Journal articles: 'Working Alliance Inventory (WAI)'

1

Figueiredo, Bárbara, Pedro Dias, Vânia Sousa Lima, and Diogo Lamela. "Working Alliance Inventory for Children and Adolescents (WAI-CA)." European Journal of Psychological Assessment 35, no. 1 (January 2019): 22–28. http://dx.doi.org/10.1027/1015-5759/a000364.

Full text

Abstract:

Abstract. The purpose of this study was to validate a version of the Working Alliance Inventory (WAI) for children and adolescents (WAI-CA). The sample included 109 children/adolescents aged between 7 and 17 years, outpatients in a Clinical Psychology Unit (Portugal), who completed the WAI-CA between psychotherapy sessions 3 and 35. A subsample of 30 children/adolescents aged between 10 and 14 years filled out both the WAI-CA and the WAI within a one-to-two week’s interval. A subsample of 57 children/adolescents with ages between 7 and 17 years filled out the WAI-CA, and their accompanying parent the WAI. Results show high internal consistency (Cronbach’s alpha ranging from .71 to .89) and good external validity. Significant differences were found in the bond subscale according to age, gender, and diagnosis, with higher values in children compared to adolescents, in girls compared to boys, and in participants with internalizing and externalizing problems compared to participants with school problems. Moderate to strong significant correlations were found between children/adolescents’ WAI-CA and WAI scores and weak correlations between children/adolescents’ WAI-CA scores and parent’s WAI scores. Results suggest that the WAI-CA is a valid measure of working alliance to be used with children and adolescents.

APA, Harvard, Vancouver, ISO, and other styles

2

Killian, Michael, Donald Forrester, David Westlake, and Paraskevi Antonopoulou. "Validity of the Working Alliance Inventory Within Child Protection Services." Research on Social Work Practice 27, no. 6 (July 27, 2015): 704–15. http://dx.doi.org/10.1177/1049731515596816.

Full text

Abstract:

The Working Alliance Inventory remains a widely studied measure of quality of therapeutic relationships between the practitioner and client. No prior study has examined the psychometrics and validity of the Working Alliance Inventory–Short (WAI-S) in a sample of families, social workers, and trained observers within child protection services. Surveys were completed by 130 families, social workers concerning 274 cases, and observers following 165 home visits during the first wave of data collected from a randomized controlled trial of child protection services. Confirmatory factor analyses were conducted on three versions of the WAI-S and demonstrated moderate to good model fit. Convergent construct validity was found with other standardized measures. Results support the use of the WAI-S during in child protection services practice and research. Future research into family engagement in child protection social work services should focus on the working relationship.

APA, Harvard, Vancouver, ISO, and other styles

3

DeSorcy, Danielle R., Mark E. Olver, and J. Stephen Wormith. "Working Alliance and Psychopathy: Linkages to Treatment Outcome in a Sample of Treated Sexual Offenders." Journal of Interpersonal Violence 35, no. 7-8 (March 22, 2017): 1739–60. http://dx.doi.org/10.1177/0886260517698822.

Full text

Abstract:

The present study examined the working alliance, as measured by the full-length Working Alliance Inventory (WAI), and its association with psychopathy, treatment completion, and recidivism in a sample of 111 incarcerated adult male sexual offenders. The men completed the WAI 3 months into their treatment program, while psychopathy was measured via file-based ratings of the Hare’s Psychopathy Checklist–Revised (PCL-R), and outcome data were collected via the Canadian Police Information Centre. The majority (85%) of high PCL-R scoring men (PCL-R 25+) successfully completed their treatment program, and by and large, the men demonstrated strong working alliances with their primary therapists. The WAI scale components showed differential associations with the structural features of psychopathy. Specifically, the Affective facet was significantly associated with weaker Bond scores, while the Lifestyle facet was associated with lower Task scores; these results were upheld after controlling for scores on the other PCL-R facets. Strength of alliance, however, was not significantly associated with any recidivism outcomes, irrespective of controls for psychopathy. Implications for the treatment of offenders with high levels of psychopathic traits are discussed in light of extant findings and unique features of the therapeutic alliance.

