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Interaction of Therapeutic Process and Alliance During Psychological Assessment
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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“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].”
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“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].”
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“compliance with treatment recommendations [30]”
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Metadata
- 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
- 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 › Clinical 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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