Sudden gains in the alliance in cognitive behavioral therapy versus brief relational therapy.

ABSTRACT:

Objective

Two decades of empirical research suggest that changes in symptoms are not linear, and many patients gain much of their symptom reduction in one between-sessions interval. Theoretically, such gains are expected to be manifested in the working alliance as well, following a rupture session; however, no study to date has directly examined between-sessions sudden gains in the alliance. In the present study we examined whether ruptures predict subsequent sudden gains in the alliance, which in turn show an effect on outcome that is specific to the treatment in which the alliance is conceptualized as an active mechanism of change.

Method

In a sample of 241 patient-therapist dyads, patients received either brief relational therapy (BRT), in which the alliance is conceptual

SUBMITTER: Zilcha-Mano S 

PROVIDER: S-EPMC6533161 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature