychological Treatment: Comparative Study

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