Cluster analysis of patient -
reported therapeutic alliance ruptures.
Cluster analysis of patient -
reported therapeutic alliance ruptures across 3 treatment modalities.
Not exact matches
A study of the
therapeutic working
alliance, client motivation for therapy and subsequent self -
reported changes in abusive behavior among a sample of male batterers from the abuse ceases today program.
A positive
therapeutic alliance is
reported to be the most important intervention and / or tool used by the therapist in any of the play therapy theories.
Results indicated that patients gave high ratings for
therapeutic alliance in e-therapy, with the means for the subscales of bond and partnership between therapist and patient (mean 5.97, SD 1.26) and confident collaboration between therapist and patient (mean 6.19, SD 1.24) within the range of
reported means for previous face - to - face therapy studies.
Research reviews have consistently
reported a positive relationship across studies between the quality of the
therapeutic alliance and therapy outcome, although there are some instances where the working
alliance fails to predict outcome or where associations are nonsignificant [5 - 10].
However, they
reported that participants who used chat as the primary mode of communication (eg, as opposed to email) had consistently higher means for the
therapeutic alliance than did participants who used email (overall
alliance, t13 = 1.54, P =.10, d = 1.13; agreement on task, t13 = 0.89, P =.37, d = 0.54; agreement on goals, t13 = 1.54, P =.12, d = 1.09; bond, t13 = 1.92, P =.07, d = 1.19), obtaining medium to large effect sizes.
Patients
reported high levels of
therapeutic alliance early in treatment.
In their meta - analysis, Martin et al [10]
reported that the quality of the
therapeutic alliance accounted for 22 % of the variance in the rate of
therapeutic success.
At minimum the
report should include the assessment (from patient or independent rater perspective, not therapist) of at least two standardized outcome measures, global functioning and target symptom (i.e. depression, anxiety, etc), as well as one process measure (i.e.
therapeutic alliance, session depth, emotional experiencing, etc) evaluated on at least three separate occasions.