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Cited by 331

The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.

The alliance in child and adolescent psychotherapy.

Shirk, Stephen R., Karver, Marc S., Brown, Renee·2011·Psychotherapy

Abstract

The therapeutic alliance has a long history in the child and adolescent psychotherapy literature. This article examines prominent views on the alliance with youth and considers a number of issues that distinguish youth alliance from its adult counterpart. A meta-analysis of alliance-outcome associations in individual youth therapy is presented. In order to provide a direct comparison with the adult literature, the review included only prospective studies of individual youth therapy that used an explicit measure of alliance. Results from 16 studies revealed consistency with the adult literature with a weighted mean correlation of .22 (k = 16, n = 1306, p < .001) between alliance and outcome (CI = +/-.06). Although there were trends showing stronger alliance-outcome associations for child versus adolescent therapy and for behavioral versus nonbehavioral therapies, only problem type (substance abuse and mixed problems vs. eating disorders) significantly moderated alliance-outcome associations. Limitations of the research and implications for therapeutic practice are discussed.

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Crossref · 10.1037/a0022181

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Metadata

Authors
Shirk, S. R., Karver, M. S., & Brown, R.
Venue
Psychotherapy
Published
2011
Volume
48
Issue
1
Pages
17-24
ISSN
  • 0033-3204 (ISSN-L)
  • 1939-1536
OpenAlex
W2086274829
Cited by
331
References
12
FWCI
26.44
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The alliance in child and adolescent psychotherapy. https://app.cochat.ai/papers/10.1037/a0022181
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Shirk, S. R., Karver, M. S., & Brown, R. (2011). The alliance in child and adolescent psychotherapy. Psychotherapy. https://doi.org/10.1037/a0022181

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.