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Does it make a diff...
Does it make a difference to be more "on the same page"? Investigating the role of alliance convergence for outcomes in two different samples
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- Nissen-Lie, Helene A. (author)
- University of Oslo, Norway,Univ Oslo, Norway
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- Solbakken, Ole André (author)
- University of Oslo, Norway,Univ Oslo, Norway
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- Falkenström, Fredrik, 1972- (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Wampold, Bruce E. (author)
- University of Wisconsin-Madison, USA;Modum Bad Psychiatric Center, Norway,Univ Wisconsin, WI USA; Modum Bad Psychiat Ctr, Norway
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- Holmqvist, Rolf (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Ekeblad, Annika (author)
- Linköpings universitet,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten,Sundsvall Hosp, Sweden
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- Monsen, Jon T. (author)
- University of Oslo, Norway,Univ Oslo, Norway
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(creator_code:org_t)
- 2020-09-22
- 2021
- English.
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In: Psychotherapy Research. - : Taylor & Francis Group. - 1050-3307 .- 1468-4381. ; 31:5, s. 573-588
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Abstract
Subject headings
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- Objective: To better understand the complexity of dyadic processes, such as the mechanisms of the working alliance, researchers recommend taking advantage of innovations in data analytic procedures when studying the interactions between therapists and patients that are associated with favorable therapeutic outcomes. Inspired by a recent line of alliance research using dyadic multilevel modeling, the present study investigated the hypothesis that convergence in the patient-therapist working alliance (i.e., increased similarity in ratings of the alliance across treatment) would be associated with better outcomes. Method: Data were retrieved from two samples: 1. A randomized controlled trial for treatment resistant depression (N = 96 dyads), and 2. An archival dataset of naturalistic psychotherapies from public health care (N = 139 dyads). Multilevel growth curve analysis was employed to investigate the degree of change in session-to-session agreement of global WAI ratings between therapists and patients (i.e., alliance convergence) as a predictor of symptom reduction in the BDI-II and the SCL-90R. Results: Contrary to our expectations, alliance convergence did not predict outcome in either sample, but was negatively associated with symptom severity in Study 2. Implications for understanding the complexity of dyadic processes and alliance work in psychotherapy are discussed.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- alliance
- alliance convergence
- dyadic multilevel modeling
- outcome
- Psychology
- Psykologi
Publication and Content Type
- ref (subject category)
- art (subject category)
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