The Working Alliance in Client-Centered and Process-Experiential Therapy of Depression
Abstract
This study examined the development of the working alliance in process-experiential (PE) and client-centered therapy of depression. Thirty-four randomly assigned individuals completed 16 to 20 sessions of manual-based therapy. Results revealed the size of the alliance-outcome relation to be dependent on alliance dimension (goal, task, or bond), outcome measure (symptom improvement vs. self-esteem, relational problems), and time in treatment alliance. Part correlational analyses revealed that early alliance scores predicted outcomes that were not attributable to early mood changes. Although no group differences were found for bond and goal alliance, the PE group displayed higher task alliance scores in the midphase of therapy. The level of pretreatment depression did not affect alliance formation. The implications of these results are discussed.
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The WAI-S shows acceptable internal consistency (Cronbach's α = 0.83-0.98) and predictive validity related to therapy outcome.
“It shows acceptable internal consistency (Cronbach’s α = 0.83–0.98) [57] and predictive validity related to therapy outcome [57,58,59].”
From A Randomized Pilot Study of Acceptance and Commitment Therapy to Improve Social Support for Veterans with PTSD (2022) · cites this paper as [59]
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- Authors
- Weerasekera, P., Linder, B., Greenberg, L., & Watson, J.
- ORCID
- Greenberg, L.
- Venue
- Psychotherapy Research
- Publisher
- Informa UK Limited
- Published
- 2001-06
- Volume
- 11
- Issue
- 2
- Pages
- 221-233
- ISSN
- 1050-3307 (ISSN-L)
- 1468-4381
- OpenAlex
- W2025251840
- Cited by
- 40
- References
- 12
- Citations by year
- 2026: 1 · 2024: 1 · 2022: 1 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 5 · 2012: 3
- FWCI
- 1.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy Research (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- therapeutic relationship, client-centered therapy, depression, treatment outcomes, self-esteem, relationship problems
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