Articles Tagged "therapeutic alliance"

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 […]

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., […]

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 […]

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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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 […]

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. […]

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 […]

The past 100 years of psychotherapy research has sought not only to examine the efficacy and effectiveness of psychotherapy, but also to identify the causal mechanisms and processes underlying therapeutic change (Lambert, 2013; Wampold & Imel, 2015). The existing research on psychotherapy processes has provided us with a rich understanding of several variables that are […]

Clients request, question, or reject information related to their diagnoses at various times, and in a myriad of ways (e.g., “My partner says I have Borderline Personality Disorder, do I?”, “My mood is all over the place! Do you think I’m bipolar?”, “Maybe it’s ADHD?”). At intake, clients seek clarification of the nature of their […]