APA, Harvard, Vancouver, ISO, and other styles

4

Gómez Penedo, Juan Martín, Thomas Berger, Martin grosse Holtforth, Tobias Krieger, Johanna Schröder, Fritz Hohagen, Björn Meyer, Steffen Moritz, and Jan Philipp Klein. "The Working Alliance Inventory for guided Internet interventions (WAI‐I)." Journal of Clinical Psychology 76, no. 6 (June 25, 2019): 973–86. http://dx.doi.org/10.1002/jclp.22823.

Full text

APA, Harvard, Vancouver, ISO, and other styles

5

Andrade-González, Nelson, and Alberto Fernández-Liria. "Spanish Adaptation of the Working Alliance Inventory-Short (WAI-S)." Current Psychology 35, no. 1 (September 9, 2015): 169–77. http://dx.doi.org/10.1007/s12144-015-9365-3.

Full text

APA, Harvard, Vancouver, ISO, and other styles

6

Sturgiss, Elizabeth A., Elizabeth Rieger, Emily Haesler, Matthew J. Ridd, Kirsty Douglas, and Shelley L. Galvin. "Adaption and validation of the Working Alliance Inventory for General Practice: qualitative review and cross-sectional surveys." Family Practice 36, no. 4 (November 26, 2018): 516–22. http://dx.doi.org/10.1093/fampra/cmy113.

Full text

Abstract:

Abstract Background Relational aspects of primary care are important, but we have no standard measure for assessment. The ‘working alliance’ incorporates elements of the therapeutic relationship, shared decision-making, goal setting and communication skills. The Working Alliance Inventory (short form) (WAI-SF) has been used in adult psychology, and a high score on the survey is associated with improved outcomes for clients. Objective To adapt the WAI-SF for use between GPs and patients and to test its concurrent validity with measures of shared decision-making and the doctor–patient relationship and discriminant validity with measures of social desirability. Methods Two rounds of online survey feedback from 55 GPs and 47 patients were used to adapt the WAI-SF—the WAI-GP. The tool was then completed by 142 patients in waiting rooms after seeing their GP and by 16 GPs at the end of their session. Concurrent validity with measures of shared decision-making and patient–doctor depth of relationship was determined using Spearman Rho correlations. Patients also completed two social desirability surveys, and discriminant validity with WAI-GP was assessed. Results Following feedback, the survey was re-worded to remove phrases that were perceived as judgmental or irrelevant. The patient measure of the WAI-GP was strongly correlated with Dyadic OPTION (rho = 0.705, P = 0.0001) and Patient–Doctor Depth of Relationship scale (rho = 0.591, P = 0.0001) and not with measures of social desirability. Conclusion The psychometric properties of the WAI-GP support its use for measuring GP-patient alliance. Possibilities for use include assessing the influence of therapeutic alliance on the effectiveness of interventions.

APA, Harvard, Vancouver, ISO, and other styles

7

Andrade-González, Nelson, and Alberto Fernández-Liria. "Spanish Adaptation of the Working Alliance Inventory (WAI). Psychometric properties of the patient and therapist forms (WAI-P and WAI-T)." Anales de Psicología 31, no. 2 (April 25, 2015): 524. http://dx.doi.org/10.6018/analesps.31.2.177961.

Full text

Abstract:

The working alliance is one of the most widely studied constructs in psychotherapy process research. The purpose of our study was to adapt the patient and therapist forms of the Working Alliance Inventory (WAI-P and WAI-T) into Spanish. Both measurement instruments were translated into Spanish through a systematic translation process. The psychometric properties of the instruments were evaluated in both a pilot study and a clinical study involving Spanish outpatients with depressive disorders and their therapists. In the clinical study, patients completed the Spanish-language Beck Depression Inventory (BDI) prior to initiating therapy and after the third and tenth psychotherapy sessions. High average scores were obtained with the Spanish-language WAI-P and WAI-T. A large number of individual items correlated satisfactorily with the overall score for the corresponding subscale. Both measures demonstrated excellent reliability (internal consistency) and convergent validity. There were some limitations in the discriminant validity of the measures vs. measures of empathy. Regarding predictive validity, the overall WAI-P and the Task subscale of the WAI-T separately explained a moderate percentage of the variance in patient change in the BDI after the tenth psychotherapy session. These results were satisfactory and consistent with those obtained in studies using the English-language WAI.

APA, Harvard, Vancouver, ISO, and other styles

8

이수현 and DongMinKim. "An Investigation of WAI-T(Working Alliance Inventory-Trainee) Factor Structure." Asian Journal of Education 12, no. 2 (June 2011): 43–62. http://dx.doi.org/10.15753/aje.2011.12.2.003.

