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Social and Behavioral Sciences Commons

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University of Massachusetts Amherst

Theses/Dissertations

Clinical Psychology

Therapeutic alliance

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Full-Text Articles in Social and Behavioral Sciences

Therapist-Level Moderation Of Within- And Between-Therapist Process-Outcome Associations, Alice E. Coyne Oct 2021

Therapist-Level Moderation Of Within- And Between-Therapist Process-Outcome Associations, Alice E. Coyne

Doctoral Dissertations

Objective: Although higher-quality patient-therapist alliance and more positive patient outcome expectation (OE) consistently predict improvement in psychotherapy, most research has failed to capture the inherent nuance in these process-outcome relations by parsing them into within-therapist (i.e., differences between patients treated by the same therapist) and between-therapist (i.e., differences between therapists’ average process/outcome ratings across all patients in their caseloads) components. Moreover, the few studies that have done so have produced mixed results, suggesting the possibility of systematic variability in these associations (i.e., moderators). One potential source of such variability could be providers themselves; that is, different therapists could use these …


The State Of Therapeutic Alliance Training In Clinical And Counseling Psychology Graduate Programs, Nicholas R. Morrison Mar 2015

The State Of Therapeutic Alliance Training In Clinical And Counseling Psychology Graduate Programs, Nicholas R. Morrison

Masters Theses

The therapeutic alliance is an empirically-supported element of successful psychotherapy. However, the degree to which training programs incorporate alliance-centered components into their curricula and clinical practica remains unclear. The aims of this study were to (a) examine training programs’ awareness of alliance research; (b) determine the extent to which programs incorporate formal, evidence-based alliance training into their pedagogy; (c) determine whether there are differences in evidence-based alliance training practices between programs with different foci/terminal degrees and programs with different training models; and (d) cultivate an understanding of what training programs would consider ideal alliance training practices and the barriers that …


The Influence Of A Therapist Workshop In Alliance Strategies On Client Engagement: Feasibility And Preliminary Efficacy, Lotte Smith-Hansen Sep 2010

The Influence Of A Therapist Workshop In Alliance Strategies On Client Engagement: Feasibility And Preliminary Efficacy, Lotte Smith-Hansen

Open Access Dissertations

The client-therapist relationship has long been recognized as an important element in psychotherapy, and research has demonstrated its robust association with positive outcomes. This study examined the feasibility and preliminary efficacy of training therapists in strategies for improving therapeutic relationships with clients. The strategies were compiled from the empirical literature, drawing on the work of Hilsenroth and Cromer (2007), Castonguay (1996), and Safran and Muran (2000). The study employed a manipulated training design that has the benefit of addressing naturalistic effectiveness questions, while adhering to the rigorous scientific standards of controlled efficacy research (Hayes, 2002). Participants were 57 therapists working …