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Psychotherapy Relationships That WorkEvidence-Based Responsiveness$
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John C. Norcross

Print publication date: 2011

Print ISBN-13: 9780199737208

Published to Oxford Scholarship Online: May 2011

DOI: 10.1093/acprof:oso/9780199737208.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use.date: 17 May 2022

Alliance in Individual Psychotherapy

Alliance in Individual Psychotherapy

(p.25) Chapter 2 Alliance in Individual Psychotherapy
Psychotherapy Relationships That Work

Adam O. Horvath

AC Del Re

Christoph Flückiger

Dianne Symonds

Oxford University Press

This chapter presents a research synthesis on the relation between alliance and the outcomes of individual psychotherapy. Included were over 200 research reports based on 190 independent data sources, covering more than 14,000 patients. The inclusion criteria included research involving five or more adult participants receiving genuine (as opposed to analog) treatments and the chapter referring to one of the independent variables as “alliance,” “therapeutic alliance,” “helping alliance,” or “working alliance.” Analyses were conducted using the assumptions of a random model. The overall aggregate relation between the alliance and treatment outcome (adjusted for sample size and nonindependence of outcome measures) was r = .275. The statistical probability associated with this relation is p. 〉 0.0000. The data collected for this meta-analysis were quite variable (heterogeneous). The chapter concludes with research-supported therapy practices.

Keywords:   alliance, psychotherapy relationships, meta-analysis, psychotherapy outcomes

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