Full text

APA, Harvard, Vancouver, ISO, and other styles

9

Ghosh, G. J., P. M. Mclaren, and J. P. Watson. "Evaluating the alliance in videolink teletherapy." Journal of Telemedicine and Telecare 3, no. 1_suppl (June 1997): 33–35. http://dx.doi.org/10.1258/1357633971930283.

Full text

Abstract:

The use of videoconferencing in psychotherapy remains largely unexplored. Videoconferencing compromises the range and quality of interactional information and thus might be expected to affect the working alliance (WA) between client and therapist, and consequently the process and outcome of therapy. A single case study exploring the effect of videoconferencing on the development of the WA in the psychological treatment of a female–male transsexual is described. The self-rated Working Alliance Inventory (WAI) was used to measure client and therapist perceptions of the WA after each session over 10 sessions of eclectic therapy conducted over a videolink. The serial WAI measurements charting the development of the WA in 4 cases of 10-session, face-to-face therapy by Horvath and Marx1 were used as a quasi-control. Therapist and client impressions of teletherapy are described. WAI scores were essentially similar to the face-to-face control group except for lower client-rated bond subscale scores. It is suggested that client personality factors accounted for this difference and that videoconferencing did not impair the development of an adequate working alliance or successful therapeutic outcome.

APA, Harvard, Vancouver, ISO, and other styles

10

Petek, Davorina, Ambrož Pušnik, Polona Selič, Eva Cedilnik-Gorup, Žan Trontelj, Marine Riou, and Jean Yves Le Reste. "Semantic and cultural equivalence of the working alliance inventory short-revised scale for therapeutic alliance in family medicine: Lessons learned in Slovenia." Slovenian Journal of Public Health 58, no. 1 (January 21, 2019): 21–30. http://dx.doi.org/10.2478/sjph-2019-0003.

Full text

Abstract:

Abstract Introduction Therapeutic alliance is a term most commonly associated with psychotherapeutic treatment, but recently its use has become increasingly significant in the other fields of medicine. An increasing amount of evidence implies that the quality of the therapeutic alliance between the doctor and patient substantially affects treatment outcomes. A European consensus chose the Working Alliance Inventory – Short Revised (WAI-SR) scale as the most efficient for European primary care. This paper presents the process of establishing the semantic and cultural equivalence of the two WAI-SR scales in Slovene. Method As a part of a larger international project, a group of four experts translated the two WAI SR scales (physician and patient versions) from English into Slovene. Twenty-six Slovenian family medicine doctors participated in the process of obtaining semantic, idiomatic, experiential and conceptual equivalence in translation using a Delphi consensus procedure. Afterward, a cultural equivalence was made to adapt the translations within the national context. Results Agreement on translation was achieved after two Delphi rounds. The back-translation and cultural equivalence were accomplished without major problems, with some minor additional linguistic corrections. Conclusion A Slovene version of the WAI-SR scale was successfully adapted and is available for further scale validation and research on therapeutic alliance.

APA, Harvard, Vancouver, ISO, and other styles

11

Milot-Lapointe, Francis, Yann Le Corff, and Réginald Savard. "Factor Structure of the Short Version of the Working Alliance Inventory and Its Longitudinal Measurement Invariance Across Individual Career Counseling Sessions." Journal of Career Assessment 28, no. 4 (May 14, 2020): 693–705. http://dx.doi.org/10.1177/1069072720925048.

Full text

Abstract:

The aim of the present study was 2-fold: (a) to examine the factor structure of the short version of the Working Alliance Inventory (WAI-S) in clients who were engaged in individual career counseling sessions and (b) to investigate whether the factor structure of the WAI-S is invariant across the first and the third career counseling sessions. A total of 283 clients seeking individual career counseling completed the WAI-S at the end of the first session (T1). Of the 283 clients, 217 also completed the WAI-S at the end of the third session (T2). Confirmatory factor analyses were performed to assess the fit of one-factor, two-factor, three-factor, and bilevel hierarchical models. The results showed that the three-factor and the bilevel hierarchical models had the best fit to the data at both T1 and T2. The factor structure of the WAI-S was invariant across the first and the third career counseling sessions. Results suggest that researchers and clinicians can use the WAI-S knowing that it adequately measures Bordin’s theoretical model of working alliance in the specific context of individual career counseling.

