Predicting Therapeutic Alliance in Clients With Psychosis and Substance Misuse
Predicting Therapeutic Alliance in Clients With Psychosis and Substance Misuse
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DOI：
10.1097/nmd.0b013e3181da4d4e
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发表时间：
2010-05-01
影响因子：
1.9
通讯作者：
Emsley, Richard
中科院分区：
文献类型：
--
作者：
Barrowclough, Christine;Meier, Petra;Emsley, Richard
The importance of therapeutic alliance in predicting treatment outcomes is well established, but less is known about client characteristics that predict alliance. Clients with co-occurring psychosis and substance misuse (n = 116) who received integrated motivational interviewing and cognitive behavior therapy in the context of a large randomized controlled trial completed the Working Alliance Inventory. Their trial therapists also completed Working Alliance Inventories. Rating perspectives were compared, and in a cross-sectional study, client predictors of therapeutic alliance were examined. As hypothesized, clients' negative attitudes to treatment, including lack of insight, were predictive of poorer alliance. Therapist-rated alliance was also predicted by the client's attitude to medication, self-reported depression, and living situation. Symptom severity and substance use measures were unrelated to alliance. Consistent with previous studies, rating perspectives differed, with clients rating alliance more positive than therapists.
