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Smith College

Working alliance

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Full-Text Articles in Social Work

A Qualitative Study Examining The Quality Of Working Alliance As A Function Of The Social Identifies Of Clients And Therapists During The Mental Health Intake, Ora Nakash, Michal Cohen, Liron Aharoni, Shir Zur, Maayan Nagar Jul 2021

A Qualitative Study Examining The Quality Of Working Alliance As A Function Of The Social Identifies Of Clients And Therapists During The Mental Health Intake, Ora Nakash, Michal Cohen, Liron Aharoni, Shir Zur, Maayan Nagar

School for Social Work: Faculty Publications

Therapists are faced with the challenge of developing effective ways to advance cross-cultural engagement with a rapidly growing diverse client population. In this qualitative study, we characterized the way clients and therapists described the quality of working alliance during the mental health intake and examined whether these descriptions vary as a function of their social identities. We conducted in-depth interviews with Ashkenazi (socially advantaged group; n = 22) therapists and their Mizrahi (socially disadvantaged group n = 29) or Ashkenazi (n = 26) clients immediately following their intake session in four mental health clinics in Israel. We performed a thematic …


Social Identities Of Clients And Therapists During The Mental Health Intake Predict Diagnostic Accuracy, Ora Nakash, Tamar Saguy Aug 2015

Social Identities Of Clients And Therapists During The Mental Health Intake Predict Diagnostic Accuracy, Ora Nakash, Tamar Saguy

School for Social Work: Faculty Publications

Across countries, common mental disorders are often more prevalent and/or more persistent among disadvantaged members (e.g., ethnic minorities) compared with advantaged group members. Although these disparities constitute a heavy challenge to national health organizations, there is little empirical evidence to help account for the mechanism underlying them. In this study, conducted in clinics across Israel, we investigated processes, rooted in the clinical encounter that may contribute to mental health disparities. We focused on the accuracy of diagnostic decisions, which are likely to substantially impact the client’s prognosis. Therapists’ diagnostic decisions following the initial intake with their client were compared with …