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The concept of therapeutic alliance dates back to Sigmund Freud. Over the course of its evolution, the meaning of the therapeutic alliance has shifted both in form and implication. What started as an analytic construct has become, over the years, a transtheoretical formulation, [ 1 ] an integrative variable, [ 2 ] and a common factor.
The SRS is designed to measure the therapeutic alliance given its importance in leading to positive treatment outcome [4] [5] [8] Using PCOMS in clinical practice has been shown to result in a three and a half times more likelihood of achieving reliable change and half the likelihood of deterioration during treatment services. [9]
The therapeutic alliance, or the working alliance may be defined as the joining of a client's reasonable side with a therapist's working or analyzing side. [6] Bordin [7] conceptualized the working alliance as consisting of three parts: tasks, goals and bond. Tasks are what the therapist and client agree need to be done to reach the client's goals.
Integrative therapy emphasizes mutual respect, empathy, and understanding, believing that meaningful change is more likely to occur within a trusting and collaborative environment. This alliance empowers clients to take an active role in their therapy thereby enhancing motivation, engagement, and the long-term effectiveness of treatment. [21 ...
A summary of research in 2014 suggested that 11.5% of variance in therapy outcome was due to the common factor of goal consensus/collaboration, 9% was due to empathy, 7.5% was due to therapeutic alliance, 6.3% was due to positive regard/affirmation, 5.7% was due to congruence/genuineness, and 5% was due to therapist factors. In contrast ...
Clinicians may also contribute to the challenges of establishing a strong therapeutic alliance by becoming overly inquisitive about the client's traumatic experience, which, in turn, may lead to a lack of accurate empathy. For these reasons, clinicians treating those with a history of trauma may encounter unique challenges when attempting to ...
Alliance dialogue (each explores own role in difficulty) Alliance repair (stronger therapeutic bond or investment in therapy; greater self-understanding) Experiencing tasks: Attentional focus difficulty (e.g., confused, overwhelmed, blank) Clearing a space Therapeutic focus; ability to work productively with experiencing (working distance)
It is incumbent upon the therapist in the treatment to quickly establish a therapeutic alliance with positive countertransference of warmth, empathy, affective attunement and positive regard for encouraging a positive transferential relationship, from which the patient is able to seek help from the therapist despite resistance.