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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
- DOI
- 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 Research – Springer Journals
Published: Aug 2, 2017