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The Working Alliance: From Global Outcome Prediction to Micro-Analyses of Within-Session Fluctuations
Karolinska Institute, Sweden; Stockholm County Council, Sweden.
Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Behavioural Sciences and Learning, Psychology.
2017 (English)In: Psychoanalytic inquiry, ISSN 0735-1690, E-ISSN 1940-9133, Vol. 37, no 3, 167-178 p.Article in journal (Refereed) Published
Abstract [en]

The working alliance, originally a psychoanalytic concept, is probably the most empirically studied psychotherapy process variable. There are many studies showing that a better alliance predicts better outcomes (e.g., Horvath et al., 2011), although the causal direction of this relationship is still debated (Barber et al., 2000; DeRubeis, Brotman, and Gibbons, 2005; Falkenstrom, Granstrom, and Holmqvist, 2013). Additionally, most of the empirical research on the working alliance is limited in clinical utility because of the relative simplicity of the research. Specifically, most empirical research on the working alliance has aimed to link patient-therapist dyads overall level of working alliance with global treatment outcomes. In actual clinical practice, therapists may be most interested in the fluctuations in the alliance from one session to the next, or even from one moment to the next within a session. There is a rich tradition in psychoanalysis of evaluating the results of therapeutic interventions by examining the patients responses. With the help of modern statistical methods, we believe the impact of a single intervention or series of interventions on factors such as working alliance, symptomatic improvement, or emotional experiences can be studied. Although this research is still in its infancy, we believe it is the future of scientific investigation of the talking cure.

Place, publisher, year, edition, pages
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD , 2017. Vol. 37, no 3, 167-178 p.
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-137415DOI: 10.1080/07351690.2017.1285186ISI: 000399619300005OAI: oai:DiVA.org:liu-137415DiVA: diva2:1096652
Available from: 2017-05-18 Created: 2017-05-18 Last updated: 2017-05-18

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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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  • Other style
More styles
Language
  • de-DE
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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