Therapeutic Alliance and Hospital Treatment Outcome
Abstract
The effect of therapeutic alliance on treatment outcome in a stratified sample of 96 hospital inpatients was assessed by means of a 6-point alliance scale as well as by demographic, treatment history, and psychopathological data. Alliance was correlated with improvement at discharge but not with demographic or prior treatment characteristics. Symptom patterns and personality dysfunction were shown to be differentially related to the quality of the alliance. Patients with axis I substance abuse, adjustment, and somatoform disorders had the poorest alliance and the poorest outcomes. The authors generated a model to predict outcome of hospital treatment, using patient alliance ratings, axis I and II diagnoses and their combinations, and admission Global Assessment Scale scores.
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Among psychiatric inpatients, a strong treatment alliance is associated with improvement at discharge.
“Among psychiatric inpatients, a strong treatment alliance is associated with improvement at discharge (1)”
From Coercion and the Inpatient Treatment Alliance (2019) · cites this paper as [1]
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References 12 · Cited by 68
- Authors
- Clarkin, J. F., Hurt, S. W., & Crilly, J. L.
- ORCID
- Clarkin, John F.
- Venue
- Psychiatric Services
- Published
- 1987-08
- Volume
- 38
- Issue
- 8
- Pages
- 871-875
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W1987168883
- Cited by
- 68
- References
- 12
- Citations by year
- 2025: 2 · 2023: 1 · 2020: 1 · 2019: 1 · 2017: 1 · 2014: 2 · 2013: 1 · 2012: 2
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- therapeutic relationship, psychiatric inpatients, discharge outcomes, substance use disorders, adjustment disorder, somatoform disorders, personality dysfunction, Global Assessment Scale, outcome prediction model
- MeSH terms
- Anxiety Disorders, Mental Disorders, Hospitals, Psychiatric, Humans, New York, Professional-Patient Relations, Prognosis, Psychotherapy, Psychotic Disorders, Schizophrenia, Social Environment, Mood Disorders
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