How a return to theory could help alliance research.

Hatcher, Robert L.; Barends, Alex

doi:10.1037/0033-3204.43.3.292

Cited by 219 publications

(206 citation statements)

References 20 publications

Supporting

Mentioning

196

Contrasting

Unclassified

Order By: Relevance

“…The Rogerian conditions and the therapeutic alliance are conceptually distinct dimensions of the therapeutic relationship (Hatcher & Barends, 2006;Horvath & Bedi, 2002), as the former captures the patient's perceptions of a facet of the therapist's behavior and the latter addresses the active collaboration between the therapist and patient. Measures of perceived Rogerian conditions and the working alliance are only weakly correlated .…”

mentioning

confidence: 99%

Between‐therapist and within‐therapist differences in the quality of the therapeutic relationship: effects on maladjustment and self‐critical perfectionism

et al. 2010

View full text Add to dashboard Cite

The relationship between therapeutic outcome and a patient-reported measure of the Rogerian conditions of positive regard, empathy, and genuineness was decomposed into between-therapist effects and within-therapist effects using multilevel modeling. Data were available for 157 depressed outpatients treated by 27 therapists in the cognitive-behavioral therapy, interpersonal therapy, or placebo with clinical management conditions of the Treatment of Depression Collaborative Research Program (Elkin, 1994). Consistent with prior findings of significant between-therapist variability in outcome (e.g., Baldwin, Wampold,& Imel, 2007), patients whose therapists provided high average levels of the perceived Rogerian conditions across the patients in their caseloads experienced more rapid reductions in both overall maladjustment and depressive vulnerability (self-critical perfectionism). Within each therapist's caseload, differences between patients in perceived Rogerian conditions had weaker effects. The results underline the importance of differences between therapists as determinants of outcome in the treatment of depression.

show abstract

mentioning

confidence: 99%

Between‐therapist and within‐therapist differences in the quality of the therapeutic relationship: effects on maladjustment and self‐critical perfectionism

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Therapist and client form a therapeutic dyad and both are considered responsible for its constitution and quality. Therefore, both participants' experiences are considered to contribute to the alliance [28] . Marcus, Kashy and Baldwin [29] have further pointed out that this dyad is reciprocal.…”

mentioning

confidence: 99%

The female therapist and the client’s gender

Kuusisto

Artkoski²

2013

Clinical Nursing Studies

View full text Add to dashboard Cite

Most Finnish substance abuse therapists are women, while the majority of clients are men. This study explores the gender-based differences in the therapeutic alliance, retention in therapy and outcomes between female therapists (N = 30) and their clients (N = 296, women 101, men 195) in outpatient treatment. Female clients were more likely to want a female therapist, whereas men did not express such preferences. The clients' estimation of the therapeutic alliance differed at the first visit: female clients estimated it to be better than did men. The therapists' estimations were not connected to client's gender. The combination of a female therapist and a female client predicted a better therapeutic alliance during treatment, but there were no differences between male and female clients in long-term outcomes. The findings suggested that clients received treatment of the same quality regardless of their gender.

show abstract

“…The alliance therefore transcends the distinction between technique (or strategy) and relationship; it refers to the quality and levels of collaboration and agreements achieved with regard to the work of therapy (Hatcher & Barends, 2006).…”

Section: Definitionmentioning

confidence: 99%

Therapeutic/Working Alliance

Horvath

2015

The Encyclopedia of Clinical Psychology

View full text Add to dashboard Cite

Therapeutic/working alliance refers to the strength of the collaborative dimensions of the therapist–client relationship. Historically rooted in psychodynamic theory, more recently it has evolved into a pan‐theoretical concept. Research evidence indicates a moderate but robust positive link between alliance and therapy outcome (effect size = .27). This link can be already detected in the early phases (sessions 3–5) of treatment. The alliance, or its management, may be linked to outcome directly (as a source of therapeutic effect) and/or indirectly (as a force that binds the client to the therapeutic strategies). Recent meta‐analyses suggest that the strength of the alliance–outcome relation varies across studies; therefore it is likely that the alliance plays different roles in different contexts. Emerging research indicates that therapists are the dominant force determining the alliance quality; some therapists achieve better alliances across a variety of clients, others are consistently less successful.

show abstract

How a return to theory could help alliance research.

Cited by 219 publications

References 20 publications

Between‐therapist and within‐therapist differences in the quality of the therapeutic relationship: effects on maladjustment and self‐critical perfectionism

Between‐therapist and within‐therapist differences in the quality of the therapeutic relationship: effects on maladjustment and self‐critical perfectionism

The female therapist and the client’s gender

Therapeutic/Working Alliance

Contact Info

Product

Resources

About