Therapeutic alliance and outcome: Impact of treatment length and pretreatment symptomatology.

Eaton, Timothy T.; Abeles, Norman; Gutfreund, M. Janice

doi:10.1037/h0085379

Cited by 92 publications

(68 citation statements)

References 16 publications

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“…These results suggest an explanation for inconsistent findings regarding the association between pretreatment distress and the alliance (e.g., Eaton et al, 1988;Gaston et al, 1988). These findings suggest that different predictor variables influence differently the various aspects of the therapeutic bond.…”

Section: Discussionmentioning

confidence: 60%

Pretreatment correlates of the therapeutic bond

Saunders

2001

J Clin Psychol

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This study examined the association between pretreatment client characteristics and the therapeutic bond, which is defined as the emotional aspect of the therapeutic alliance. Three types of interpersonal problems and four indicators of emotional distress were measured and compared to the therapeutic bond and its subscales (role investment, empathic resonance, and mutual affirmation) measured early in treatment. Interpersonal problems related to being overly detached were associated with a poorer quality bond and, in particular, with a tendency to feel as if the therapist does not understand what the client is thinking and feeling (lower empathic resonance). Higher levels of distress were correlated negatively with the therapeutic bond. Analyses indicated that interpersonal problems were better predictors of the bond than was distress. The relevance of these findings for practitioners is discussed.

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Section: Discussionmentioning

confidence: 60%

Pretreatment correlates of the therapeutic bond

Saunders

2001

J Clin Psychol

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“…Porém, o outro estudo encontrou relação entre aliança e adesão somente no grupo presencial. Este resultado não converge com a literatura que aborda as psicoterapias presenciais, em que a aliança terapêutica se mostra uma variável preditiva de resultados e de adesão (Eaton et al, 1988;Liber et al, 2010). Portanto, vale salientar a importância de não fazermos inferência de que os fatores preditivos relacionados à aliança encontrados nas psicoterapias presenciais serão iguais nas psicoterapias por videoconferência.…”

Section: Discussionunclassified

“…Os demais períodos de avaliação foram bastante distintos entre os artigos, indicando a falta de consenso em relação ao melhor momento de avaliação da aliança terapêutica no decorrer da psicoterapia. Estudos prévios indicaram que há formação da aliança nas sessões iniciais de psicoterapia (Prado, & Meyer, 2006) e que a avaliação no início do tratamento é preditiva de resultado (Eaton, Abeles, & Gutfreund, 1988). Desta forma, sugere-se que estudos futuros meçam a aliança também nas sessões iniciais de psicoterapia por videoconferência.…”

Section: Discussionunclassified

Aliança Terapêutica nas Terapias Cognitivo-comportamentais por Videoconferência: uma Revisão da Literatura

Singulane

Sartes

2017

Psicol. cienc. prof.

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Resumo: Nos últimos anos houve um aumento do número de usuários da internet no Brasil e no mundo, enquanto as intervenções por videoconferência surgiram como formas de tratamento para diversos transtornos mentais. Sabe-se que a aliança terapêutica é um componente essencial para se implementar a prática psicoterapêutica, porém, não há um consenso sobre sua formação na psicoterapia por videoconferência. Portanto, o presente artigo teve como objetivo realizar uma revisão de literatura acerca da formação e papel da aliança terapêutica nas Terapias Cognitivo-comportamentais (TCC) por videoconferência. Para isso, foi realizada uma busca em quatro bases de dados, Pubmed, Psycarticles, Lilacs e SciELO, com descritores específicos dos dicionários de cada base. No total, foram encontrados 365 artigos, mas apenas nove preencheram os critérios de inclusão baseados no objetivo deste estudo. Observou-se que a maioria dos artigos indicou que a aliança foi alta no decorrer das sessões de TCC por videoconferência, podendo ser comparada com a aliança formada na terapia presencial, e que poucos artigos avaliaram a aliança como fator preditivo de resultados e de adesão. Apesar deste indicativo, este estudo discute as limitações metodológicas dos artigos e indica a necessidade de estudos que tornem mais claras as evidências sobre a formação da aliança e o o seu papel nesta modalidade alternativa de tratamento. Palavras Therapeutic Alliance in Cognitive Behavior Therapy for Videoconferencing: A Literature ReviewAbstract: Recent years have seen an increase in the number of Internet users in Brazil and in the world, while videoconferencing interventions have emerged as forms of treatment for various mental disorders. It is known that the therapeutic alliance is a key component to implement the psychotherapeutic practice; however, there is no consensus about psychotherapeutic practice and training in psychotherapy by videoconference. Therefore, this article aims to conduct a review of literature about training and the role of therapeutic alliance in Cognitive Behavior Therapy (CBT) by videoconference. For this, a search in four databases (Pubmed, Psycarticles, Lilacs and SciELO) was performed, with specific descriptors of the dictionaries of the bases. In total, 365 articles were found, but only 9 met the inclusion criteria based on the objective of this study. It was observed that most of the articles indicated that the alliance was high during the CBT sessions by videoconference and this can be compared with the alliance formed in face-to-face therapy; it was also observed that few articles evaluated the alliance as a predictor of outcomes and adherence. Despite this indicative, this study discusses the methodological limitations of the articles and indicates the need for studies that clarify the evidence about the formation of the alliance and its role in this alternative treatment modality.

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“…De predictieve waarde van de werkalliantie voor de outcome van psychotherapie is goed gedocumenteerd door onderzoek (Eaton, Abeles & Gutfreund, 1988;GomesSchwartz, 1978;Hartley & Strupp, 1983;Horowitz, Marmar, Weiss, DeWitt & Rosenbaum, 1984;Horvath & Greenberg, 1989;Horvath & Marx, 1990;Kivlighan, 1990;Klee, Abeles & Muller, 1990;Luborsky, McLellan, Woody, O'Brian & Auerbach, 1985;Marziali, 1984;Moras & Strupp, 1982;Morgan, Luborsky, Crits-Christoph, Curtis & Solomon, 1982;Tichenor & Hill, 1989).…”

Section: De Werkalliantie En Outcomeunclassified

De werkalliantie: visies op een bruikbaar concept en de meting ervan

Vervaeke¹,

Vertommen²

1993

PSIE

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Therapeutic alliance and outcome: Impact of treatment length and pretreatment symptomatology.

Cited by 92 publications

References 16 publications

Pretreatment correlates of the therapeutic bond

Pretreatment correlates of the therapeutic bond

Aliança Terapêutica nas Terapias Cognitivo-comportamentais por Videoconferência: uma Revisão da Literatura

De werkalliantie: visies op een bruikbaar concept en de meting ervan

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