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

Pulido, R. Dario

doi:10.5772/25561

Cited by 2 publications

(3 citation statements)

References 16 publications

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“…Exploring the factorial structure, they could not confirm the classical dimensions: task, goal, and bond. They found one generic and two secondary factors to account for 75% of the overall variance (Pulido, 2011). In our study, we also found strong correlations between the total scale and subscales of the IWAI, which can give rise to the question whether the subscales sufficiently differ from each other to be evaluated as separate factors.…”

Section: Methodssupporting

confidence: 69%

“…High(er) scores are indicative of a positive evaluation of the therapeutic alliance (Pulido et al, 2008). Pulido (2011) tested the psychometric properties of the scale and found internal consistency to be adequate (Cronbach’s alpha = .92). Exploring the factorial structure, they could not confirm the classical dimensions: task, goal, and bond.…”

Section: Methodsmentioning

confidence: 99%

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The Relationship Between Treatment Alliance, Social Climate, and Treatment Readiness in Long-Term Forensic Psychiatric Care: An Explorative Study

Gaab¹,

Brazil

Vries³

et al. 2020

Int J Offender Ther Comp Criminol

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For patients in long-term forensic psychiatric care (LFPC), a continuous search for treatment possibilities remains important. An alternative viewpoint to these patients as being untreatable is considering them having low treatment readiness. Treatment readiness incorporates internal client-specific factors as well as factors in the therapeutic situation. In the therapeutic situation both social climate and therapeutic alliance are of positive influence on treatment outcome. In this explorative study of 38 male patients in Dutch LFPC, we found correlations with strong (Bayesian) evidence between internal factors of treatment readiness, treatment alliance, and “Therapeutic Hold,” which is a subscale of social climate. In a Bayesian linear regression analysis, however, therapeutic hold seemed to be the only strong predictor of internal treatment readiness. These results give way to further research into the factors specifically contributing to the found correlations, in order to create opportunities to enlarge treatment readiness for patients in forensic care.

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Section: Methodssupporting

confidence: 69%

Section: Methodsmentioning

confidence: 99%

The Relationship Between Treatment Alliance, Social Climate, and Treatment Readiness in Long-Term Forensic Psychiatric Care: An Explorative Study

Gaab¹,

Brazil

Vries³

et al. 2020

Int J Offender Ther Comp Criminol

View full text Add to dashboard Cite

show abstract

“…Thus, their relationships to the therapist, to group members, and to the group as a whole might offer an experience of the self as part of the group that can serve as a source of esteem (Smith, Murphy, & Coats, 1999). Given the multicomponent and multiprofessional nature of the ETP, these patients may also have experienced an "adaptive institutional transference" (Matarazzo, 2012;Pulido, 2011), an additional level of alliance toward the overall program. Moreover, the alliance may reflect patients' sense of collaboration in working on therapeutic tasks (Bordin, 1979), such as the practice of talking about emotional and interpersonal experiences, which may be particularly relevant for people with low QOR.…”

Section: Discussionmentioning

confidence: 99%

Improving self‐esteem through integrative group therapy for personality dysfunction: Investigating the role of the therapeutic alliance and quality of object relations

et al. 2019

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Objective We aimed to investigate change in self‐esteem through intensive group treatment for personality dysfunction, by exploring: (a) the relationship between patients’ experience of therapeutic alliance and improvement in self‐esteem during treatment, including patients’ quality of object‐relations (QOR) as a possible moderator; and (b) the association between improvement in self‐esteem during treatment, and depressive symptoms 9 months later. Method Eighty patients with personality dysfunction, consecutively enrolled in a group‐oriented treatment program, were assessed at pretreatment, posttreatment, and 9 months follow‐up. Results Especially for patients with lower QOR, alliance predicted self‐esteem change during treatment. In addition, change in self‐esteem during treatment predicted follow‐up depression severity, even when controlling for within‐treatment symptom change. Conclusions Patients with impoverished inner relational representations may benefit more from a secure alliance in terms of improving their self‐esteem. Change in self‐esteem may also be important in preventing relapse of depressive symptoms in people with personality dysfunction.

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

Cited by 2 publications

References 16 publications

The Relationship Between Treatment Alliance, Social Climate, and Treatment Readiness in Long-Term Forensic Psychiatric Care: An Explorative Study

The Relationship Between Treatment Alliance, Social Climate, and Treatment Readiness in Long-Term Forensic Psychiatric Care: An Explorative Study

Improving self‐esteem through integrative group therapy for personality dysfunction: Investigating the role of the therapeutic alliance and quality of object relations

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