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Journal ArticleDOI

Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review.

D J Martin, +2 more
- 01 Jun 2000 - 
- Vol. 68, Iss: 3, pp 438-450
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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 After an exhaustive literature review, the data from 79 studies (58 published, 21 unpublished) were aggregated using meta-analytic procedures.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.

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Citations
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Journal ArticleDOI

Interchangeability of the Working Alliance Inventory and Working Alliance Inventory, Short Form.

TL;DR: Working Alliance Inventory ratings were compared with ratings comprising the 12-item WAI, Short Form (WAI-S) and results support the interchangeability of scores on the WAI and WAI- S scales.
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Goal consensus and collaboration

TL;DR: Meta-analyses results of recent studies that relate goal consensus and collaboration to treatment outcome suggest that psychotherapy outcome appears to be considerably enhanced when patient and therapist are actively involved in a cooperative relationship.
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The "educational alliance" as a framework for reconceptualizing feedback in medical education.

TL;DR: By reorganizing constructions of feedback around an “educational alliance” framework, medical educators may be able to develop a more meaningful understanding of the context and relationship in which feedback functions, and reorient discussions of the feedback process from effective delivery and acceptance to negotiation in the environment of a supportive educational relationship.
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Internet-based treatment for PTSD reduces distress and facilitates the development of a strong therapeutic alliance: a randomized controlled clinical trial

TL;DR: Interapy proved to be a viable treatment alternative for PTSD with large effect sizes and sustained treatment effects and a stable and positive online therapeutic relationship can be established through the Internet which improved during the treatment process.
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A conceptual framework for drug treatment process and outcomes.

TL;DR: Applications of the treatment model for incorporating science-based innovations into clinical practice for improving early engagement and retention, performance measurements of patient progress, program monitoring and management using aggregated patient records, and organizational functioning and systems change also are addressed.
References
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Methods of Meta-Analysis: Correcting Error and Bias in Research Findings

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.
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