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Therapist ratings of therapeutic alliance and their connections to psychotherapy outcome
Descriptive
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Text
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Title
Therapist ratings of therapeutic alliance and their connections to psychotherapy outcome
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ETD_1767
Identifier
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http://hdl.rutgers.edu/1782.2/rucore10001800001.ETD.000051633
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eng
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theses
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Topic
Clinical Psychology
Subject
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(authority = ETD-LCSH)
Topic
Therapeutic alliance
Subject
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(authority = ETD-LCSH)
Topic
Psychotherapy
Abstract
The present study was designed to build upon extant research in the area of the working alliance in psychotherapy and its relationship to treatment outcome. Utilizing a detailed archival data set and following upon a previous study that drew from this same set, the present study searched for significant interaction between treatment outcome and aspects of the working alliance as seen and rated by psychotherapists treating individual members of an actual clinical population, for a time-limited (30 session) treatment, in one of three different treatment conditions (varying by theoretical orientation, clinical emphasis, and/or technical approach). Therapy outcome was signified by the use of residual gains scores calculated from client responses to multiple assessment instruments, with the scores representing measures of the subject’s post-treatment (1) symptom picture and (2) level of interpersonal problems. The study was designed to detect significant associations between these outcome measures and: the strength of the therapeutic alliance; the “shape” of the alliance as represented by plotting shifts in alliance scores over the course of 30 therapy sessions; and the presence/absence, severity and quantity of alliance ruptures and related phenomena (e.g., alliance ruptures either repaired or unrepaired). Analysis of the data yielded findings consistent with those generally seen in the research literature – i.e., stronger therapeutic alliance was associated with better treatment outcome – as well as findings indicating a differential impact on therapy outcome of alliance ruptures and related phenomena. In addition, therapy treatment condition was found to be associated with whether certain rupture-related phenomena were correlated with therapy outcome. The implications of these findings are discussed, as well as the utility of these findings for the practitioner, the import of using therapists’ ratings of therapeutic alliance, the limitations of the present study, and directions for further research.
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electronic resource
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xvi, 127 p. : ill.
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Psy.D.
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Includes bibliographical references (p. 124-127)
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by Kevin F. Gillette
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Gillette
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Kevin F.
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1970
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Kevin F. Gillette
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Riggs Skean
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Karen
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chair
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Karen Riggs Skean
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Muran
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J.
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J. Christopher Muran
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Rutgers University
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Graduate School of Applied and Professional Psychology
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2009
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2009-05
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xx
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Rutgers University Electronic Theses and Dissertations
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ETD
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Graduate School of Applied and Professional Psychology Electronic Theses and Dissertations
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rucore10001800001
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doi:10.7282/T3HM58NP
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ETD doctoral
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The author owns the copyright to this work.
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Copyright protected
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Open
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Permission or license
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Gillette
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Kevin
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Kevin Gillette
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Rutgers University. Graduate School of Applied and Professional Psychology
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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