Patient collaboration as a criterion for the therapeutic alliance.

Colson, Donald B.; Horwitz, Leonard; Allen, Jon G.; Frieswyk, Siebolt H.; Gabbard, Glen O.; Newsom, Gavin E.; Coyne, Lolafaye

doi:10.1037/0736-9735.5.3.259

Cited by 19 publications

(13 citation statements)

References 18 publications

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“…Consequently, for some patients who may find connectiveness difficult or who are frightened of actively participating in treatment, the other disciplines may serve as bad objects, resulting in lower patient perceptions of the alliance. Many authors have noted the importance of the patient role in the therapeutic alliance (Colson et al, 1988). The findings in this study add further support to the notion that it is the patient's perception of the alliance that is a critical factor in the maintenance of therapy.…”

Section: Interdisciplinary Agreementsupporting

confidence: 73%

Therapeutic alliance on an inpatient unit for eating disorders

Gallop

Kennedy

Stern³

1994

Int. J. Eat. Disord.

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The therapeutic alliance as measured by the Working Alliance Inventory was examined on an inpatient unit for eating disorders. Unit staff and patients (n = 33) admitted within a 2‐year period completed the rating scales at 3 weeks after admission and again at 8 weeks. Patients who remained in the program (n = 21) perceived the therapeutic alliance with staff to be significantly stronger than patients who left the program (n = 10). The perception of the alliance strengthened over time for patients while staff perceptions did not. Little correlation was observed between staff and patient perceptions of the alliance. The findings suggest that patient perception of the alliance may be a critical factor in the decision to remain in the treatment program. It is argued that helping a patient feel involved in a structured program presents a particular challenge to staff. © 1994 by John Wiley & Sons, Inc.

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Section: Interdisciplinary Agreementsupporting

confidence: 73%

Therapeutic alliance on an inpatient unit for eating disorders

Gallop

Kennedy

Stern³

1994

Int. J. Eat. Disord.

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“…Arguably, there is no single, universally acceptable perspective on what it means to collaborate, be aligned, or involved in therapy (Horvath & Bedi, ). The definition of collaboration commonly encountered in the literature is “the patient's evolving ability to gradually ally themselves with their therapists in the service of accomplishing therapeutic work” (Colson et al., , p. 261; Frieswyk et al., ; Tryon & Winograd, ). The perspective on collaboration as client cooperation underscores the significance of the client's contributions to the alliance.…”

Section: Persistence: a Place Under The Alliance Umbrellamentioning

confidence: 99%

Responsive Persistence Part I: Therapist Influence in Postmodern Practice

Sutherland

Turner

Dienhart

2012

J Marital Family Therapy

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Feminist and social constructionist developments in family therapy highlighted the importance of attending to therapist-client power relations and incorporating clients' understandings and preferences as a part of therapy. Significantly, less attention has been given to how postmodern therapists do use their power and influence. This is an important topic because it is therapists who have the major responsibility for guiding the interaction with clients and persisting in this so that change is facilitated. Therapist persistence in various forms and across dimensions of therapy process is examined to expand understanding of therapist influence in postmodern and collaborative work. An analysis of responsive persistence in a session with Karl Tomm as the therapist is presented to illustrate this conceptual framing.

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“…There has been no empirical investigation of CE in cognitive therapy research trials. However, research in other contexts has found a relationship between aspects of collaboration in CE and therapeutic outcomes (Boardman, Catley, Grobe, Little, & Ahluwalia, 2006; Bordin, 1994; Clemence, Hilsenroth, Ackerman, Strassle, & Handler, 2005; Colson et al., 1988; Connor‐Greene, 1993; Creed & Kendall, 2005; Diamond, Liddle, Hogue, & Dakof, 1999; Hatcher, 1999; Hatcher & Barends, 1996; Le Bloc’h, de Roten, Drapeau, & Despland, 2006).…”

Section: A Definition Of Collaborative Empiricismmentioning

confidence: 99%

Collaborative empiricism in cognitive therapy: A definition and theory for the relationship construct.

Tee¹,

Kazantzis²

2011

Clinical Psychology: Science and Practice

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Despite the consensus regarding the importance of collaborative empiricism (CE) in Beck's cognitive therapy, absent are operational definitions, measures, or empirical investigations of the construct. Existing research has centered on constructs such as the working alliance and has produced inconsistent findings. It is unclear whether CE is related to treatment outcomes, or whether it mediates other cognitive change processes. This article argues that the core meaning of collaboration in CE, ''sharing the work,'' is not captured by the most frequently used construct of the therapeutic alliance in cognitive therapy research. A theory of CE, based on self-determination theory, is developed that integrates the collaborative and empirical aspects of CE and addresses the motivational aspect of the construct.

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Patient collaboration as a criterion for the therapeutic alliance.

Cited by 19 publications

References 18 publications

Therapeutic alliance on an inpatient unit for eating disorders

Therapeutic alliance on an inpatient unit for eating disorders

Responsive Persistence Part I: Therapist Influence in Postmodern Practice

Collaborative empiricism in cognitive therapy: A definition and theory for the relationship construct.

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