The role of attachment style, attachment to therapist, and working alliance in response to psychological therapy

Taylor, Peter; Rietzschel, Julia; Danquah, Adam; Berry, Katherine

doi:10.1111/papt.12045

Cited by 42 publications

(33 citation statements)

References 61 publications

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“…Then, in accordance with these plans, they would assist them to develop strategies for dealing with their various mental health and social issues. They would also explore callers’ relationships with the telephone helpline and guide them towards more adaptive relationships by modelling secure attachment behaviour [ 37 ], setting defined boundaries, and articulating clear consequences of breaching these boundaries. They could potentially draw on a range of therapeutic approaches.…”

Section: Discussionmentioning

confidence: 99%

Frequent callers to telephone helplines: new evidence and a new service model

Pirkis

Middleton

Bassilios

et al. 2016

Int J Ment Health Syst

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BackgroundThis paper describes a program of work designed to inform a service model to address a challenge for telephone helplines, namely frequent callers.MethodsWe conducted a systematic literature review and four empirical studies that drew on different data sources—(a) routinely collected calls data from Lifeline, Australia’s largest telephone helpline; (b) data from surveys/interviews with Lifeline frequent callers; (c) data from the Diagnosis, Management and Outcomes of Depression in Primary Care (diamond) study; and (d) data from Australia’s National Survey of Mental Health and Wellbeing.ResultsFrequent callers represent 3 % of callers but make 60 % of calls. They are isolated and have few social supports but are not “time wasters”; they have major mental and physical health problems and are often in crisis. They make use of other services for their mental health problems. The circumstances under which they use telephone helplines vary, but current service models reinforce their calling behaviour.ConclusionsThe findings point to a service model that might better serve the needs of both frequent callers and other callers. The model involves offering frequent callers an integrated, tailored service in which they are allocated a dedicated and specially trained telephone crisis supporter (TCS), and given set calling times. It also involves promoting better linkages between telephone helplines and other services that provide mental health care, particularly general practitioners (GPs) and other primary care providers. The next step is to refine and test the model.

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Section: Discussionmentioning

confidence: 99%

Frequent callers to telephone helplines: new evidence and a new service model

Pirkis

Middleton

Bassilios

et al. 2016

Int J Ment Health Syst

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“…The therapeutic alliance is one of the most intensively investigated topics in psychotherapy research (Fl€ uckiger, Del Re, Wampold, Symonds, & Horvath, 2012;Taylor, Rietzschel, Danquah, & Berry, 2015). In their comprehensive meta-analysis of over 200 research reports covering more than 14,000 treatments, Horvath, Del Re, Fl€ uckiger, and Symonds (2011) identified a significant overall relation between alliance and treatment outcome of r = .27.…”

Section: Practitioner Pointsmentioning

confidence: 99%

The therapeutic alliance in different mental disorders: A comparison of patients with depression, somatoform, and eating disorders

et al. 2017

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We found no differences in the strengths of alliance ratings and alliance-outcome associations in depressive, somatoform, and eating disorder patients. This indicates that the working alliance is of general clinical importance irrespective of the disorder group and should be a central target in all therapies. We found perspective incongruence in alliance ratings between patient and therapist in all three disorder groups. Perspective incongruence feedback of working alliance experiences could help to strengthen coordination between patient and therapist and thereby improve the therapeutic process.

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“…The concept of TA has been long called into question in the treatment of a whole variety of disorders (Mander et al, ), mostly with respect to psychotherapy interventions (Del Re, Flückiger, Horvath, Symonds, & Wampold, ; Horvath, Del Re, Flückiger, & Symonds, ; Taylor, Rietzschel, Danquah, & Berry, ; Zaitsoff et al, ) with several studies showing that multiple psychotherapy approaches lead to comparable positive effects. In this regard, it would be of interest to investigate more the common factors in the field of psychotherapy, as authoritatively stated (Wampold, ).…”

Section: Introductionmentioning

confidence: 99%

Therapeutic alliance in inpatients with severe anorexia nervosa

Marzola

Albini

Delsedime

et al. 2019

Euro Eating Disorders Rev

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Objective Therapeutic alliance (TA) is a relevant aspect in anorexia nervosa (AN), but data on inpatients are lacking. We aimed to evaluate the influence of motivation to change, diagnostic subtypes, and duration of illness on TA at hospital discharge; we also investigated if baseline clinical characteristics were associated with discharge TA, and the TA‐outcome association. Method We enrolled 137 adult inpatients with AN completing Eating Disorder Examination‐Questionnaire, Beck Depression Inventory, State–Trait Anxiety Inventory, Anorexia Nervosa Stages of Change‐Questionnaire, EuroQoL‐Quality of Life Scale‐Visual Analogue Scale, and Working Alliance Inventory‐Short Revised. Results Patients with different AN subtypes and duration of illness reported similar TA. Baseline depression, state anxiety, and motivation to change were statistically significantly associated with TA at discharge. After controlling for all these variables and duration of illness, only motivation to change remained statistically significant. Statistically significant correlations were also found between improvements in body mass index and quality of life and discharge TA. Conclusions Few data exist on TA in inpatients with AN and a long duration of illness. Our findings suggest that baseline motivation to change correlates with TA at discharge independently of other variables. Future studies should ascertain as to whether a causal link exists or not.

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The role of attachment style, attachment to therapist, and working alliance in response to psychological therapy

Cited by 42 publications

References 61 publications

Frequent callers to telephone helplines: new evidence and a new service model

Frequent callers to telephone helplines: new evidence and a new service model

The therapeutic alliance in different mental disorders: A comparison of patients with depression, somatoform, and eating disorders

Therapeutic alliance in inpatients with severe anorexia nervosa

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