Cited by 188Psychotherapy Techniques and ApplicationsChild Therapy and DevelopmentChild and Adolescent Psychosocial and Emotional Development

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The therapeutic alliance in cognitive-behavioral treatment of children referred for oppositional, aggressive, and antisocial behavior

Kazdin, Alan E., Marciano, Paul L., Whitley, Moira K.·2005·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.73.4.726

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Abstract

The authors examined the therapeutic alliance in evidence-based treatment for children (N = 185, 47 girls, 138 boys; ages 3-14 years) referred clinically for oppositional, aggressive, and antisocial behavior. Different alliances (child-therapist, parent-therapist) were assessed from each participant's perspective at 2 points over the course of treatment. As predicted, both child-therapist and parent-therapist alliances related to therapeutic change, family experience of barriers to participation in treatment, and treatment acceptability. Greater alliance was associated with greater therapeutic change, fewer perceived barriers, and greater treatment acceptability. The findings could not be attributed to the influence of socioeconomic disadvantage, parent psychopathology and stress, and child dysfunction or to rater effects (common rater variance in the predictors and criteria).

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Authors: Kazdin, A. E., Marciano, P. L., & Whitley, M. K.
Affiliations: Yale University (US)
ORCID: Kazdin, Alan E.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2005
Volume: 73
Issue: 4
Pages: 726-730
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.73.4.726
OpenAlex: W2048183107
Cited by: 188
References: 30
Citations by year: 2026: 3 · 2025: 4 · 2024: 4 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 10 · 2019: 6 · 2018: 8 · 2017: 9 · 2016: 14 · 2015: 9 · 2014: 13 · 2013: 16 · 2012: 16
FWCI: 11.57
Type: journal article
Language: en
Open access: closed
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (MH59029, R01MH059029)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: therapeutic relationship, cognitive behavioral therapy, children, oppositional behavior, aggression, antisocial behavior, treatment acceptability, therapeutic change
MeSH terms: Adolescent, Aggression, Antisocial Personality Disorder, Child, Child, Preschool, Female, Humans, Male, Patient Care Team, Professional-Family Relations, Referral and Consultation, Cognitive Behavioral Therapy, Attention Deficit and Disruptive Behavior Disorders

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The therapeutic alliance in cognitive-behavioral treatment of children referred for oppositional, aggressive, and antisocial behavior

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