A review of therapist characteristics and techniques positively impacting the therapeutic alliance.

A review of therapist characteristics and techniques negatively impacting the therapeutic alliance

Therapist adherence in individual cognitive-behavioral therapy for binge-eating disorder: assessment, course, and predictors.

While cognitive-behavioral therapy (CBT) is the most well-established treatment for binge-eating disorder (BED), little is known about process factors influencing its outcome. The present study sought to explore the assessment of therapist adherence, its course over treatment, and its associations with patient and therapist characteristics, and the therapeutic alliance. In a prospective multice...

Therapist alliance-building behavior within a cognitive-behavioral treatment for anxiety in youth.

Explored the specific behavior of therapists contributing to a child client's perception of a therapeutic alliance with youth (n = 56) who received a manualized cognitive-behavioral treatment for anxiety disorders. The first 3 sessions were coded for 11 therapist behaviors hypothesized to predict ratings of alliance. Child, therapist, and observer alliance ratings were gathered after the 3rd an...

The relationship between patient object relations and the therapeutic alliance in a naturalistic psychotherapy sample.

OBJECTIVES This study examined the relationship between patients' object relations and interpersonal process in psychotherapy. Namely, we tested the hypothesis that the quality of patients' object relations is positively associated with both patient- and therapist-rated alliance quality. DESIGN Psychotherapy was administered naturalistically, with quantitative data collection before and durin...

Therapist effects in the therapeutic alliance-outcome relationship: a restricted-maximum likelihood meta-analysis.

OBJECTIVE Although the relationship between the therapeutic alliance and outcome has been supported consistently across several studies and meta-analyses, there is less known about how the patient and therapist contribute to this relationship. The purpose of this present meta-analysis was to (1) test for therapist effects in the alliance-outcome correlation and (2) extend the findings of previo...