Therapist effects in the therapeutic alliance–outcome relationship: A restricted-maximum likelihood meta-analysis

Personality Disorder in Childhood and Adolescence comes of Age: a Review of the Current Evidence and Prospects for Future Research

“…Furthermore, studies have demonstrated that therapists are not good at predicting patients' outcomes or at determining patients' perceptions of the quality of the therapeutic relationship or of group relationships; the therapists tend to underestimate the number of patients who are deteriorating during therapy (231)(232)(233). Research has also consistently demonstrated that the therapeutic alliance is one of the most consistent and robust predictors of therapeutic outcome (234,235) and that it is therapist variability-rather than patient variability-that brings about most of this allianceoutcome association (234,236). Moreover, intervention research suggests that focusing on the therapeutic relationship or transference seems to have the strongest effect for patients with personality problems within the context of a weak alliance (237)(238)(239), whereas it can have negative effects for patients without personality problems and in the context of a strong alliance (240).…”

Cuestionario de Estilo Personal del Terapeuta: análisis factorial confirmatorio de modelos rivales con psicoterapeutas argentinos

“…Los meta análisis han reflejado diversidad de porcentajes en sus estudios, por lo que no puede afirmarse de un modo definitivo cuál es el factor de mayor peso, pero sí puede considerarse que dichas variables estarían implicadas (Baldwin y Imel, 2013;Del Re, Flückiger, Horvath, Symonds, y Wampold, 2012;Duncan, Miller, Wampold, y Hubble, 2010;Elliot, Bohart, Watson, y Greenberg, 2011;Heinonnen, 2014;Horvath, Del Re, Flückiger, y Symonds, 2011;Nissen-Lie, Havik, Høglend, Monsen, y Rønnestad, 2013;Norcross y Lambert, 2011). Esta disparidad de resultados en los meta-análisis se debe a que a pesar de ser los métodos de mayor confiabilidad a nivel científico (Basler y Medrano, 2011), también son propensos a tres principales errores metodológicos: la tendencia a que estudios con pequeño o nulo tamaño del efecto no sean publicados, la mezcla en el análisis de estudios con diferente grado de rigurosidad metodológi-co y, la combinación de artículos que investigan distintos grados del fenómeno (Lambert, 2013).…”

Balancing clinical risk with countertransference management protects alliance

“…Although there is evidence that therapists' effects on the alliance-outcome correlation may be more important than clients' effects (Del Re, Flückiger, Horvath, Symonds, & Wampold, 2012) Article concern relational skills (Nissen-Lie, Monsen, & Rønnes-tad, 2010). In two comprehensive reviews of therapists' personal attributes and in-session activities that influence the therapeutic alliance, Hilsenroth (2001, 2003) identified attributes such as being rigid, uncertain, critical, distant, tense, and distracted, and techniques such as over-structuring therapy, inappropriate self-disclosure, unyielding use of transference interpretation, and inappropriate use of silence as negative factors.…”