Journal ArticleDOI
Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review.
D J Martin,J P Garske,M K Davis +2 more
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TLDR
The results of the meta-analysis indicate that the overall relation of therapeutic alliance with outcome is moderate, but consistent, regardless of many of the variables that have been posited to influence this relationship.Abstract:
To identify underlying patterns in the alliance literature, an empirical review of the many existing studies that relate alliance to outcome was conducted. After an exhaustive literature review, the data from 79 studies (58 published, 21 unpublished) were aggregated using meta-analytic procedures. The results of the meta-analysis indicate that the overall relation of therapeutic alliance with outcome is moderate, but consistent, regardless of many of the variables that have been posited to influence this relationship. For patient, therapist, and observer ratings, the various alliance scales have adequate reliability. Across most alliance scales, there seems to be no difference in the ability of raters to predict outcome. Moreover, the relation of alliance and outcome does not appear to be influenced by other moderator variables, such as the type of outcome measure used in the study, the type of outcome rater, the time of alliance assessment, the type of alliance rater, the type of treatment provided, or the publication status of the study.read more
Citations
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A model for the theoretical basis of cultural competency to guide psychotherapy.
TL;DR: Over the past four decades, the mental health field has struggled to define cultural competency and its efficacy in psychotherapy, but recent studies have pointed to predominant evidence that cultural Competency yields positive experiences and outcomes in treatment.
Journal ArticleDOI
Research on the alliance: Knowledge in search of a theory
TL;DR: It is argued that a resumption of a conversation about the relationship in the helping context in general, and the alliance in particular, should be resumed and a lack of clarity regarding how several variables within the broader category of therapeutic relationships fit together, overlap, or complement each other is also potentially problematic.
Journal ArticleDOI
Resolving threats to the therapeutic alliance in cognitive analytic therapy of borderline personality disorder: a task analysis.
TL;DR: Compent resolution of alliance-threatening events is crucially dependent on therapists' ability to recognize them, and secondarily on their adherence to the principles in the refined model, which is consistent with prior research and can be used in supervision and quality improvement strategies.
Journal ArticleDOI
Testing the allegiance bias hypothesis: a meta-analysis.
TL;DR: The results support the view that RA acts as a bias in treatment comparisons, and differences in the conceptual quality of treatments mediated the effect of RA on outcome.
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A programmatic study of short-term psychodynamic psychotherapy: Assessment, process, outcome, and training
TL;DR: In this paper, a hybrid model of psychotherapy research is outlined that integrates efficacy and effectiveness methodology to examine interrelated issues regarding psychological assessment, psychotherapy process, treatment outcome, and training of graduate clinicians.
References
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Larry V. Hedges,Ingram Olkin +1 more
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Methods of Meta-Analysis: Correcting Error and Bias in Research Findings
John E. Hunter,Frank L. Schmidt +1 more
TL;DR: In this article, the authors present a meta-analysis of Artifact Distributions and their impact on study outcomes. But they focus mainly on the second-order sampling error and related issues.