The therapeutic alliance in individual resiliency training for first episode psychosis : Relationship with treatment outcomes and therapy participation
Journal article
Browne, Julia, Mueser, Kim T., Meyer-Kalos, Piper, Gottlieb, Jennifer D., Estroff, Sue E. and Penn, David L.. (2019). The therapeutic alliance in individual resiliency training for first episode psychosis : Relationship with treatment outcomes and therapy participation. Journal of Consulting and Clinical Psychology. 87(8), pp. 734-744. https://doi.org/10.1037/ccp0000418
Authors | Browne, Julia, Mueser, Kim T., Meyer-Kalos, Piper, Gottlieb, Jennifer D., Estroff, Sue E. and Penn, David L. |
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Abstract | Objective: The therapeutic alliance has long been considered an essential part of treatment. Despite a large body of work examining the alliance–outcome relationship, very few studies have examined it within individuals with first episode psychosis (FEP). Method: The present study examined the alliance at Session 3, 4, or 5 and its relationship to 2-year treatment outcomes and therapy participation in a sample of 144 FEP clients who received specialized FEP treatment at U.S. clinics. Furthermore, we examined between-therapist and within-therapist (client) effects of the alliance on outcomes. Results: Results indicated that a better alliance was related to improved mental health recovery, psychological well-being, quality of life, total symptoms, negative symptoms, and disorganized symptoms at the end of treatment. In addition, the between-therapist effect of the alliance was significantly related to better mental health recovery whereas the within-therapist (client) effect of the alliance was related to better quality of life, total symptoms, and negative symptoms at the end of treatment. Conclusions: A stronger alliance was related to improved treatment outcomes in FEP. Future work should consider examining mediators of the alliance-outcome relationship as well as how changes in the alliance relate to changes in outcomes over time. (PsycINFO Database Record (c) 2019 APA, all rights reserved) |
Keywords | first episode psychosis; early intervention; working relationship; recovery; therapist effects |
Year | 2019 |
Journal | Journal of Consulting and Clinical Psychology |
Journal citation | 87 (8), pp. 734-744 |
Publisher | American Psychological Association |
ISSN | 0022-006X |
Digital Object Identifier (DOI) | https://doi.org/10.1037/ccp0000418 |
Scopus EID | 2-s2.0-85069440653 |
Research or scholarly | Research |
Page range | 734-744 |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 20 Jun 2019 |
Publication process dates | |
Accepted | 23 Apr 2019 |
Deposited | 07 Jun 2021 |
https://acuresearchbank.acu.edu.au/item/8w35x/the-therapeutic-alliance-in-individual-resiliency-training-for-first-episode-psychosis-relationship-with-treatment-outcomes-and-therapy-participation
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