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Alliance ruptures a...
Alliance ruptures and repairs in psychotherapy in primary care
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- Holmqvist Larsson, Mattias, 1977- (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten,Linkoping Univ, Dept Psychiat, Linkoping, Sweden; Linkoping Univ, Dept Behav Sci & Learning, Linkoping, Sweden
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- Falkenström, Fredrik, 1972- (author)
- Uppsala universitet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Center for Clinical Research Sörmland, Uppsala University, Uppsala, Sweden,Centrum för klinisk forskning i Sörmland (CKFD),Linkoping Univ, Dept Behav Sci & Learning, Linkoping, Sweden
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- Andersson, Gerhard, 1966- (author)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden,Internet, health and clinical psychology research group,Linkoping Univ, Dept Behav Sci & Learning, Linkoping, Sweden; Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
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- Holmqvist, Rolf, 1948- (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten,Linkoping Univ, Dept Behav Sci & Learning, Linkoping, Sweden
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(creator_code:org_t)
- 2016-05-03
- 2018
- English.
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In: Psychotherapy Research. - : Routledge. - 1050-3307 .- 1468-4381. ; 28:1, s. 123-136
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https://doi.org/10.1...
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Abstract
Subject headings
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- OBJECTIVE: The association between alliance level and outcome in psychotherapy has been extensively studied. One way to expand this knowledge is to study alliance patterns. The main aims of this study were to examine how frequent alliance patterns with ruptures or rupture-repair episodes were in a naturalistic sample of psychotherapies in primary care, and if three alliance patterns (a Rupture pattern, a Repair pattern, and a No Rupture pattern) were differentially associated with treatment outcome.METHOD: The psychotherapies (N = 605) included a wide range of different treatment orientations and patient diagnoses. Alliance patterns were studied at session-to-session level, using patient-rated alliance scores. Outcome data were analyzed using longitudinal multilevel modeling with a slopes-as-outcomes model.RESULTS: The Repair pattern accounted for 14.7% (n = 89) of the treatments, 10.7% (n = 65) exhibited a Rupture pattern, and 74.5% (n = 451) contained no ruptures. The Rupture pattern was associated with inferior treatment outcomes. The Repair pattern was, in longer treatments, associated with better outcomes than the No Rupture pattern.CONCLUSIONS: The results support theory about the importance of ruptures in the therapeutic alliance and suggest that identification of alliance ruptures is important in alliance-outcome research, for feedback purposes in clinical practice, and in training of therapists.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
Keyword
- alliance
- alliance patterns
- alliance ruptures
- longitudinal multilevel modeling
- naturalistic process and outcome research
Publication and Content Type
- ref (subject category)
- art (subject category)
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