“…The construct of working alliance has been extensively studied and validated. In essence, alliance refers to the quality and strength of the collaborative relationship (Horvath & Bedi, 2002). Research has demonstrated that quality of the relationship, or "alliance," between client and counselor is one of the best predictors of positive outcome in psychotherapy (e.g., Barber, Connolly, Crits-Cristoph, Gladis, & Siqueland, 2000;Green, 2006;Horvath, 2000;Joyce, Piper, & Ogrodniczuk, 2007;Martin, Garske, & Davis, 2000;Norcross, 2002).…”