Institutional Therapeutic Alliance and Its Relationship With Outcomes in a Psychiatric Day Hospital Program

Institutional Therapeutic Alliance in Multi-Professional Treatments with Severely Disturbed Patients

“…Occasionally, the patient develops a significant bond with some therapist and perceives the other therapists of the staff as forming a "nebulous group" of operators. Other times, the staff appears mostly as a group of singular and separate therapists with whom the patient interacts in different and specific ways and level of intimacy, establishing, for instance, a positive relationships with someone(s) and negative interactions with other(s) (Pulido, Monari, Rossi, 2008). Precisely, regarding this aspect, Correale (1991) observes that "the investment of the institution, together with or instead of the investment of the single therapist, is a very usual evidence, for some extent inevitable, and always significant" in the institutional work (pp.…”

“…We conducted a longitudinal study to explore many aspects of the Institutional Therapeutic Alliance, like factors that influence its early formation and development, and its relationship with treatment outcomes (Pulido, Monari & Rossi, 2008). We assessed many variables in 55 patients in different steps of the partial hospitalization: admission, after one week, discharge and after 3-month from the end of the treatment.…”

“…Discharge outcome and Variation of ITA in the 3-month follow-up groups (Pulido, Monari, & Rossi, 2008).…”

A qualitative evaluation of patient’s perceptions of therapeutic alliance on mental health acute inpatient wards

“…This assessment is also found in other research [4][5][6]. The Therapeutic Alliance is mainly defined in the form of a face to face relation, but [7], Pulido, et al delineates the possibility of an Institutional Therapeutic Alliance (ITA). In this way, nurses would be seen by patients as a team, a whole, and so their view of the relationship would not be that of a dual relationship but of a relationship between a patient and a team.…”

Therapeutic Alliance in Mental Health Nursing: An Evolutionary Concept Analysis

“…The numerous roles which nurses fulfil may result in a contradiction of expectations (Thurston, 2003); the role of advocate may be compromised by the need to forcibly compel care. Consumers who are highly psychologically ill are emotionally exhausting to manage on a day-to-day basis, and these consumers are often resistive to close interactions (Pulido, Monari, & Rossi, 2008). Education, training and support assists nurses to overcome these challenges, enhancing capac-ity for therapeutic interaction (Koekkoek et al, 2012;Surtees, 2007;Thurston, 2003;van Meijel et al, 2009).…”