Quality of the therapeutic working alliance as a factor in intensive residential treatment of obsessive-compulsive disorder

Autor: Michael G. Wheaton, Elizabeth Mcingvale, Anna R. Van Meter, Thröstur Björgvinsson
Rok vydání: 2022
Předmět:
Zdroj: Psychotherapy research : journal of the Society for Psychotherapy Research.
ISSN: 1468-4381
Popis: Intensive residential treatment (IRT) for obsessive-compulsive disorder (OCD) includes frequent meetings with a cognitive-behavioral therapist. We examined whether this therapeutic working alliance relates to IRT outcomes.Data came from a naturalistic sample of patients with OCD (Patient and clinician ratings of the quality of the alliance were weakly yet significantly correlated. Patient ratings of the alliance predicted outcomes, while therapist ratings did not. Moreover, greater discrepancy between patient and client ratings predicted worse outcomes. Patient ratings of the task dimension of the alliance uniquely related to responder status.Patient perceptions of the working alliance, particularly as pertaining to agreement on therapeutic tasks, related to success with IRT for OCD. Further study is needed test interventions to improve task alliance as a strategy to enhance treatment.
Databáze: OpenAIRE