Interaction of Therapeutic Process and Alliance During Psychological Assessment

Ackerman, Steven J.; Hilsenroth, Mark J.; Baity, Matthew R.; Blagys, Matthew D.

doi:10.1207/s15327752jpa7501_7

Cited by 192Psychotherapy Techniques and ApplicationsPsychological Testing and AssessmentCounseling Practices and Supervision

Interaction of Therapeutic Process and Alliance During Psychological Assessment

Ackerman, Steven J., Hilsenroth, Mark J., Baity, Matthew R., Blagys, Matthew D.·2000·Journal of Personality Assessment

DOI 10.1207/s15327752jpa7501_7

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Abstract

Utilizing a collaborative therapeutic assessment (TA) model proposed by Finn and Tonsager (1997), we examined the interaction between therapeutic alliance and in-session process during the assessment phase of treatment. This study compares the utility of the TA model (n = 38) versus a traditional information gathering model (n = 90) of assessment. The results of this study indicate that the use of a TA model may decrease the number of patients who terminate treatment against medical advice. The Session Evaluation Questionnaire (Stiles & Snow, 1984), Combined Alliance Short Form (Hatcher & Barends, 1996), and Penn Helping Alliance Questionnaire-Revised (Barber & Crits-Christoph, 1996) can reliably measure the patient's experience of the assessment. The psychological assessment process may impact the patient's experience of assessment feedback and aid in the development of a therapeutic alliance. The therapeutic alliance developed during the assessment was found to be related to alliance early in psychotherapy. We discuss the theoretical, clinical, and research implications of these findings.

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C/TA has been shown to positively influence compliance with treatment.
“These include compliance with treatment [36], therapeutic alliance with a subsequent therapist [32, 37], and the client’s satisfaction with treatment [38], as well as recovery from anxiety symptoms [39, 40], improved self-esteem [41–43], and lower levels of self-criticism [39].”
From Results of a randomized controlled superiority trial of the effect of modified collaborative assessment vs. standard assessment on patients’ readiness for psychotherapy (CO-ASSM-RCT) (2024) · cites this paper as [36]
Other C/TA interventions have been shown to positively influence process outcomes, like therapeutic alliance with subsequent therapists, and increase compliance with treatment recommendations.
“Other C/TA interventions have been shown to positively influence process outcomes, like therapeutic alliance with subsequent therapists [32, 37, 74], and increase compliance with treatment recommendations [36].”
From Results of a randomized controlled superiority trial of the effect of modified collaborative assessment vs. standard assessment on patients’ readiness for psychotherapy (CO-ASSM-RCT) (2024) · cites this paper as [36]
C/TA has been shown to increase compliance with treatment recommendations.
“compliance with treatment recommendations [30]”
From Social phobia and evasiveness: trial protocol for a randomized controlled feasibility and superiority trial of the effect of Modified Collaborative Assessment vs. standard assessment on patients’ readiness for psychotherapy (CO-ASSM-RCT) (2023) · cites this paper as [30]

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Authors: Ackerman, S. J., Hilsenroth, M. J., Baity, M. R., & Blagys, M. D.
Affiliations: University of Arkansas at Fayetteville (US)
ORCID: Hilsenroth, Mark J.
Venue: Journal of Personality Assessment
Publisher: Informa UK Limited
Published: 2000-08
Volume: 75
Issue: 1
Pages: 82-109
ISSN: 0022-3891 (ISSN-L)
1532-7752
DOI: 10.1207/s15327752jpa7501_7
OpenAlex: W2065478162
Cited by: 192
References: 57
Citations by year: 2026: 1 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 2 · 2021: 7 · 2020: 9 · 2019: 9 · 2018: 10 · 2017: 5 · 2016: 11 · 2015: 10 · 2014: 13 · 2013: 9 · 2012: 9
FWCI: 4.04
Type: journal article
Language: en
Open access: closed
Locations: Journal of Personality Assessment (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
Keywords: therapeutic relationship, psychological assessment, assessment feedback, psychotherapy
MeSH terms: Adult, Feedback, Female, Follow-Up Studies, Humans, Interview, Psychological, Male, Patient Compliance, Personality Disorders, Psychological Tests, Psychotherapy, Reproducibility of Results, Treatment Outcome

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Interaction of Therapeutic Process and Alliance During Psychological Assessment

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