ArticleJournal of consulting and clinical psychology2019
Sudden gains in the alliance in cognitive behavioral therapy versus brief relational therapy.
Article in Journal of consulting and clinical psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Thinking Transtheoretically About Alliance and Rupture: Implications for Practice and Training.Clinical psychology in Europe · 2024Article
- 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
- 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
- The first session is the one that counts: An exploratory study of therapeutic alliance.Frontiers in psychology · 2022Article
- Reevaluating the Alliance-Outcome Relationship in the Early Sessions of Cognitive Behavioral Therapy of Depression.Clinical psychological science : a journal of the Association for Psychological Science · 2021Article
- Relationships Between the Therapeutic Alliance and Reactions to Artistic Experience With Art Materials in an Art Therapy Simulation.Frontiers in psychology · 2021Article
- 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
- Article
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Authors and funding
3 authors.
Funding
Abstract
objectiveTwo decades of empirical research suggest that changes in symptoms are not linear, and many patients gain much of their symptom reduction in one between-sessions interval. Theoretically, such gains are expected to be manifested in the working alliance as well, following a rupture session; however, no study to date has directly examined between-sessions sudden gains in the alliance. In the present study we examined whether ruptures predict subsequent sudden gains in the alliance, which in turn show an effect on outcome that is specific to the treatment in which the alliance is conceptualized as an active mechanism of change.
methodIn a sample of 241 patient-therapist dyads, patients received either brief relational therapy (BRT), in which the alliance is conceptualized as an active mechanism of change, or cognitive-behavioral therapy (CBT), in which it is not. We examined whether patient and therapist reports of ruptures predicted sudden gains in alliance in the subsequent session, and whether early sudden gains in alliance were significantly associated with treatment outcome in BRT versus CBT.
resultsRupture sessions, as reported by therapists but not by patients, predicted a sudden gain in both patient and therapist-reported alliance in the subsequent session. Findings revealed a moderating effect of treatment condition on the association between sudden gains and treatment outcome, in which gains in alliance were associated with better treatment outcome in BRT than in CBT.
conclusionsThe findings support the potential role of gains in alliance as a specific mechanism of change in BRT versus CBT. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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