Relationships among Patient and Therapist Ratings of Therapeutic Alliance and Patient Assessments of Therapeutic Process: A Study of Cognitive Therapy with Long-Term Mentally Ill Patients
Abstract
The therapeutic alliance as rated by therapists and patients was assessed every 5 weeks throughout the treatment period in an in-patient treatment program for schizophrenic and other long-term mentally ill patients. The patients (N = 26) also assessed perceived curative factors (Curative Factors Questionnaire) and made therapy session evaluations (Session Evaluation Questionnaire). The most important patient rated factors showing a relationship with therapist-rated alliance were in the initial phase of treatment depth in the therapy sessions, in the working phase the experience of involvement in the treatment, and in the discharge phase perceived helpfulness of encouragement and reassurance. The investigation of curative factors, session evaluations, and alliance as rated by patients showed a relationship in the initial phase between alliance and encouragement, reassurance and awareness, in the working phase between alliance and depth in sessions and "talking to someone who understands," and in the discharge phase between alliance and self-understanding and problem solution.
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Studies find it possible to develop and maintain a good therapeutic relationship with patients with psychosis and indicate that this is associated with recovery.
“Studies find it possible to develop and maintain a good therapeutic relationship with patients with psychosis and indicate that this is associated with recovery [13, 14].”
From "It's not a life of war and conflict": experienced therapists' views on negotiating a therapeutic alliance in involuntary treatment (2019) · cites this paper as [14]
Cites
Relation between working alliance and outcome in psychotherapy: A meta-analysis
Horvath, A. O., & Symonds, B. D. (1991) · Journal of Counseling Psychology · doi:10.1037/0022-0167.38.2.139 · Cited by 2,673 · see citing works
The role of the therapeutic alliance in psychotherapy.
Horvath, A. O., & Luborsky, L. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.61.4.561 · Cited by 1,279 · see citing works
The Prediction of Outcome in Schizophrenia
Strauss, J. S. (1972) · Archives of General Psychiatry · doi:10.1001/archpsyc.1972.01750300011002 · Cited by 795 · see citing works
The Prediction of Outcome in Schizophrenia
Strauss, J. S. (1974) · Archives of General Psychiatry · doi:10.1001/archpsyc.1974.01760130021003 · Cited by 645 · see citing works
Frank, A. F. (1990) · Archives of General Psychiatry · doi:10.1001/archpsyc.1990.01810150028006 · Cited by 552 · see citing works
Tarrier, N., Beckett, R., Harwood, S., Baker, A. L., Yusupoff, L., & Ugarteburu, I. (1993) · British Journal of Psychiatry · doi:10.1192/bjp.162.4.524 · Cited by 471 · see citing works
London–East Anglia randomised controlled trial of cognitive–behavioural therapy for psychosis
Kuipers, E., Garety, P. A., Fowler, D. G., Dunn, G., Bebbington, P., Freeman, D. H., & Hadley, C. (1997) · The British Journal of Psychiatry · doi:10.1192/bjp.171.4.319 · Cited by 450 · see citing works
London–East Anglia randomised controlled trial of cognitive–behavioural therapy for psychosis
Garety, P. A., Fowler, D., Kuipers, E., Freeman, D. H., Dunn, G., Bebbington, P., Hadley, C., & Jones, S. H. (1997) · The British Journal of Psychiatry · doi:10.1192/bjp.171.5.420 · Cited by 316 · see citing works
A comparison of six measures of working alliance.
Tichenor, V., & Hill, C. E. (1989) · Psychotherapy · doi:10.1037/h0085419 · Cited by 295 · see citing works
Measurement of the impact of psychotherapy sessions.
Stiles, W. B. (1980) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.48.2.176 · Cited by 214 · see citing works
Cognitive behavioural therapy for drug‐resistant psychosis
Garety, P. A., Kuipers, L., Fowler, D. G., Chamberlain, F., & Dunn, G. (1994) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1994.tb01795.x · Cited by 190 · see citing works
London-East Anglia randomised controlled trial of cognitive-behavioural therapy for psychosis
Kuipers, E., Fowler, D. G., Garety, P. A., Chisholm, D., Freeman, D. H., Dunn, G., Bebbington, P., & Hadley, C. (1998) · The British Journal of Psychiatry · doi:10.1192/bjp.173.1.61 · Cited by 187 · see citing works
Measurement of the impact of psychotherapy sessions.
