Pretreatment expectations, interpersonal functioning, and symptoms in the prediction of the therapeutic alliance across supportive-expressive psychotherapy and cognitive therapy

被引:120
作者
Gibbons, MBC [1 ]
Crits-Christoph, P [1 ]
de la Cruz, C [1 ]
Barber, JP [1 ]
Siqueland, L [1 ]
Gladis, M [1 ]
机构
[1] Univ Penn, Med Ctr, Dept Psychiat, Ctr Psychotherapy Res, Philadelphia, PA 19104 USA
关键词
D O I
10.1093/ptr/kpg007
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Therapeutic alliance has been a robust predictor of therapy outcome, yet little is known about which patient variables predict the development of an alliance between patient and therapist in time-limited manualized therapies. The authors evaluated pretreatment predictors of therapeutic alliance, controlling for symptom change before its assessment, using a large sample of patients treated with either supportive-expressive (SE) dynamic psychotherapy or cognitive therapy. They found that SE patients with greater pretreatment expectations of improvement formed better alliances with their therapist at Session 2, and expectations significantly predicted alliance at Session 10 for both treatment groups. Further, patients in the SE condition demonstrated a significant relation between positive expectations and growth in alliance. Women achieved better alliances at Session 10. Finally, hostile-dominant interpersonal problems significantly predicted poor alliance. Pretreatment symptom level was not significantly predictive of alliance.
引用
收藏
页码:59 / 76
页数:18
相关论文
共 46 条
[1]   CONSTRUCTION OF CIRCUMPLEX SCALES FOR THE INVENTORY OF INTERPERSONAL PROBLEMS [J].
ALDEN, LE ;
WIGGINS, JS ;
PINCUS, AL .
JOURNAL OF PERSONALITY ASSESSMENT, 1990, 55 (3-4) :521-536
[2]  
[Anonymous], 1995, DYNAMIC THERAPIES PS
[3]  
[Anonymous], 1989, PSYCHOL ASSESSMENT
[4]   Change in obsessive-compulsive and avoidant personality disorders following time-limited supportive-expressive therapy [J].
Barber, JP ;
Morse, JQ ;
Krakauer, ID ;
Chittams, J ;
CritsChristoph, K .
PSYCHOTHERAPY, 1997, 34 (02) :133-143
[5]   Alliance predicts patients' outcome beyond in-treatment change in symptoms [J].
Barber, JP ;
Connolly, MB ;
Crits-Christoph, P ;
Gladis, L ;
Siqueland, L .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2000, 68 (06) :1027-1032
[6]   AN INVENTORY FOR MEASURING CLINICAL ANXIETY - PSYCHOMETRIC PROPERTIES [J].
BECK, AT ;
BROWN, G ;
EPSTEIN, N ;
STEER, RA .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1988, 56 (06) :893-897
[7]   PSYCHOMETRIC PROPERTIES OF THE BECK DEPRESSION INVENTORY - 25 YEARS OF EVALUATION [J].
BECK, AT ;
STEER, RA ;
GARBIN, MG .
CLINICAL PSYCHOLOGY REVIEW, 1988, 8 (01) :77-100
[8]  
BECK AT, 1979, COGNITIVE THERAPY DE
[9]  
Bordin E. S., 1994, Psychotherapy: Theory, Research and Practice, V16, P252, DOI [10.1037/h0085885, DOI 10.1037/H0085885]
[10]   HAMILTON-ANXIETY-RATING-SCALE INTERVIEW GUIDE - JOINT INTERVIEW AND TEST-RETEST METHODS FOR INTERRATER RELIABILITY [J].
BRUSS, GS ;
GRUENBERG, AM ;
GOLDSTEIN, RD ;
BARBER, JP .
PSYCHIATRY RESEARCH, 1994, 53 (02) :191-202