APA, Harvard, Vancouver, ISO, and other styles

12

Guédeney, Nicole, Jacques Fermanian, Florence Curt, and Antonia Bifulco. "Testing the Working Alliance Inventory (WAI) in a French primary care setting." Social Psychiatry and Psychiatric Epidemiology 40, no. 10 (September 27, 2005): 844–52. http://dx.doi.org/10.1007/s00127-005-0972-4.

Full text

APA, Harvard, Vancouver, ISO, and other styles

13

Herrero, Rocío, Mª Dolores Vara, Marta Miragall, Cristina Botella, Azucena García-Palacios, Heleen Riper, Annet Kleiboer, and Rosa Mª Baños. "Working Alliance Inventory for Online Interventions-Short Form (WAI-TECH-SF): The Role of the Therapeutic Alliance between Patient and Online Program in Therapeutic Outcomes." International Journal of Environmental Research and Public Health 17, no. 17 (August 25, 2020): 6169. http://dx.doi.org/10.3390/ijerph17176169.

Full text

Abstract:

Background: Therapeutic alliance (TA) between the patient and therapist has been related to positive therapeutic outcomes. Because Internet-based interventions are increasingly being implemented, a tool is needed to measure the TA with Internet-based self-guided programs. The Working Alliance Inventory for online interventions (WAI-TECH-SF) was adapted based on the WAI Short Form (Hatcher & Gillaspy, 2006). The objectives of this study were: (1) to analyse the psychometric properties of the WAI-TECH-SF; (2) to explore the differences in the WAI-TECH-SF scores according to different categories of the sample; and (3) to analyse whether the WAI-TECH-SF can predict therapeutic outcomes and satisfaction with the treatment. Methods: 193 patients diagnosed with depression were included and received blended Cognitive-Behavioural Therapy. Measures of preferences, satisfaction, and credibility about the treatment, TA with the online program, depressive symptoms, and satisfaction with the treatment were administered. Results: An exploratory factor analysis revealed a one-dimensional structure with adequate internal consistency. Linear regression analyses showed that the WAI-TECH-SF predicted changes in depressive symptoms and satisfaction with the treatment. Conclusions: WAI-TECH-SF is a reliable questionnaire to assess the TA between the patient and the online program, which is associated with positive therapeutic outcomes and satisfaction with the treatment.

APA, Harvard, Vancouver, ISO, and other styles

14

Donnelly, Vidis, Aideen Lynch, Conal Devlin, Leena Naughten, Olivia Gibbons, Damian Mohan, and Harry G. Kennedy. "Therapeutic alliance in forensic mental health: coercion, consent and recovery." Irish Journal of Psychological Medicine 28, no. 1 (March 2011): 21–28. http://dx.doi.org/10.1017/s0790966700011861.

Full text

Abstract:

AbstractObjective: We examined the Working Alliance Inventory (WAI) and Interpersonal Trust in Physician (ITP) in a forensic psychiatry hospital, where all patients were detained under mental health legislation for psychosis. We hypothesised that working alliance and trust are bilateral and can be measured.Method: We adapted the WAI and ITP minimally so that patients rated both their treating psychiatrist and primary nurse. We also adapted them minimally so that clinicians could rate WAI and ITP with the patient. A total of 81 of 83 patients completed the assessments. The clinicians (seven consultant psychiatrists and 43 nurses) also completed a minimally altered version of the same questionnaires. All three (patient, nurse and psychiatrist) were blind to the ratings of the others.Results: Cronbach's alpha was greater than 0.9 for both patient and clinician versions of the WAI and greater than 0.8 for the ITP. The WAI and ITP correlated with each other (Spearman r > 0.67 for patients, for psychiatrists and for nurses). Patients rated clinicians higher than clinicians rated patients. Ratings were higher in pre-discharge wards than in acute wards. Patients' ratings of WAI for their psychiatrist and nurse correlated r = 0.75, and patients rating of IPT for psychiatrist and nurse correlated 0.67. Psychiatrists correlated with nurses 0.38 for WAI, 0.53 for IPT. Psychiatrists and patients mutual ratings correlated r = 0.35 for WAI, 0.24 for IPT. Nurses and patients correlated r = 0.34 for WAI, 0.25 for IPT. All correlations were statistically significant. Mental state (PANSS) and global function (GAF) correlated with all ratings and confounded most patient-clinician correlations.Conclusion: Working alliance and interpersonal trust can be measured reliably even in forensic settings. The extent to which they measure a mutual quality is unclear.

