A Longitudinal Analysis of Factors Associated with Therapeutic Alliances

Tyrone Cheng, Celia C. Lo

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)

Abstract

This study examined the impact, on therapeutic alliances, made by client motivation to change, insight, mistrust, and other factors; as well as therapist’s clinical experience. This secondary data analysis used a sample of 212 client respondents extracted from the Treatment of Depression Collaborative Research Program’s data set. Results of generalized least squares random-effects modeling showed a significant impact exerted by client social-adjustment difficulties, insight, alcohol use, and gender; and client–therapist matching gender. Also, four elements of therapeutic alliances—regard, empathic understanding, unconditionality, and congruence—had four unique patterns of significant factors. To foster therapeutic alliances, therapists need to help clients develop awareness of and insight into the clients’ social-adjustment difficulties; therapists should also be particularly sensitive to expectations of clients of the opposite sex. Implications for future research are suggested.

Original languageEnglish
Pages (from-to)782-792
Number of pages11
JournalCommunity Mental Health Journal
Volume54
Issue number6
DOIs
StatePublished - 1 Aug 2018

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Statistical Factor Analysis
Social Adjustment
therapist
social adjustment
Least-Squares Analysis
Motivation
Therapeutics
Alcohols
Depression
gender
secondary analysis
Research
data analysis
alcohol
experience
Datasets
Surveys and Questionnaires

Keywords

  • Insight
  • Motivation
  • Working alliance

Cite this

Cheng, Tyrone ; Lo, Celia C. / A Longitudinal Analysis of Factors Associated with Therapeutic Alliances. In: Community Mental Health Journal. 2018 ; Vol. 54, No. 6. pp. 782-792.
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A Longitudinal Analysis of Factors Associated with Therapeutic Alliances. / Cheng, Tyrone; Lo, Celia C.

In: Community Mental Health Journal, Vol. 54, No. 6, 01.08.2018, p. 782-792.

Research output: Contribution to journalArticleResearchpeer-review

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