Can you see what I see? A comparison of client and observer perspectives of the alliance and group cohesion in CBT
| Autor: | Hoang K. Luong, Sean P.A. Drummond, Peter J. Norton |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Predictive validity
050103 clinical psychology Observer (quantum physics) Cognitive Behavioral Therapy 05 social sciences Context (language use) Professional-Patient Relations Anxiety Disorders 030227 psychiatry Therapeutic relationship 03 medical and health sciences Clinical Psychology 0302 clinical medicine Group cohesiveness Alliance Treatment Outcome medicine Anxiety Humans 0501 psychology and cognitive sciences Observational study medicine.symptom Psychology Social psychology Social Cohesion |
| Zdroj: | Cognitive behaviour therapy. 51(2) |
| ISSN: | 1651-2316 |
| Popis: | Both therapeutic alliance and group cohesion have been identified as "demonstrably effective" relationship elements in therapy. However, the overwhelming majority of process-outcome research has relied on clients as raters of the therapeutic relationship. A lack of convergence between client, therapist, and observer perspectives has raised questions regarding how best to measure relationships in therapy. Interest in observational measures has grown, as they may offer more objective and reliable measurements of process. This study compared the predictive validity of client and observer ratings of the alliance (Agreement and Bond) and group cohesion in the context of group cognitive behaviour therapy (CBT) for anxiety disorders. Results showed that client and observer ratings of process were not significantly correlated, and regarding the alliance, only client-rated Agreement predicted client-rated treatment gains. In contrast, both client and observer-ratings of group cohesion were found to uniquely contribute to treatment outcomes. If replicated, the findings from the present study suggest that (1) while client ratings of alliance consistently predict client-rated outcomes, the predictive validity of observer measures has yet to be established, and (2) both clients and observers provide meaningful and distinct information about group cohesion in therapy. |
| Databáze: | OpenAIRE |
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