How do newly appointed academic psychologists with applied interests navigate the diverse and unique challenges of establishing themselves as academicians while pursuing clinical interests? Based on the experience of 4 new professionals, this article highlights the adjustments that must be made when making the transition from trainee to professional, the challenges encountered as a new faculty member, and the pursuit of applied interests as a junior faculty member. Strategies for avoiding the pitfalls that one may encounter when attempting to combine academic with applied interests are discussed.
Objective: The therapeutic working alliance is an important factor in producing treatment change and positive therapeutic outcomes for people with mental illness, yet little is known about the working alliance's role in treatment change in people with mental illness that is justice involved. In addition to treating the mental illness symptoms of justice-involved people with mental illness, addressing factors known to predict criminal behavior (including criminal thinking) could optimize posttreatment outcomes and reduce future justice involvement. This study examines the role of the working alliance in treatment change in a clinical treatment sample of 265 adult male and female justice-involved people with mental illness and substance use disorders completing probation sentences in a residential treatment facility. Method: Repeated measures moderation analyses were used to test participants' reported working alliance as a moderator of change from pre-to posttreatment scores of self-reported mental illness symptoms and criminal thinking. Results: The working alliance significantly moderated reductions in depression, anxiety, anger, and manic symptoms (R 2 ranging from .03 to .09), and general, reactive, and current criminal thinking (R 2 ranging from .04 to .11). Conclusions: These findings expand the literature on the relation between working alliance and changes in mental illness symptoms by testing this association in the understudied population of justice-involved people with mental illness; these results also suggest the working alliance is associated with changes in criminal thinking. Treatment providers working with justice-involved people with mental illness should assess and emphasize the development of a working alliance to maximize treatment change.What is the public health significance of this article? These findings expand our understanding of the role of the working alliance in treatment change among a criminal justice-involved clinical sample with mental illness and substance use disorders. Clinicians should continue to focus on not only treatment needs but also treatment processes for people with mental illness, regardless of setting.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.