When is it Effective to Focus on the Alliance? Analysis of a Within-Client Moderator

When is it Effective to Focus on the Alliance? Analysis of a Within-Client Moderator Contemporary studies on the working alliance seek to move forward from demonstrating an association between alliance and outcome to investigating how alliance can be used to maximize treatment outcome by identifying the clients for whom state-like changes in alliance predict symptomatic change (between-clients moderators). Yet, very little is known empirically on when state-like changes in alliance predict outcome for individual clients (within-client moderators). The present study, based on a sample of 327 clients, demonstrates that state-like changes in alliance at a given session have a significant effect on subsequent session outcome only in the case of higher life satisfaction in that session. This finding suggests that strengthening in the state-like component of the alliance has a greater effect on outcome when the client suffers less from poor life satisfaction. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Cognitive Therapy and Research Springer Journals

When is it Effective to Focus on the Alliance? Analysis of a Within-Client Moderator

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Publisher
Springer Journals
Copyright
Copyright © 2017 by Springer Science+Business Media, LLC
Subject
Medicine & Public Health; Quality of Life Research; Clinical Psychology; Cognitive Psychology
ISSN
0147-5916
eISSN
1573-2819
D.O.I.
10.1007/s10608-017-9867-4
Publisher site
See Article on Publisher Site

Abstract

Contemporary studies on the working alliance seek to move forward from demonstrating an association between alliance and outcome to investigating how alliance can be used to maximize treatment outcome by identifying the clients for whom state-like changes in alliance predict symptomatic change (between-clients moderators). Yet, very little is known empirically on when state-like changes in alliance predict outcome for individual clients (within-client moderators). The present study, based on a sample of 327 clients, demonstrates that state-like changes in alliance at a given session have a significant effect on subsequent session outcome only in the case of higher life satisfaction in that session. This finding suggests that strengthening in the state-like component of the alliance has a greater effect on outcome when the client suffers less from poor life satisfaction.

Journal

Cognitive Therapy and ResearchSpringer Journals

Published: Aug 2, 2017

References

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