Therapist and patient perceptions of alliance and progress in psychological therapy for women diagnosed with gynecological cancers.

Manne, Sharon L.; Kashy, Deborah A.; Rubin, Stephen C.; Hernández, Enrique; Bergman, Cynthia

doi:10.1037/a0029158

Cited by 13 publications

(6 citation statements)

References 46 publications

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“…At the end of the process, the art therapists reported the efficiency of the training in a different and more positive manner than the parents. These results are consistent with studies that have examined the therapeutic relationship in which the therapist and the client were asked to evaluate the process and effectiveness of therapeutic outcomes (Manne et al, 2012 ; Holmqvist et al, 2016 ; Coyne et al, 2017 ). The therapists were more inclined to evaluate the therapy sessions in a more positive light than their clients.…”

Section: Discussionsupporting

confidence: 87%

The Efficiency of Art-Based Interventions in Parental Training

2018

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In recent years, the field of art therapy has gained momentum, but art therapists still tend to work verbally during sessions with parents. The therapeutic approach presented here is anchored in the notion that the encounter between the art world and treatment creates a unique relationship between therapist, parents and the artwork. Eighty-seven parents of five to eight year olds filled in two quantitative questionnaires before and after a ten-month therapeutic intervention during which their child was treated through art therapy. Two other questionnaires were completed by the children and by the 14 art therapists. Three groups were tested: (1) Parental training with art-based interventions (intervention group). (2) Verbal parental training. (3) No Parental training. The parents in the first and second groups met the art therapist for parental training once every 3 to 4 weeks. In the intervention group the art intervention was based on a uniform protocol of exercises with various materials. It was hypothesized that a combination of art-based interventions during parental training (parents whose child was receiving art therapy) would contribute more to parent-child relationship, affect the parents’ self-perceptions of parental functioning, and improve the child's daily functioning than verbal parental training or no parental training, both in terms of the parents' and the child's perception. Analysis of the children's questionnaire indicated significantly higher scores in the intervention group than in the control groups for perceived cognitive abilities, perceived acceptance by peers and by the mother. Analysis of the parents' questionnaires indicated there was no difference in parental perceptions of their child, level of satisfaction, or efficiency between the intervention and the control groups. The art therapists reported improvement in the intervention group on almost every measure. When parents take part in a therapeutic experience that enables them to create and play with art materials, they may accept and appreciate their inner ‘child’ more easily. This may help them accept the fact that their own children are dependent on them, while at the same time acknowledging their need for autonomy, which can heighten children's perception of their own acceptance by peers and acceptance by their parents.

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Section: Discussionsupporting

confidence: 87%

The Efficiency of Art-Based Interventions in Parental Training

2018

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“…Some recent studies have utilized dyadic analysis techniques that decompose which aspects of the alliance derive from therapist effects rather than unique aspects of the relationship (see Marcus, Kashy, & Baldwin, 2009, and Manne et al, 2012, for descriptions of the one-with-many design). Notably, these studies found that when accounting for the variability in alliance scores due to therapist factors (i.e., variance in the alliance ratings that were true for therapists no matter which patient's therapy was being assessed), the majority of the variation in alliance scores was due to unique factors within a particular patient-therapist relationship.…”

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confidence: 99%

Convergence in patient–therapist therapeutic alliance ratings and its relation to outcome in chronic depression treatment

Laws

Constantino

Sayer

et al. 2016

Psychotherapy Research

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Objective This study tested whether discrepancy between patients' and therapists' ratings of the therapeutic alliance, as well as convergence in their alliance ratings over time, predicted outcome in chronic depression treatment. Method Data derived from a controlled trial of partial or non-responders to open-label pharmacotherapy subsequently randomized to 12 weeks of algorithm-driven pharmacotherapy alone or pharmacotherapy plus psychotherapy (Kocsis et al., 2009). The current study focused on the psychotherapy conditions (N = 357). Dyadic multilevel modeling was used to assess alliance discrepancy and alliance convergence over time as predictors of two depression measures: one pharmacotherapist-rated (Quick Inventory of Depressive Symptoms-Clinician; QIDS-C), the other blind interviewer-rated (Hamilton Rating Scale for Depression; HAMD). Results Patients' and therapists' alliance ratings became more similar, or convergent, over the course of psychotherapy. Higher alliance convergence was associated with greater reductions in QIDS-C depression across psychotherapy. Alliance convergence was not significantly associated with declines in HAMD depression; however, greater alliance convergence was related to lower HAMD scores at 3-month follow-up. Conclusions The results partially support the hypothesis that increasing patient-therapist consensus on alliance quality during psychotherapy may improve treatment and longer-term outcomes.

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“…Specifically, whereas previous studies mostly found that training and experience were not related to outcome and alliance [e.g., (39-41)], other studies found them to be related to poorer outcome and lower alliance (42-44). Manne et al (45) reported that therapists' experience negatively predicted mean alliance when alliance was rated by the client, but positively predicted alliance when alliance was rated by the therapist. These findings may suggest that a complex predictive model is needed to better explain the mixed results.…”

Section: Introductionmentioning

confidence: 99%

“…In the same vein, most studies examining the relationship between the therapist's demographic variables and alliance or treatment outcome have found that these variables are not significantly related to therapy outcome or alliance [Outcome: (37,46,47); Alliance: (42, 45)]. At the same time, other studies suggested that therapists being older or a woman may be related to outcome and alliance, presumably because of their relation to superior interpersonal and social skills (48).…”

Section: Introductionmentioning

confidence: 99%

Integrating exploration and prediction in computational psychotherapy science: proof of concept

Fisher,

Stone,

Zilcha-Mano

et al. 2024

Front. Psychiatry

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IntroductionPsychotherapy research has long preferred explanatory over predictive models. As a result, psychotherapy research is currently limited in the variability that can be accounted for in the process and outcome of treatment. The present study is a proof-of-concept approach to psychotherapy science that uses a datadriven approach to achieve robust predictions of the process and outcome of treatment.MethodsA trial including 65 therapeutic dyads was designed to enable an adequate level of variability in therapist characteristics, overcoming the common problem of restricted range. A mixed-model, data-driven approach with cross-validation machine learning algorithms was used to predict treatment outcome and alliance (within- and between-clients; client- and therapist-rated alliance).Results and discussionBased on baseline predictors only, the models explained 52.8% of the variance for out-of-sample prediction in treatment outcome, and 24.1–52.8% in therapeutic alliance. The identified predictors were consistent with previous findings and point to directions for future investigation. Although limited by its sample size, this study serves as proof of the great potential of the presented approach to produce robust predictions regarding the process and outcome of treatment, offering a potential solution to problems such as p-hacking and lack of replicability. Findings should be replicated using larger samples and distinct populations and settings.

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Therapist and patient perceptions of alliance and progress in psychological therapy for women diagnosed with gynecological cancers.

Cited by 13 publications

References 46 publications

The Efficiency of Art-Based Interventions in Parental Training

The Efficiency of Art-Based Interventions in Parental Training

Convergence in patient–therapist therapeutic alliance ratings and its relation to outcome in chronic depression treatment

Integrating exploration and prediction in computational psychotherapy science: proof of concept

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