Change in Coordination Across Phases of Psychotherapy and Outcome: Two Mechanisms for the Role Played by Patients' Contribution to the Alliance

Michael A. Westerman, Jeffrey P. Foote, Arnold Winston

Research output: Contribution to journalArticle

Abstract

This article investigated the mechanisms underlying associations between patients' contribution to the alliance and outcome by examining relations between change in the alliance over the course of treatment and improvement in Short-Term Dynamic Psychotherapy (STDP) and Brief Adaptive Psychotherapy (BAP). Findings for STDP were consistent with 1 model about the role played by the alliance, according to which change in the alliance over the course of therapy is the vehicle for overall improvement. Results for BAP were consistent with the other main position proposed in the literature, which argues that a positive alliance provides the foundation for successful treatment. Discussion includes suggesting that it might prove useful in future research to group therapy approaches in terms of these 2 models and that this idea may explain 2 apparently contradictory sets of findings from previous studies on relations between change in the alliance and outcome.

Original languageEnglish (US)
Pages (from-to)672-675
Number of pages4
JournalJournal of consulting and clinical psychology
Volume63
Issue number4
DOIs
StatePublished - Aug 1995

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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