SynthesisEuropean psychiatry : the journal of the Association of European Psychiatrists2020
A meta-analysis of client-therapist perspectives on the therapeutic alliance: Examining the moderating role of type of measurement and diagnosis.
Synthesis in European psychiatry : the journal of the Association of European Psychiatrists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Therapeutic alliance across delivery modalities: a systematic narrative review of alliance strength and outcome prediction in face-to-face, online, and blended psychotherapy.Journal of Zhejiang University. Science. B · 2026Pooled it
- The relationship between the therapeutic alliance in psychotherapy and suicidal experiences: A systematic review.Clinical psychology & psychotherapy · 2022Pooled it
- Australian Clients' Perspectives on Accessing Alcohol and Other Drug Counselling via Telehealth: A Qualitative Study.Drug and alcohol review · 2026Article
- COMPASS: Computational mapping of patient-therapist alliance strategies with language modeling.Translational psychiatry · 2025Article
- Development and Psychometric Properties of the Therapeutic Relationship Assessment Scale-Patient (TRAS-Patient).International journal of mental health nursing · 2025Article
- How Does Individual Psychotherapy Promote Recovery for Persons with Psychosis? A Systematic Review of Qualitative Studies to Understand the Patient's Experience.Behavioral sciences (Basel, Switzerland) · 2024Review
- Data mining techniques in psychotherapy: applications for studying therapeutic alliance.Scientific reports · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClients and therapists often have different perspectives on their therapeutic alliance (TA), affecting the process and outcome of therapy. The aim of the present meta-analysis was to assess the mean differences between clients' and therapists' estimations of TA among clients with severe disturbances, while focusing on two potential moderators: client diagnosis and alliance instrument.
methodWe conducted a systematic literature search of studies examining both client perspective and therapist perspective on TA in psychotherapy among people with schizophrenia spectrum disorders, personality disorders, and substance misuse disorders. We then analyzed the data using a random-effects meta-analytic model with Cohen's d standardized mean effect size.
resultsHeterogeneity analyses (k = 22, Cohen's d = -.46, 95% confidence interval = .31-1.1) produced a significant Q-statistic (Q = 94.96) and indicated high heterogeneity, suggesting that moderator analyses were appropriate.
conclusionsOur findings show that the type of TA instrument moderates the agreement on TA between client and therapist, but there was no indication of the client's diagnosis moderating the effect. The agreement between client and therapist estimations seems to be dependent on the instrument that is used to assess TA. Specific setting-related instruments seem to result in higher agreement between clients' and therapists' estimations than do more general instruments that are applied to assess TA.
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