Trial reportJournal of consulting and clinical psychology2018
The effect of alliance-focused training on a cognitive-behavioral therapy for personality disorders.
Trial report in Journal of consulting and clinical psychology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 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
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.
- Psychological interventions for antisocial personality disorder.The Cochrane database of systematic reviews · 2020Pooled it
- Repairing alliance ruptures in psychotherapy with adults: a scoping review.Research in psychotherapy (Milano) · 2026Article
- Beyond Self-Reports: Integrating Cortisol Measurement in Psychotherapy Process Research among Adolescents with Borderline Personality Pathology.Psychotherapy and psychosomatics · 2026Article
- Article
- Developing a method for training clinical psychologists to recognize and repair alliance ruptures: a pilot study focusing on trainee experiences.BMC psychology · 2025Article
- Effects of deliberate practice and structured feedback in psychotherapy training (DeeP): a study protocol of a randomized-control-trial.BMC psychology · 2024Article
- Enhancing the drug addiction treatment service by introducing a new residential treatment model in the Philippines: A qualitative study.Substance abuse treatment, prevention, and policy · 2024Article
- A 21st Century Principle-Based Training Approach to Psychotherapy: A Contribution to the Momentum of Transtheoretical Work.Clinical psychology in Europe · 2024Article
- Thinking Transtheoretically About Alliance and Rupture: Implications for Practice and Training.Clinical psychology in Europe · 2024Article
- Opening the Black Box of Family-Based Treatments: An Artificial Intelligence Framework to Examine Therapeutic Alliance and Therapist Empathy.Clinical child and family psychology review · 2023Article
- Renegotiating tasks or goals as rupture repair: A task analysis in a cognitive-behavioral therapy for personality disorder.Psychotherapy research : journal of the Society for Psychotherapy Research · 2023Article
- Future Challenges in Psychotherapy Research for Personality Disorders.Current psychiatry reports · 2022Review
- Operationalizing alliance rupture-repair events using control chart methods.Clinical psychology & psychotherapy · 2022Article
- Deepening the Group Training Experience: Group Cohesion and Supervision Impact in Alliance-Focused Training.Group dynamics : theory, research, and practice : the official journal of Division 49, Group Psychology and Group Psychotherapy of the American Psychological Association · 2021Article
- Identifying Ruptures and Repairs in Alliance-Focused Training Group Supervision.International journal of group psychotherapy · 2021Article
- Alliance Ruptures and Resolutions in Personality Disorders.Current psychiatry reports · 2020Review
- 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
- Sudden gains in the alliance in cognitive behavioral therapy versus brief relational therapy.Journal of consulting and clinical psychology · 2019Article
- Ruptures, repairs, and reflections: contributions of Jeremy Safran.Research in psychotherapy (Milano) · 2019Article
- Rupture Resolution Rating System (3RS): Development and validation.Psychotherapy research : journal of the Society for Psychotherapy Research · 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
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo improve success rates in psychotherapy, we developed and evaluated an alliance-focused training (AFT) protocol with regard to patient-therapist interpersonal behavior in a 30-session protocol of cognitive-behavioral therapy (CBT) for outpatients comorbid with Axis I and II conditions.
methodParticipants included 40 patients treated by 40 therapists in a multiple baseline design in which novice therapists trained to fidelity standards in CBT were introduced to AFT at different time intervals (after either 8 or 16 sessions) during a 30-session CBT protocol. Interpersonal behaviors were assessed with a simplified version of the Structural Analysis of Social Behavior (SASB) on videotaped sessions sampled from the early (between Sessions 6 through 8), mid (Sessions 14 through 16), and late (Sessions 22 through 24) phases of therapy.
resultsAs predicted, several significant interactions were observed between within-subject interpersonal change and between-groups differences in exposure to AFT. Specifically, there were decreases in patient dependence and in therapist control (including criticism), plus increases in patient expressiveness and in therapist affirmation and expressiveness, all of which could be attributed to AFT. The predictive relationship of several of these variables to session-level and overall treatment outcome was also demonstrated.
conclusionsThis study demonstrates that novice CBT therapists can be trained to improve their interpersonal process with patients who present with comorbid diagnoses, including a personality disorder. (PsycINFO Database Record
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Registered trials
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.