Trial reportJournal of consulting and clinical psychology2016
The relationship between alliance and outcome: Analysis of a two-person perspective on alliance and session outcome.
Trial report in Journal of consulting and clinical psychology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A meta-analysis of client-therapist perspectives on the therapeutic alliance: Examining the moderating role of type of measurement and diagnosis.European psychiatry : the journal of the Association of European Psychiatrists · 2020Pooled it
- Development of a cognitive behavioral therapy with integrated mindfulness for Latinx immigrants with co-occurring disorders: Analysis of intermediary outcomes.Psychological trauma : theory, research, practice and policy · 2020Trial
- Effects of Therapist Feedback on the Therapeutic Alliance and Alcohol Use Outcomes in the Outpatient Treatment of Alcohol Use Disorder.Alcoholism, clinical and experimental research · 2020Trial
- Trial
- Whose alliance shapes whose appraisal? Longitudinal actor-partner associations between therapeutic alliance and session quality, clinical severity, and global improvement among Filipino client-therapist dyads.Cogent mental health · 2026Article
- Sine of the times: Can sinusoidal waves model changes in the therapeutic alliance over time?Internet interventions · 2025Article
- Article
- Digital bonds: patient and therapist factors influence telehealth rapport building in speech-language services.Frontiers in psychology · 2025Article
- Agreement in patient-therapist alliance ratings and its relation to dropout and outcome in a large sample of cognitive behavioral therapy for panic disorder.Psychotherapy research : journal of the Society for Psychotherapy Research · 2024Article
- Congruence in patient and therapist-rated alliance predicts subsequent depressive symptoms in cognitive behavioral therapy for depression.Psychotherapy research : journal of the Society for Psychotherapy Research · 2023Article
- Proof of Concept of the Contribution of the Interaction between Trait-like and State-like Effects in Identifying Individual-Specific Mechanisms of Action in Biological Psychiatry.Journal of personalized medicine · 2022Article
- How to model and interpret cross-lagged effects in psychotherapy mechanisms of change research: A comparison of multilevel and structural equation models.Journal of consulting and clinical psychology · 2022Article
- What Works for Whom: Patients' Psychological Resources and Vulnerabilities as Common and Specific Predictors of Working Alliance in Different Psychotherapies.Frontiers in psychiatry · 2022Article
- The first session is the one that counts: An exploratory study of therapeutic alliance.Frontiers in psychology · 2022Article
- The beginning of the end: A comparison of treatment completers and early dropouts in trainee-provided time-limited Cognitive Behavioral Therapy.Counselling psychology quarterly · 2022Article
- Can we agree we just had a rupture? Patient-therapist congruence on ruptures and its effects on outcome in brief relational therapy versus cognitive-behavioral therapy.Journal of counseling psychology · 2020Article
- Disentangling Trait-Like Between-Individual vs. State-Like Within-Individual Effects in Studying the Mechanisms of Change in CBT.Frontiers in psychiatry · 2020Article
- The therapeutic alliance in individual resiliency training for first episode psychosis: Relationship with treatment outcomes and therapy participation.Journal of consulting and clinical psychology · 2019Article
- Sudden gains in the alliance in cognitive behavioral therapy versus brief relational therapy.Journal of consulting and clinical psychology · 2019Article
- Ruptures and repairs of group therapy alliance. An untold story in psychotherapy research.Research in psychotherapy (Milano) · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveBetter alliance is known to predict better psychotherapy outcomes, but the interdependent and interactive effects of both therapist- and patient-reported alliance levels have yet to be systematically investigated.
methodUsing actor-partner interdependence model analysis the authors estimated actor, partner, and 2 types of interactive effects of alliance on session outcome in a sample of 241 patient-therapist dyads across 30 sessions of cognitive-behavioral and alliance-focused therapy.
resultsFindings suggest that the most robust predictors of session outcome are within-treatment changes in patient reports of the alliance, which predict both patient and therapist report on outcome. Within-treatment changes in therapist reports of the alliance, as well as differences between patients and between therapists in their average ratings of alliance levels across treatment, predict outcome as reported by the specific individual. Although alliance was found to be a significant predictor of outcome in both treatments, for therapist-reported alliance and outcome it had a stronger effect in alliance-focused therapy than in cognitive-behavioral therapy. Additionally, dyads with the highest pooled level of alliance from both partners fared best on session outcome.
conclusionsThe results are consistent with a 2-person perspective on psychotherapy, demonstrating the importance of considering the interdependent and interactive nature of both patient and therapist alliance levels on session outcome. (PsycINFO Database Record
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.