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The role of therapeutic alliance in individual and couple cognitive-behavioral therapy for women with alchol [sic] dependence
Descriptive
TypeOfResource
Text
TitleInfo
(ID = T-1)
Title
The role of therapeutic alliance in individual and couple cognitive-behavioral therapy for women with alchol [sic] dependence
TitleInfo
(ID = T-2);
(type = alternative)
Title
Role of therapeutic alliance in individual and couple cognitive-behavioral therapy for women with alcohol dependence
Identifier
ETD_2870
Identifier
(type = hdl)
http://hdl.rutgers.edu/1782.1/rucore10001600001.ETD.000056579
Language
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(type = code)
eng
Genre
(authority = marcgt)
theses
Subject
(ID = SBJ-1);
(authority = RUETD)
Topic
Psychology
Subject
(ID = SBJ-2);
(authority = ETD-LCSH)
Topic
Alcoholism--Treatment
Subject
(ID = SBJ-3);
(authority = ETD-LCSH)
Topic
Women alcoholics--Rehabilitation
Subject
(ID = SBJ-4);
(authority = ETD-LCSH)
Topic
Therapeutic alliance
Subject
(ID = SBJ-5);
(authority = ETD-LCSH)
Topic
Couples therapy
Abstract
(type = abstract)
The construct of therapeutic alliance has yet to be investigated among women participating in treatment for alcohol dependence. The current study examined predictors of the formation of alliance and its relationship with treatment outcome within individual and couples cognitive-behavioral therapy. It also developed a new, observer-rated measure of alliance and tested the psychometric properties of this instrument (Treatment Integrity Rating Scale Alliance-Related Items [TIRS-ARI]). Participants were 158 women with an alcohol use disorder (98% alcohol dependence) treated in a 12-session randomized clinical trial either with or without their male partner. Participants were not randomized to study arm (i.e., Individual/Couples), therefore all analyses were conducted separately for the Full, Individual Arm, and Couples Arm Samples. Data were collected at baseline and 3-, 9-, and 15-months post-baseline (003, 009, 015), and relevant variables included: motivation (SOCRATES [SOC], choice of abstinence goal), alliance (Working Alliance Inventory [WAI], TIRS-ARI), alcohol consumption (percent days abstinent [PDA]), and relationship functioning (Dyadic Adjustment Scale [DAS]). Results indicated that the new measure of alliance created for the current study (TIRS-ARI) exhibited adequate psychometric properties and was appropriate for use in conjunction with the WAI. Predictor analyses indicated that greater motivation was associated the formation of stronger alliances in individual, but not couples, therapy; women who chose an abstinence goal (an index of motivation) formed stronger alliances as measured by the WAI and TIRS-ARI in the Full Sample and by the WAI in the Individual Sample than those who chose a non-abstinence goal. In multiple regression predictor analyses, motivation (SOC Problem Recognition subscale) was found to be significantly associated with WAI among participants in the Individual Arm Sample. Additional treatment modalities differences indicated that women in the Individual Arm of the clinical trial formed significantly stronger alliances as measured by the WAI than women in the Couples Arm. Treatment outcome analyses found that alliance was predictive of both alcohol consumption and relationship functioning during follow up when controlling for baseline values of outcome variables. Higher scores on the WAI were associated with greater PDA at 009 in the Full and Individual Arm Samples and at 015 in the Individual Arm Sample. Among Couples Arm participants, higher scores on the WAI and TIRS-ARI were associated with greater relationship functioning (DAS) at 009 and 015, respectively. Overall, patterns of alliance formation and predictive utility differed between the Individual and Couples Arms, and the current study concludes with a discussion of the clinical implications of these identified patterns.
PhysicalDescription
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electronic resource
Extent
viii, 132 p. : ill.
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application/pdf
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text/xml
Note
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Ph.D.
Note
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Includes bibliographical references
Note
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Includes vita
Note
(type = statement of responsibility)
by David Menges
Name
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Menges
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David
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David Menges
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Epstein
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Elizabeth
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chair
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Elizabeth Epstein
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Karlin
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Robert
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internal member
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Advisory Committee
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Robert Karlin
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Bry
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Brenna
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Brenna Bry
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Steinberg
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Marc
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outside member
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Advisory Committee
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Marc Steinberg
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Rutgers University
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degree grantor
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Graduate School - New Brunswick
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school
OriginInfo
DateCreated
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2010
DateOther
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2010-10
Place
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xx
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Title
Rutgers University Electronic Theses and Dissertations
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ETD
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Title
Graduate School - New Brunswick Electronic Theses and Dissertations
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rucore19991600001
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NjNbRU
Identifier
(type = doi)
doi:10.7282/T3VQ32FW
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
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The author owns the copyright to this work.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsHolder
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(type = personal)
Name
FamilyName
Menges
GivenName
David
Role
Copyright Holder
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Type
Permission or license
DateTime
2010-09-16 17:32:54
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Copyright holder
Name
David Menges
Affiliation
Rutgers University. Graduate School - New Brunswick
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Name
Author Agreement License
Detail
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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Technical
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