Early development of mechanisms of change as a predictor of subsequent change and treatment outcome: The case of working alliance.

Zilcha‐Mano, Sigal; Errázuriz, Paula

doi:10.1037/ccp0000192

Cited by 66 publications

(75 citation statements)

References 89 publications

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“…Using multi-level or one-with-many methodologies, these studies were able to differentiate the prognostic effect of therapists' and patients' contributions to the relationship (i.e., to separate betweentherapist and within-therapist variability). In two recent studies, Zilcha-Mano et al (Zilcha-Mano & Errázuriz, 2017;Zilcha-Mano et al, 2016) have uncovered heretofore unknown and indirect influences of therapists' ratings on the alliance-outcome relationship via clients in later sessions.…”

Section: Introductionmentioning

confidence: 99%

Facilitative interpersonal skills performance test: Psychometric analysis of a German language version

et al. 2019

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Objective This study aimed at a psychometric analysis of the Facilitative Interpersonal Skills (FIS) performance test, a test of therapist relational skills that has repeatedly been found to predict psychotherapy outcome. We investigated the reliability, unidimensionality, and convergent validity of a German language version and psychometrics relevant for repeated and short assessments. Method Thirty‐nine trainee therapists took the FIS performance test and responded to self‐report scales. Results Inter‐rater agreement and internal consistency were high. The findings suggest that the FIS is a unidimensional scale. Correlations between the FIS and self‐reported social skills, interpersonal problems, and working involvement were absent to low. FIS performance was independent from specific video stimuli and there was no indication of temporal effects. Conclusions The findings suggest that the FIS is robust and ready to be used in repeated assessments and in short form. Further conceptual clarification of the FIS is needed.

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Section: Introductionmentioning

confidence: 99%

Facilitative interpersonal skills performance test: Psychometric analysis of a German language version

et al. 2019

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“…Therefore, this study aims at investigating the impact of a therapy transfer on both symptoms and alliance. Alliance is dynamic, as its elements and quality change over time (Horvath & Greenberg, ; Zilcha‐Mano & Errázuriz, ). There are two main research areas studying the development of alliance over the course of treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Alliance is dynamic, as its elements and quality change over time (Horvath & Greenberg, 1994;Zilcha-Mano & Errázuriz, 2017). There are two main research areas studying the development of alliance over the course of treatment.…”

Section: Introductionmentioning

confidence: 99%

What happens when the therapist leaves? The impact of therapy transfer on the therapeutic alliance and symptoms

Zimmermann

Lutz

Reiser

et al. 2018

Clin Psychology and Psychoth

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Background The therapeutic alliance is an important factor in psychotherapy, affecting both therapy processes and outcome. Therapy transfers may impair the quality of the therapeutic alliance and increase symptom severity. The aim of this study is to investigate the impact of patient transfers in cognitive behavioural therapy on alliance and symptoms in the sessions after the transfer. Method Patient‐ and therapist‐rated therapeutic alliance and patient‐reported symptom severity were measured session‐to‐session. Differences in the levels of alliance and symptom severity before (i.e., with the original therapist) and after (i.e., with the new therapist) the transfer session were analysed. The development of alliance and symptom severity was explored using multilevel growth models. Results A significant drop in the alliance was found after the transfer, whereas no differences were found with regard to symptom severity. After an average of 2.93 sessions, the therapeutic alliance as rated by patients reached pretransfer levels, whereas it took an average of 5.05 sessions for therapist‐rated alliance levels to be at a similar level as before the transfer. Inter‐individual differences were found with regard to the development of the therapeutic alliance over time. Conclusions Therapy transfers have no long lasting negative effects on either symptom impairment or the therapeutic alliance.

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“…Data were collected at an outpatient mental health clinic in Santiago, Chile, in the context of a feedback Randomized Clinical Trial (Zilcha‐Mano & Errázuriz, ). Of the invited clients, 547 (57.39%) accepted and participated in this study.…”

Section: Methodsmentioning

confidence: 99%

Change in symptomatic burden and life satisfaction during short‐term psychotherapy: Focusing on the role of family income

Behn

Errázuriz

Cottin

et al. 2017

Couns and Psychother Res

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Objective The article examines the role of family income on the relationship between change in symptomatic burden and change in life satisfaction during six sessions of naturalistically delivered individual psychotherapy. Method Five hundred and thirty‐two clients receiving psychotherapy were assessed at baseline and on a session‐to‐session basis with the OQ‐30.2 and with a life satisfaction questionnaire. Data were analysed using a bivariate latent class model with structured residuals that included cross‐lagged and autoregressive components between residual scores at each time point. Adjusted family income and a binary low versus high‐income group variable were added as exogenous baseline covariates at different stages of the analyses. Results Regardless of income level, clients show improvement in psychological distress and life satisfaction as a function of time during treatment. Initial levels and improvement in life satisfaction are related to initial levels and improvement in psychological distress, and lower family income is related to slower decreases in psychological distress. When the whole sample is analysed, psychological distress and life satisfaction show reciprocal prospective relationships at the within‐person level. When models are estimated by income group, casual relationships at the within‐person level vary as a function of income. Conclusion Family income level appears to play a significant role in the relationship between symptom improvement and life satisfaction during psychotherapy.

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Early development of mechanisms of change as a predictor of subsequent change and treatment outcome: The case of working alliance.

Abstract: Findings suggest that early alliance development patterns affect treatment process and outcome. (PsycINFO Database Record

Cited by 66 publications

References 89 publications

Facilitative interpersonal skills performance test: Psychometric analysis of a German language version

Facilitative interpersonal skills performance test: Psychometric analysis of a German language version

What happens when the therapist leaves? The impact of therapy transfer on the therapeutic alliance and symptoms

Change in symptomatic burden and life satisfaction during short‐term psychotherapy: Focusing on the role of family income

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