Abstract:
UNLABELLED:To better understand how clients' and therapists' views of the therapeutic alliance differ and overlap, this study investigated, first, the components of the alliance that are relevant to the therapy participants; second, their relationship to post-therapy outcome; and third, the relationships between participants' alliance constructs. To identify participants' views, exploratory factor analyses were performed on clients' (n = 176) and therapists' (n = 133 observations) ratings of the Working Alliance Inventory (short form), the Helping Alliance Questionnaire and the California Psychotherapy Alliance Scales and conducted both on each measure separately and on the three measures combined. The results of the separate analyses indicated in general poor correspondence between the participant-derived components and each measure's a priori constructs. Results of the joint analyses suggested that clients view the alliance in terms of six basic components (Collaborative Work Relationship, Productive Work, Active Commitment, Bond, Non-disagreement on Goals/Tasks and Confident Progress), five of which were found to predict client-rated and/or therapist-rated post-therapy outcome. Results for therapists suggested four basic components (Collaborative Work Relationship, Therapist Confidence & Dedication, Client Commitment & Confidence, Client Working Ability), of which three predicted post-therapy outcome. Findings of significant, but modest to low moderate, correlations between several client and therapist joint factors suggested that despite similarities, the therapy partners' views of the alliance differ in important ways. Compared with therapists, clients appear to place greater emphasis on helpfulness, joint participation in the work of therapy and negative signs of the alliance. Implications of these findings are discussed. KEY PRACTITIONER MESSAGE:Therapists should not assume that their views of the therapeutic relationship and therapeutic work are shared by their clients and are encouraged to seek the client's feedback. Therapists may benefit from conveying that the client's perspective on problems and relevant work is valued and that they are working with the client as a team. Therapists may need to explicitly address how the therapeutic work is helpful and conducive to desired changes.
journal_name
Clin Psychol Psychotherjournal_title
Clinical psychology & psychotherapyauthors
Bachelor Adoi
10.1002/cpp.792subject
Has Abstractpub_date
2013-03-01 00:00:00pages
118-35issue
2eissn
1063-3995issn
1099-0879journal_volume
20pub_type
杂志文章abstract:OBJECTIVE:To explore the psychometric properties of the Cross-Cultural Questionnaire (CCQ), a new self-report tool for assessing factors of risk and maintenance for eating disorders (ED). METHOD:Data was collected during a multi-centre case-control study. The sample included 854 ED patients and 784 healthy participant...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,多中心研究
doi:10.1002/cpp.728
更新日期:2011-11-01 00:00:00
abstract::Mothers with severe post-natal mental illness can be admitted with their infant to a psychiatric mother and baby unit (MBU) in the UK. MBUs provide specialist assessment, management and support. Partners of women admitted to MBUs are integral to their recovery but may show reduced wellbeing themselves, yet their suppo...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2056
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abstract::Anorexia nervosa (AN) continues to remain poorly understood within eating disorders. Recent research and theory have moved away from understanding its aetiological causes, addressing instead potential maintaining factors. This study is focused on interpersonal maintenance factors: the response of close others. Relativ...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2020
更新日期:2017-03-01 00:00:00
abstract::The study investigated several associations between depression and intrusive negative autobiographical memories. A systematic literature search identified 23 eligible studies (N = 2,582), which provided 59 effect sizes. Separate meta-analyses indicated that depression was moderately, positively associated with intrusi...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2184
更新日期:2018-02-23 00:00:00
abstract::Reduced social impairment and improved life satisfaction are important objectives in group treatment for patients with personality dysfunction. Knowledge regarding patient characteristics and group treatment processes that contribute to these outcomes, however, remains limited. Dispositional connectedness, the valuing...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2427
更新日期:2020-05-01 00:00:00
abstract:UNLABELLED:COURAGE in Europe was a 3-year project involving 12 partners from four European countries and the World Health Organization. It was inspired by the pressing need to integrate international studies on disability and ageing in light of an innovative perspective based on a validated data-collection protocol. CO...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,评审
doi:10.1002/cpp.1856
更新日期:2014-05-01 00:00:00
abstract::This article expands on James Pennebaker's original model in expressive writing, going from an Analogically unclear and unspecified experiential mass (A) to a Digital specification in words (D). Amplifications of this model are found in philosophy, psychodynamic theory and in Salience learning theory. Applications of ...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.706
