Perspective divergence in the working alliance

Fitzpatrick, Marilyn; Iwakabe, Shigeru; Stalikas, Anastassios

doi:10.1080/10503300512331327056

Cited by 102 publications

(95 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In terms of a general rating of the relationship, it was observed that the therapists' ratings were moderately correlated with their clients' rating; however, the therapists' ratings were observed to be signifi cantly lower. The observed low levels of convergence found in this study match the results from previous studies examining levels of convergence for ratings of the therapeutic alliance (Clemence et al, 2005;Fitzpatrick et al, 2005;Tryon et al, 2007). Consensus, collaboration and agreement, especially when it comes to the goals and tasks of therapy, have repeatedly been emphasized as key aspects of the therapeutic alliance (Bordin, 1976(Bordin, , 1994Gaston et al, 1995;Hovarth & Bedi, 2002;Lambert & Ogles, 2004;Tryon & Winograd, 2002).…”

Section: Discussionsupporting

confidence: 92%

“…For example, Fitzpatrick, Iwakabe and Stalikas (2005) recently had 48 client-therapist dyads separately complete the Working Alliance Inventory (Horvath & Greenberg, 1986) after every second or third session. Results from this study indicated that client and therapist ratings of the alliance were signifi cantly divergent, that the divergence was greater for ratings of goal and task agreement and that the level of divergence did not change over the course of therapy.…”

Section: Findings On Client-therapist Convergencementioning

confidence: 99%

See 1 more Smart Citation

Early psychotherapy processes: An examination of client and trainee clinician perspective convergence

Swift

Callahan

2009

Clin Psychology and Psychoth

View full text Add to dashboard Cite

Convergence in the therapist-client dyad has been hypothesized to play an important role in the development of the therapeutic relationship and in successful therapy outcomes. Further, understanding the client's views and opinions of treatment has been identified as a critical skill for therapists in training to learn in order to reach professional competency in conducting psychotherapy. This study assessed convergence for 151 trainee therapist-client dyads on the identification of goals and tasks of treatment and on ratings of the therapeutic relationship, effectiveness of therapy and the client's current coping ability with life stressors. Results indicated that trainee therapists' and clients' ratings were significantly correlated; however, trainee therapists were more negative in their ratings of the relationship and progress of treatment and matched their clients' goals for treatment only 31.1% of the time. Training and practice implications are discussed.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Findings On Client-therapist Convergencementioning

confidence: 99%

Early psychotherapy processes: An examination of client and trainee clinician perspective convergence

Swift

Callahan

2009

Clin Psychology and Psychoth

View full text Add to dashboard Cite

show abstract

“…Indeed, clients' and counsellors' perspectives of the alliance can diverge significantly (Bachelor & Salame´, 2000;Fitzpatrick, Iwakabe, & Stalikas, 2005), and there is evidence that clientdirected counselling (counselling that is driven by direct client feedback) is highly effective in establishing a strong early alliance (Duncan & Miller, 2000;Duncan et al, 2003). Thus, educators and counsellors may lack the empirical evidence necessary to maximize their potential for developing strong alliances and improving counselling outcomes.…”

Section: Introductionmentioning

confidence: 97%

Counsellor behaviours that predict therapeutic alliance: From the client's perspective

Duff

Bedi

2010

Counselling Psychology Quarterly

View full text Add to dashboard Cite

The therapeutic alliance has been shown to be a robust predictor of counselling outcome. However, the specific counsellor behaviours that relate to the alliance have not been clearly and consistently identified, and prior attempts to identify these variables have not been typically based on client-derived conceptualizations of the alliance. A total of 79 adult counselling clients participated in a study examining the relationship between 15 client-identified counsellor behaviours and the strength of the therapeutic alliance. Correlational analyses revealed that 11 of the 15 behaviours moderately to strongly correlated with the strength of the alliance, and hierarchical regression analyses found that three particular counsellor behaviours (making encouraging statements, making positive comments about the client, and greeting the client with a smile) accounted for 62% of the variance in alliance scores. The findings suggest that seemingly small, strengths-fostering counsellor micro-behaviours can play a key role in strengthening therapeutic alliances. Given the role that alliance plays in positive counselling outcomes, it is suggested that these behaviours be tactfully implemented early on in the counselling process.

show abstract

“…Another study showed that client and therapist perspectives on the working alliance do not necessarily correspond well, with the therapist's evaluation having a lower correlation with post-session outcomes (Fitzpatrick, Stalikas, & Iwakabe, 2005). In addition, client perspective is crucial in understanding phenomena such as premature terminations, therapeutic failures, and alliance ruptures.…”

Section: Mechanisms Of Changementioning

confidence: 99%

Competing Models of Evidence and Corroborating Research Strategies: Shaping the Landscape of Psychotherapy Research in the Era of Evidence-Based Practice

Iwakabe

2013

PSYCHOLOGIA -An International Journal of Psychological Sciences

Self Cite

View full text Add to dashboard Cite

Empirically supported treatments have brought much enthusiasm for establishing a firm empirical basis for clinical practice. However controversies about what constitutes evidence in psychotherapy and what research methodologies qualify as sufficiently rigorous to produce such evidence also abound. Although most psychotherapy researchers are in agreement with the underlying rationale that psychotherapy should be based on rigorous scientific research, many are in disagreement as to what constitutes ideal scientific practice in evidence-based psychotherapy; alternative frameworks of evidence have been proposed. This paper first reviews different models of evidence, namely empirically supported treatments, empirically supported psychotherapy relationships, research informed principles of therapeutic change, and evidence-based practice in psychology, and discusses their relative strengths and limitations. Secondly, it illustrates three research topics and corresponding strategies that both supplement these evidence models and deepen an understanding of process and outcome in psychotherapy. These three areas are: mechanisms of change, systematic case studies, and researcher-practitioner collaboration.

show abstract

Perspective divergence in the working alliance

Cited by 102 publications

References 32 publications

Early psychotherapy processes: An examination of client and trainee clinician perspective convergence

Early psychotherapy processes: An examination of client and trainee clinician perspective convergence

Counsellor behaviours that predict therapeutic alliance: From the client's perspective

Competing Models of Evidence and Corroborating Research Strategies: Shaping the Landscape of Psychotherapy Research in the Era of Evidence-Based Practice

Contact Info

Product

Resources

About