Stiles, W. B. (1980) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.48.2.176 · Cited by 165 · see citing works
Llewelyn, S. P., Elliott, R., Shapiro, D. A., Hardy, G., & Firth‐Cozens, J. (1988) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1988.tb00758.x · Cited by 164 · see citing works
Svensson, B., & Hansson, L. I. (1999) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1999.tb07226.x · Cited by 112 · see citing works
Self-citationThe therapeutic alliance in psychodynamic-interpersonal and cognitive-behavioral therapy.
Raue, P. J., Goldfried, M. R., & Barkham, M. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.4.582 · Cited by 86 · see citing works
The Strength of the Therapeutic Alliance in Three Treatments for Depression
Salvio, M.-A., Beutler, L. E., Wood, J. M., & Engle, D. E. (1992) · Psychotherapy Research · doi:10.1080/10503309212331333578 · Cited by 67 · see citing works
The Working Alliance: A Comparison of Two Therapies
Raue, P. J., Castonguay, L. G., & Goldfried, M. R. (1993) · Psychotherapy Research · doi:10.1080/10503309312331333789 · Cited by 64 · see citing works
Murphy, P. M., Cramer, D., & Lillie, F. (1984) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1984.tb01599.x · Cited by 47 · see citing works
Assessment of Therapeutic Alliances in the Psychiatric Hospital Milieu
Allen, J. G., Deering, C. D., Buskirk, J. R., et al. (1988) · Psychiatry · doi:10.1080/00332747.1988.11024404 · Cited by 26 · see citing works
Objective therapy predictors in depression: A multivariate approach
Weckowicz, T. E., Yonge, K. A., Cropley, A. J., & Muir, W. (1971) · Journal of Clinical Psychology · doi:10.1002/1097-4679(197101)27:1 · Cited by 25 · see citing works
A cognitive‐behavioral treatment program for patients with a schizophrenic disorder
Perris, C. (1992) · New Directions for Mental Health Services · doi:10.1002/yd.23319925304 · Cited by 17 · see citing works
Svensson, B., & Hansson, L. I. (1998) · European Psychiatry · doi:10.1016/s0924-9338(99)80704-4 · Cited by 7 · see citing works
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Interaction of Therapeutic Process and Alliance During Psychological Assessment
Ackerman, S. J., Hilsenroth, M. J., Baity, M. R., & Blagys, M. D. (2000) · Journal of Personality Assessment · doi:10.1207/s15327752jpa7501_7 · Cited by 192 · see citing works
Hilsenroth, M. J., Peters, E. J., & Ackerman, S. J. (2004) · Journal of Personality Assessment · doi:10.1207/s15327752jpa8303_14 · Cited by 176 · see citing works
Shattock, L., Berry, K., Degnan, A., & Edge, D. (2018) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2135 · Cited by 137 · see citing works
The Therapeutic Relationship in CBT for Psychosis: Client, Therapist and Therapy Factors
Evans-Jones, C., Peters, E., & Barker, C. (2009) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465809990269 · Cited by 71 · see citing works
Prytz, M., Harkestad, K. N., Veseth, M., & Bjornestad, J. (2019) · Annals of General Psychiatry · doi:10.1186/s12991-019-0234-6 · Cited by 3 · see citing works
- Authors
- SVENSSON, B., & HANSSON, L.
- Affiliations
- Skåne University Hospital (SE)
- Venue
- The Journal of Nervous & Mental Disease
- Published
- 1999-09
- Volume
- 187
- Issue
- 9
- Pages
- 579-585
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2330929082
- Cited by
- 39
- References
- 23
- Citations by year
- 2024: 2 · 2020: 2 · 2019: 2 · 2017: 2 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 5
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- therapeutic relationship, patient ratings, therapist ratings, curative factors, session evaluation, psychiatric inpatient care, schizophrenia, long-term mental illness, treatment depth, self-understanding, problem solving, patient involvement
- MeSH terms
- Attitude of Health Personnel, Attitude to Health, Awareness, Mental Disorders, Chronic Disease, Hospitalization, Humans, Probability, Professional-Patient Relations, Surveys and Questionnaires, Schizophrenia, Cognitive Behavioral Therapy, Treatment Outcome
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