The Bond of the Working Alliance

Pérez‐Rojas, Andrés E.; González, Jazmin M.; Fuertes, Jairo N.

doi:10.1093/med-psych/9780190868529.003.0002

Cited by 3 publications

(2 citation statements)

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“…It is of interest to analyze the role that bonding could play within the therapeutic alliance and as a possible mediator of the perception of improvement/recovery. As mentioned previously, bonding is a variable encompassed by an affective dimension and “reflects the emotions and attitudes that the patient and the therapist have between them and enable the therapeutic work through a sense of collaboration and confidence” [ 45 ]. Previous reviews have reported that a greater therapeutic alliance is associated with greater adherence and have indicated that motivation and support for autonomy appear to be facilitators of the therapeutic alliance [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological, Pain, and Disability Factors Influencing the Perception of Improvement/Recovery from Physiotherapy in Patients with Chronic Musculoskeletal Pain: A Cross-Sectional Study

La Touche,

Pardo-Montero,

Grande-Alonso

et al. 2023

Healthcare

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Objectives: The aim of this study was to identify the possible relationships between psychological, pain, and disability variables with respect to the perception of change/recovery from physiotherapy in patients with chronic musculoskeletal pain (CMP). Methods: A cross-sectional observational study was performed with 150 patients. All patients completed a series of self-administered questionnaires and a series of self-reports to quantify the perception of change with respect to the physiotherapy they underwent, the level of disability and pain intensity, the level of fear of movement, the level of catastrophism, the degree of self-efficacy, the level of therapeutic alliance and their adherence to the physiotherapy. Results: The strongest correlations were between the subjective perception of change and the number of sessions, treatment beliefs, self-efficacy, pain intensity, collaboration, and bonding. The linear regression model showed that the number of sessions, treatment beliefs, self-efficacy, compliance, pain intensity, and bonding were predictors of subjective perception of improvement, with 50% of the variance. Conclusions: Treatment beliefs, therapeutic alliance, degree of self-efficacy, and pain intensity have been shown to be predictors of a subjective perception of improvement in patients with CMP. In turn, multimodal treatments had the greatest positive impact on the subjective perception of improvement.

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Section: Discussionmentioning

confidence: 99%

Psychological, Pain, and Disability Factors Influencing the Perception of Improvement/Recovery from Physiotherapy in Patients with Chronic Musculoskeletal Pain: A Cross-Sectional Study

La Touche,

Pardo-Montero,

Grande-Alonso

et al. 2023

Healthcare

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“…In the coach-coachee working alliance, collaboration is an active process (i.e., both coach and coachee actively contribute) to negotiate and establish goals and set tasks to realise the goals mutually agreed upon [ 29 ], building on a bond of trust. This bond is a close connection between coach and coachee, consisting of feelings and attitudes needed to purposefully advance the process in order to achieve a positive coaching outcome [ 30 ]. The coach’s and coachee’s perception of the working alliance do not necessarily correspond [ 25 , 31 , 32 ], and the coachee’s appraisal of the working alliance possibly reflects, in part, the coachee’s ability of relating well to the coach [ 33 ].…”

Section: Introductionmentioning

confidence: 99%

Prospective associations between working alliance, basic psychological need satisfaction, and coaching outcome indicators: a two-wave survey study among 181 Dutch coaching clients

et al. 2022

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Background The coach-coachee working alliance and coachee motivation seem important factors for achieving positive coaching results. Self-determination theory, specifically basic psychological need theory, has been proposed as a relevant framework for understanding these relationships. The current longitudinal survey study therefore investigates prospective associations between coachees’ appraisal of the working alliance, basic psychological need satisfaction, and the coaching outcome indicators goal attainment, wellbeing, absence of psychopathology, and personal growth initiative. Methods The sample (N = 181) consisted of Dutch coachees that were recruited across a range of coaching settings and contexts. Online self-report questionnaires were administered twice (T0 and T1), with an intervening time of 3 weeks, assessing working alliance, basic psychological need satisfaction, goal attainment, wellbeing, absence of psychopathology, and personal growth initiative. Parallel analysis with Monte Carlo simulations and confirmatory factor analyses were performed to assess the dimensionality of working alliance and basic psychological need satisfaction scores. Multiple regression analyses (stepwise) were used to examine prospective (T0 to T1) associations between working alliance and basic psychological need satisfaction, and their association with outcome indicators. Results The coachees’ perception of the working alliance was positively and reciprocally, although modestly, associated with basic psychological need satisfaction. In addition, both working alliance and basic psychological need satisfaction were prospectively associated with goal attainment, but not with other outcome indicators. Conclusions Results provide tentative support for a role of basic psychological need satisfaction in facilitating the establishment of a good working alliance. Additionally, the perception of a good quality, need supportive relationship with the coach appears to be associated with better goal achievement, but not with other outcome indicators. Associations were generally modest, and more research is needed to better measure and comprehend the unique contributions of specific relational and motivational factors to outcomes in coaching and assess the robustness of the current study findings.

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Patients’ perspective on the therapeutic relationship and session quality: the central role of alliance

Stefana,

Fusar-Poli,

Vieta

et al. 2024

Front. Psychol.

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In this study, we examined how four components of the therapeutic relationship—working alliance, real relationship, and positive and negative affective reactions of the patient toward their therapist—relate to each other and to the psychotherapy session outcome, from the patient’s point of view. Our simple comprised 700 adult patients in individual psychotherapy who were recruited and participated online. They underwent a baseline evaluation of their most recent therapy session, which encompassed a series of validated self-report measures focused on specific elements of the therapeutic relationship. The results revealed that, from the patient’s perspective, working alliance, real relationship, and positive affective reactions toward the therapist were positively correlated with session outcome, while negative affective reactions were negatively correlated. All components predicted session outcome when simultaneously included in a regression model. Collectively, these four components accounted for 30% of the variance in session outcome. Factor analysis revealed four distinct factors, underlying perceptions of the therapeutic relationship. Notably, the bond dimension of the alliance was sufficiently different from the task and goal dimensions, warranting consideration as a distinct construct. These findings, although cross-sectional, lay the groundwork for a more nuanced investigation of multiple dimensions of the therapeutic relationship.

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The Bond of the Working Alliance

Cited by 3 publications

References 0 publications

Psychological, Pain, and Disability Factors Influencing the Perception of Improvement/Recovery from Physiotherapy in Patients with Chronic Musculoskeletal Pain: A Cross-Sectional Study

Psychological, Pain, and Disability Factors Influencing the Perception of Improvement/Recovery from Physiotherapy in Patients with Chronic Musculoskeletal Pain: A Cross-Sectional Study

Prospective associations between working alliance, basic psychological need satisfaction, and coaching outcome indicators: a two-wave survey study among 181 Dutch coaching clients

Patients’ perspective on the therapeutic relationship and session quality: the central role of alliance

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