Relationship of working alliance to mutual and unilateral termination.

Tryon, Georgiana Shick; Kane, Abigail S.

doi:10.1037/0022-0167.40.1.33

Cited by 111 publications

(67 citation statements)

References 21 publications

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“…Only the 17 dyads with complete data were used to run our primary HLM analyses. Although this attrition rate is comparable to other longitudinal clinical studies (Tyron & Kane, 1993), the current results should be considered tentative pending replication of this study with a larger clinical sample.…”

Section: Hlm Analyses Random Effectsmentioning

confidence: 67%

Respective Contributions of Therapist and Client Adult Attachment Orientations to the Development of the Early Working Alliance: A Preliminary Growth Modeling Study

Sauer¹,

Lopez²,

Gormley³

2003

Psychotherapy Research

114

115

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The authors investigated the temporal relationship between client and therapist attachment orientations and early working alliance. Attachment was measured by self-report after the 1st session of therapy. The working alliance ratings were completed after the 1st, 4th, and 7th therapy sessions. Hierarchical linear modeling results indicated that anxiously attached therapists had a significant positive effect on the client working alliances after the 1st session but significant negative effects over time. No other therapist or client attachment variables or related interactions had a significant effect on client working alliance ratings. Results also indicated that time was a significant positive predictor of client working alliance ratings.

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Section: Hlm Analyses Random Effectsmentioning

confidence: 67%

Respective Contributions of Therapist and Client Adult Attachment Orientations to the Development of the Early Working Alliance: A Preliminary Growth Modeling Study

Sauer¹,

Lopez²,

Gormley³

2003

Psychotherapy Research

114

115

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show abstract

“…The finding that the confidence component was differentiated from bond and partnership in therapists' ratings (Table 2) but not clients' ratings (Table 1) recalls a repeated suggestion that clients have a less differentiated view of the therapeutic process (Horvath & Greenberg, 1989;Tryon & Kane, 1993). Typically, clients have fewer formal and explicit conceptualizations (Mintz, Auerbach, Luborsky & Johnson, 1973) and far fewer experiences with multiple psychotherapeutic relationships.…”

Section: Discussionmentioning

confidence: 91%

Alliance structure assessed by the Agnew Relationship Measure (ARM)

Agnew-Davies¹,

Stiles²,

Hardy³

et al. 1998

British J Clinic Psychol

148

156

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“…Maybe clients, rather than attributing the problems to the relationship, feel that treatment is not addressing their needs and respond by leaving. Another possibility has been suggested by Tryon & Kane (1993): if therapists' perceive a weaker bond and poor agreement on the purpose of treatment they may lose the motivation or confidence to work with the client. This then might result in a decline in the quality of actual therapeutic work, which in turn could lead to the client disengaging from treatment.…”

Section: Discussionmentioning

confidence: 99%

The role of the early therapeutic alliance in predicting drug treatment dropout

Meier

Donmall

McElduff

et al. 2006

Drug and Alcohol Dependence

128

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Background: To investigate the role of the therapeutic alliance in predicting length of retention in residential drug treatment. Methods:The study recruited 187 clients starting residential rehabilitation treatment for drug misuse in three UK services. Counsellor and client information was assessed at intake, and the average total scores of client and counsellor ratings on the WAI-S (obtained during weeks 1 to 3) were use as the alliance measure. Length of retention and treatment completion (stay beyond 90 days) were used as measures of retention.Results: Clients with weak counsellor rated alliances dropped out of treatment significantly sooner than clients with strong counsellor-rated therapeutic alliances, whether or not the model adjusted for individual counsellor effects and potential confounders including psychological wellbeing, treatment motivation and readiness, coping strategies, and attachment style. The client rated alliance did not predict length of retention. Apart from the alliance, pre-treatment crack use, secure attachment style and better coping strategies were associated with shorter retention, whereas greater confidence in treatment, older client age and better education predicted treatment completion. Counsellors with greater experience of delivering drug counselling retained clients longer. Conclusions:The findings of this study stress the importance of treatment professionals attending to the therapeutic alliance in drug treatment, as counsellors' alliance ratings were found to be amongst the strongest predictors of dropout. Using alliance measures as clinical tools may help treatment practitioners to become aware of the risk of disengagement early on. Prospective studies are needed to evaluate whether strategies of reallocating clients with poor alliances to different counsellors lead to improvements in retention.

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Relationship of working alliance to mutual and unilateral termination.

Cited by 111 publications

References 21 publications

Respective Contributions of Therapist and Client Adult Attachment Orientations to the Development of the Early Working Alliance: A Preliminary Growth Modeling Study

Respective Contributions of Therapist and Client Adult Attachment Orientations to the Development of the Early Working Alliance: A Preliminary Growth Modeling Study

Alliance structure assessed by the Agnew Relationship Measure (ARM)

The role of the early therapeutic alliance in predicting drug treatment dropout

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