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Child-therapist and parent-therapist alliance and therapeutic change in the treatment of children referred for oppositional, aggressive, and antisocial behavior

Kazdin, Alan E., Whitley, Moira, Marciano, Paul L.·2006·Journal of Child Psychology and Psychiatry

DOI 10.1111/j.1469-7610.2005.01475.x

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Abstract

BACKGROUND: We examined the therapeutic alliance in evidence-based treatment for children (N = 77, 19 girls, 58 boys, ages 6-14) referred clinically for oppositional, aggressive, and antisocial behavior. METHOD: Different alliances (child-therapist, parent-therapist) were assessed from each participant's perspective at two points over the course of treatment. Both the quality of the child-therapist and the parent-therapist alliance predicted therapeutic changes in the children; the parent-therapist alliance also predicted improvements in parenting practices in the home. RESULTS: The findings could not easily be attributed to the influence of other domains (socioeconomic disadvantage, parent psychopathology and stress, and severity of child dysfunction) known to predict therapeutic change or to rater effects (common rater variance) in the predictors and criteria. CONCLUSION: The therapeutic alliance warrants increased attention to understand the precise role in treatment and whether or how the alliance can be mobilized to enhance change.

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Authors: Kazdin, A. E., Whitley, M., & Marciano, P. L.
Affiliations: Yale University (US)
Corresponding author: Kazdin, Alan E.
ORCID: Kazdin, Alan E.
Venue: Journal of Child Psychology and Psychiatry
Publisher: Wiley
Published: 2005-06-09
Volume: 47
Issue: 5
Pages: 436-445
ISSN: 0021-9630 (ISSN-L)
1469-7610
DOI: 10.1111/j.1469-7610.2005.01475.x
OpenAlex: W2121892483
Cited by: 188
References: 28
Citations by year: 2026: 2 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 12 · 2021: 9 · 2020: 8 · 2019: 8 · 2018: 8 · 2017: 10 · 2016: 16 · 2015: 9 · 2014: 10 · 2013: 22 · 2012: 17
FWCI: 3.86
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Child Psychology and Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: Child Study Center, Yale School of Medicine
Leon Lowenstein Foundation
National Institutes of Health
National Institute of Mental Health (MH59029, R01MH059029)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
Keywords: therapeutic relationship, therapeutic change, oppositional behavior, aggression, antisocial behavior, children, parenting practices, evidence-based treatment, rater effects
MeSH terms: Adolescent, Adult, Aggression, Antisocial Personality Disorder, Child, Psychology, Child, Female, Humans, Interpersonal Relations, Male, Middle Aged, Parent-Child Relations, Parents, Physician-Patient Relations, Predictive Value of Tests, Psychoanalytic Therapy, Treatment Outcome, Attention Deficit and Disruptive Behavior Disorders

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Child-therapist and parent-therapist alliance and therapeutic change in the treatment of children referred for oppositional, aggressive, and antisocial behavior

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