The DOI matches its Crossref record; 98 of the 101 references it cites were found in a registry or an index, and 3 are not checked yet.
Therapeutic Alliance and Outcome of Psychotherapy: Historical Excursus, Measurements, and Prospects for Research
Open accessAbstract
This paper proposes a historical excursus of studies that have investigated the therapeutic alliance and the relationship between this dimension and outcome in psychotherapy. A summary of how the concept of alliance has evolved over time and the more popular alliance measures used in literature to assess the level of alliance are presented. The proposal of a therapeutic alliance characterized by a variable pattern over the course of treatment is also examined. The emerging picture suggests that the quality of the client-therapist alliance is a reliable predictor of positive clinical outcome independent of the variety of psychotherapy approaches and outcome measures. In our opinion, with regard to the relationship between the therapeutic alliance and outcome of psychotherapy, future research should pay special attention to the comparison between patients' and therapists' assessments of the therapeutic alliance. This topic, along with a detailed examination of the relationship between the psychological disorder being treated and the therapeutic alliance, will be the subject of future research projects.
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“Research findings also demonstrate that the quality of the therapeutic alliance is contingent on the perceived quality of the interaction and, therefore, implementing responsive dialogue support features within digital interventions should be a consideration in fostering a digital therapeutic alliance [133].”
From The therapeutic alliance in digital mental health interventions for serious mental illnesses: narrative review (2020) · cites this paper as [133]
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“client-derived ratings of the therapeutic alliance have been associated with positive outcomes in face-to-face therapy irrespective of the type of psychological treatment, study design, and outcome measure used [8,9].”
From Therapeutic alliance with a fully automated mobile phone and web-based intervention: secondary analysis of a randomized controlled trial (2016) · cites this paper as [8]
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The generalizability of the psychoanalytic concept of the working alliance.
Bordin, E. S. (1979) · Psychotherapy: Theory, Research & Practice · doi:10.1037/h0085885 · Cited by 5,238
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Development and validation of the working alliance inventory
Horvath, A. O., & Greenberg, L. S. (1989) · Journal of Counseling Psychology · doi:10.1037//0022-0167.36.2.223 · Cited by 3,520
A Secure Base: Clinical Applications of Attachment Theory
Bowlby, J. (1998) · Medical Entomology and Zoology · Cited by 3,379
Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review
Martin, D. J., Garske, J. P., & Davis, M. K. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.68.3.438 · Cited by 3,355
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
The theory and practice of group psychotherapy.
Gullickson, T., & Ramser, P. (1996) · Contemporary Psychology · doi:10.1037/002652 · Cited by 1,894
The effects of psychotherapy: an evaluation.
Eysenck, H. J. (1952) · Journal of Consulting Psychology · doi:10.1037/h0063633 · Cited by 1,734
Factor structure of the working alliance inventory
Tracey, T. J., & Kokotovic, A. M. (1989) · Psychological Assessment: A Journal of Consulting and Clinical Psychology · doi:10.1037/1040-3590.1.3.207 · Cited by 1,501
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 1,331
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Research works printed but not linked: 2
- Freud S. (1913). “On the beginning of treatment: further recommendations on the technique of psychoanalysis,” in The Standard Edition of the Complete Psychological Works of Sigmund Freud, ed. Strachey J. (Trans.) (London: Hogarth Press), 122– 144
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Chatbots and Conversational Agents in Mental Health: A Review of the Psychiatric Landscape
Vaidyam, A. N., Wisniewski, H., Halamka, J. D., Kashavan, M. S., & Torous, J. B. (2019) · The Canadian Journal of Psychiatry · doi:10.1177/0706743719828977 · Cited by 1,048
Synchrony in Psychotherapy: A Review and an Integrative Framework for the Therapeutic Alliance
Koole, S. L., & Tschacher, W. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00862 · Cited by 456
“Although cognitive-behavioral therapists have regarded a good alliance as a precondition for psychotherapy, most of them do not regard the alliance as directly curative.”
BackgroundPoletti, M., Enrici, I., & Adenzato, M. (2012) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2012.07.004 · Cited by 278
Babatunde, F. O., MacDermid, J. C., & MacIntyre, N. J. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2311-3 · Cited by 282
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Brown, D. J. W., & Fletcher, D. (2016) · Sports Medicine · doi:10.1007/s40279-016-0552-7 · Cited by 247
Metadata
- Authors
- Ardito, R. B., & Rabellino, D.
- Affiliations
- University of Turin (IT)
- Corresponding author
- Ardito, Rita B.
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2011
- Volume
- 2
- Pages
- 270-270
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC3198542
- OpenAlex
- W2007748712
- Cited by
- 647
- References
- 98
- Citations by year
- 2026: 46 · 2025: 67 · 2024: 85 · 2023: 62 · 2022: 108 · 2021: 54 · 2020: 52 · 2019: 39 · 2018: 36 · 2017: 33 · 2016: 29 · 2015: 16 · 2014: 11 · 2013: 4 · 2012: 4
- FWCI
- 6.56
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Università degli Studi di Torino
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
- Keywords
- therapeutic relationship, psychotherapy outcome
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