Articles Tagged "therapeutic alliance"

by | Mar 2, 2020

For more than 20 years, our attachment research teams at Western Michigan University (WMU) have been using Bowlby’s attachment theory to examine important psychotherapy process and outcome variables. What have we found? Generally speaking, client and therapist attachment do matter in psychotherapy—often times, in many of the same ways that John Bowlby would have predicted. […]

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by | Jul 8, 2019

Abstract The therapeutic relationship and responsiveness/treatment adaptations rightfully occupy a prominent, evidence-based place in any guidelines for the psychological treatment of trauma. In this light, we critique the misguided efforts of the American Psychological Association’s (APA, 2017) Clinical Practice Guideline on Posttraumatic Stress Disorder in Adults to advance a biomedical model for psychotherapy and thus […]

by | Mar 3, 2019

Background Thousands of clinical trials and naturalistic studies have now been conducted on the effects of psychotherapy. Reviews of this research have shown that about 75% of those who enter treatment in clinical trials show some benefit (Lambert, 2013). This finding generalizes across a wide range of disorders except for severe biologically based disturbances (e.g., […]

by | Dec 12, 2018

Due to changes in demographics in the United States, counselors and therapists are likely to serve clients who have a culturally diverse background. Data from the 2010 United States (U.S.) Census indicated that foreign-born individuals represented 13.3% of the U.S. population, some 42.3 million people (Colby & Ortman, 2014). In 2014, the U.S. population by […]

by | Dec 12, 2018

The quality of the therapeutic alliance is a robust predictor of psychotherapy outcomes (Horvath, Del Re, Flückinger, & Symonds, 2011). Recent studies have shown that some therapists are consistently better at developing and maintaining alliances with their patients than others (Baldwin, Wampold, & Imel, 2007; Dinger, Strack, Leichsenring, Wilmers, & Schauenburg, 2008; Zuroff, Kelly, Leybman, […]

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by | Dec 7, 2018

Introduction Despite many distinguishing characteristics of the therapeutic relationship, aspects of the dialogue between a therapist and a client can sometimes resemble everyday conversations. Namely, individuals in therapy may occasionally engage in the normative human behavior of lying. Blanchard and Farber (2016) found that 93% of clients report lying or otherwise being dishonest to their […]

Abstract The alliance continues to be one of the most investigated variables related to success in psychotherapy irrespective of theoretical orientation. We define and illustrate the alliance (also conceptualized as therapeutic alliance, helping alliance, or working alliance) and then present a meta-analysis of 295 independent studies that covered more than 30,000 patients (published between 1978 […]

by | Sep 30, 2018

With this book, the therapeutic alliance with couples and families research has finally coalesced into a skilful and wise clinical tool. In the last ten years there have been a plethora of books (Sprenkle at al 2009) and papers (Higham 2012) raising the importance of attending to the therapeutic alliance for couple and family therapists. […]

by | Jun 6, 2018

Abstract The use of outcome monitoring systems to identify clients that are at-risk for treatment failure has now become part of daily clinical practice, shown in 25 empirical studies to improve client outcomes. These promising findings have led to outcome monitoring systems being recognized as evidence-based. Feedback systems based on client perception of therapeutic processes […]