Cited by 311Psychotherapy Techniques and ApplicationsCounseling Practices and SupervisionPsychoanalysis and Psychopathology Research

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Has the concept of the therapeutic alliance outlived its usefulness?

Safran, Jeremy D., Muran, J. Christopher·2006·Psychotherapy: Theory, Research, Practice, Training

DOI 10.1037/0033-3204.43.3.286

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Abstract

In this article, we provide a brief summary of our current thinking about the constructs of the therapeutic alliance and ruptures in the therapeutic alliance. We speculate about some of the factors that have led to sustained interest in these constructs by psychotherapy researchers and discuss some of the conceptual problems associated with them. We also consider the question of whether the therapeutic alliance continues to be a meaningful construct, and we delineate more and less promising avenues of research for the future. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

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Lambert, M. J. (2003) · Cited by 3,383
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Robinson, L. A., Berman, J., & Neimeyer, R. (1990) · Psychological bulletin · doi:10.1037/0033-2909.108.1.30 · Cited by 691
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(1994) · Medical Entomology and Zoology · Cited by 674
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Authors: Safran, J. D., & Muran, J. C.
Affiliations: The New School (US)
Mount Sinai Beth Israel (US)
ORCID: Muran, J. Christopher
Venue: Psychotherapy: Theory, Research, Practice, Training
Publisher: American Psychological Association (APA)
Published: 2006
Volume: 43
Issue: 3
Pages: 286-291
ISSN: 0033-3204 (ISSN-L)
1939-1536
DOI: 10.1037/0033-3204.43.3.286
OpenAlex: W2043568664
Cited by: 311
References: 24
Citations by year: 2026: 9 · 2025: 11 · 2024: 12 · 2023: 8 · 2022: 46 · 2021: 13 · 2020: 18 · 2019: 24 · 2018: 16 · 2017: 21 · 2016: 20 · 2015: 17 · 2014: 26 · 2013: 14 · 2012: 10
FWCI: 6.64
Type: journal article
Language: en
Open access: closed
Locations: Psychotherapy (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords: therapeutic relationship, psychotherapy research, conceptual difficulties, construct validity, future research directions

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