PRETREATMENT EXPECTATIONS, INTERPERSONAL FUNCTIONING, AND SYMPTOMS IN THE PREDICTION OF THE THERAPEUTIC ALLIANCE ACROSS SUPPORTIVE-EXPRESSIVE PSYCHOTHERAPY AND COGNITIVE THERAPY

Autor:	Madeline M. Gladis, C de la Cruz, Lynne Siqueland, M B Connolly Gibbons, P Crits-Christoph, Jacques P. Barber
Rok vydání:	2003
Předmět:	Psychotherapist medicine.medical_treatment Interpersonal communication Expressive psychotherapy Large sample Treatment and control groups Clinical Psychology Interpersonal relationship Alliance Supportive psychotherapy Cognitive therapy medicine Psychology Clinical psychology
Zdroj:	Psychotherapy Research. 13:59-76
ISSN:	1468-4381 1050-3307
Popis:	Therapeutic alliance has been a robust predictor of therapy outcome, yet little is known about which patient variables predict the development of an alliance between patient and therapist in time-limited manualized therapies. The authors evaluated pretreatment predictors of therapeutic alliance, controlling for symptom change before its assessment, using a large sample of patients treated with either supportive-expressive (SE) dynamic psychotherapy or cognitive therapy. They found that SE patients with greater pretreatment expectations of improvement formed better alliances with their therapist at Session 2, and expectations significantly predicted alliance at Session 10 for both treatment groups. Further, patients in the SE condition demonstrated a significant relation between positive expectations and growth in alliance. Women achieved better alliances at Session 10. Finally, hostile-dominant interpersonal problems significantly predicted poor alliance. Pretreatment symptom level was not significantly predictive of alliance.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4ee435bdbe28b666862201e5062af6d5 https://doi.org/10.1093/ptr/kpg007 Zobrazit plný text záznamu