更新日期:2010-09-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.686
更新日期:2010-03-01 00:00:00
abstract::The need for novel approaches to understanding and treating anorexia nervosa (AN) is well recognized. The aim of this paper is to describe an integrative bio-psycho-social theory of maintaining factors in AN. We took a triangulation approach to develop a clinically relevant theory with face validity and internal consi...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,评审
doi:10.1002/cpp.2047
更新日期:2017-01-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2303
更新日期:2018-09-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1835
更新日期:2014-05-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2458
更新日期:2020-09-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2172
更新日期:2018-05-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2147
更新日期:2018-01-01 00:00:00
abstract:UNLABELLED:The purpose of this study was to perform an initial validation of a Swedish translation of the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM). The CORE-OM is a broad self-report instrument of psychological problems, designed as an outcome measure for evaluating the effects of psychological...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1788
更新日期:2013-09-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,评审
doi:10.1002/cpp.2490
更新日期:2020-06-15 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2024
更新日期:2017-03-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.683
更新日期:2011-03-01 00:00:00
abstract::Self-concept literature and literature on childhood sexual abuse (CSA) suggests that women with a history of CSA may have particular ways of perceiving themselves, which, as well as impacting upon relationships within their everyday lives, may also have implications for therapy; whether this is on an individual basis ...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.671
更新日期:2010-05-01 00:00:00
abstract::The purpose of this mixed-methods study was to test the extent to which a seminal theory of the professional development of counsellors and therapists is applicable to the particular experiences of creative arts therapies graduate students who learn how to use the arts in psychotherapy. Nevertheless, readers may consi...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1851
更新日期:2014-11-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1832
更新日期:2014-05-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.651
更新日期:2010-07-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2307
更新日期:2018-11-01 00:00:00
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journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2359
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:This paper describes the development and psychometric properties of the Health and Functioning ICF-60 (HF-ICF-60) measure, based on the World Health Organization (WHO) 'International Classification of Functioning, Disability and Health: ICF' (2001). The aims of the present study were to test psychometric pro...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1909
更新日期:2014-09-01 00:00:00
abstract::While there is a plethora of evidence for the efficacy of cognitive-behavioural therapy (CBT) in obsessive-compulsive disorder (OCD), studies on change factors of the therapeutic process that account for this success are scarce. In the present study, 155 participants with primary OCD were investigated during CBT inpat...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2045
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness of behavioral parent training (BPT) for preschool children with disruptive behaviours and to explore parental predictors of response. METHODS:Parents of 68 preschool children, aged between 2.7 and 5.9 years, participated in BPT. We evaluated the changes in children's behaviou...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2117
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:Psychotherapy patients who experience large, stable symptomatic improvement between sessions are more likely than those without such sudden gains to benefit from treatment. However, there is limited empirical basis for the definition of sudden gains, and it is unclear how they may affect symptomatic change at...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2337
更新日期:2019-01-01 00:00:00
abstract:UNLABELLED:Evidence suggests that emotional processes play an important role in the development of delusions. The aim of the present study was to investigate emotion appraisal in individuals with high and low psychosis proneness. We compared 30 individuals who experienced a transient psychotic episode followed by a com...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1763
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Implementation of new effective treatments involves training, supervision and quality control of therapists, who are used to utilize other methods. Not much is known about therapists' views on how new psychotherapy methods should be taught. OBJECTIVE:The purpose of this study is to get insight in how experi...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1002/cpp.2004
更新日期:2017-03-01 00:00:00