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The therapeutic alliance in adolescent substance abuse treatment: a one-with-many analysis
Journal article   Peer reviewed

The therapeutic alliance in adolescent substance abuse treatment: a one-with-many analysis

David K Marcus, Deborah A Kashy, Matthew B Wintersteen and Guy S Diamond
Journal of counseling psychology, v 58(3), pp 449-455
Jul 2011
PMID: 21517154

Abstract

Adolescent Adult Cooperative Behavior Female Humans Male Patient Satisfaction Professional-Patient Relations Psychiatric Status Rating Scales Psychology, Adolescent - methods Psychotherapy - methods Substance-Related Disorders - psychology Substance-Related Disorders - therapy Transference (Psychology) Treatment Outcome
Studies of the therapeutic alliance typically use a one-with-many (OWM) design in which each therapist (the one) treats multiple clients (the many). This study used Kenny, Kashy, and Cook's (2006) OWM method to examine the composition of the therapeutic alliance and to analyze the association between alliance and outcome in a sample of 398 adolescents treated for substance abuse by 14 therapists. Both the client and therapist alliance ratings yielded large relationship variances, with limited consensus among clients treated by the same therapist about the quality of the alliance. If a client reported an especially strong alliance with his or her therapist, the therapist was likely to also report an especially strong alliance with that client (dyadic reciprocity). The association between the components of the alliance and treatment outcome was complicated, with different levels of measurement and different components of the alliance (perceiver, partner, or relationship) derived from different informants (therapist or client) relating to different outcomes.

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42 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychology, Applied
Psychology, Educational
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