APA, Harvard, Vancouver, ISO, and other styles

15

Kooistra, Ruwaard, Wiersma, van Oppen, and Riper. "Working Alliance in Blended Versus Face-to-Face Cognitive Behavioral Treatment for Patients with Depression in Specialized Mental Health Care." Journal of Clinical Medicine 9, no. 2 (January 27, 2020): 347. http://dx.doi.org/10.3390/jcm9020347.

Full text

Abstract:

This study investigates working alliance in blended cognitive behavioral therapy (bCBT) for depressed adults in specialized mental health care. Patients were randomly allocated to bCBT (n = 47) or face-to-face CBT (n = 45). After 10 weeks of treatment, both patients and therapists in the two groups rated the therapeutic alliance on the Working Alliance Inventory Short-Form Revised (WAI-SR; Task, Bond, Goal, and composite scores). No between-group differences were found in relation to either patient or therapist alliance ratings, which were high in both groups. In the full sample, a moderate positive association was found between patient and therapist ratings on Task (ρ = 0.41, 95% CI 0.20; 0.59), but no significant associations emerged on other components or composite scores. At 30 weeks, within-and between-group associations between alliance and changes in depression severity (QIDS, Quick Inventory of Depressive Symptomatology) were analyzed with linear mixed models. The analyses revealed an association between depression over time, patient-rated alliance, and group (p < 0.001). In face-to-face CBT, but not in bCBT, lower depression scores were associated with higher alliance ratings. The online component in bCBT may have led patients to evaluate the working alliance differently from patients receiving face-to-face CBT only.

APA, Harvard, Vancouver, ISO, and other styles

16

Alden, Lynn E., Charles T. Taylor, M. Judith Laposa, and Tanna M. B. Mellings. "Impact of Social Developmental Experiences on Cognitive-Behavioral Therapy for Generalized Social Phobia." Journal of Cognitive Psychotherapy 20, no. 1 (March 2006): 7–16. http://dx.doi.org/10.1891/jcop.20.1.7.

Full text

Abstract:

The current study examined how the social developmental experiences of people with generalized social phobia (GSP) affect their therapeutic relationships and treatment response. GSP patients (N = 27) completed measures of social learning experiences, and then participated in a 12-session group cognitive-behavioral treatment program. Both patients and therapists completed the Working Alliance Inventory (WAI) and rated their perceptions of each other at sessions 3 and 8. Self-reported childhood parental abuse was associated with a weaker working alliance and a more negative patient-therapist relationship. Childhood abuse also increased the risk of a poor treatment outcome, as reflected in less change in symptoms of social phobia and depression.

APA, Harvard, Vancouver, ISO, and other styles

17

Cunningham, Jennifer, Robert J. Calsyn, Gary K. Burger, Gary A. Morse, and W. Dean Klinkenberg. "Client Outcomes and the Working Alliance in the Client–Case Manager Relationship: A Causal Analysis." Care Management Journals 8, no. 3 (September 2007): 106–12. http://dx.doi.org/10.1891/152109807781753745.

Full text

Abstract:

This study investigated the causal relationship between the working alliance and client outcomes in the client–case manager relationship. All 162 study participants received services from a case manager who worked as a member of an assertive community treatment team. All participants had both a substance use disorder and a diagnosis of severe mental illness and were homeless at baseline. A brief form of the Working Alliance Inventory (WAI) was used to measure the working alliance after 3 and 15 months of treatment. The Brief Psychiatric Rating Scale was used to measure psychiatric symptoms at baseline, 9, and 18 months. Days per month that clients used alcohol or illegal drugs was also assessed at baseline, 9, and 18 months. The data were analyzed using structural equation modeling (SEM). The correlations between the working alliance and the outcome measures were lower than similar correlations obtained in studies investigating the psychotherapy relationship. The SEM analyses revealed little or no causal relationship between the working alliance and client outcome in this sample.

APA, Harvard, Vancouver, ISO, and other styles

18

Christiansen, Bruce, Stevens S. Smith, and Michael C. Fiore. "Measuring Therapeutic Alliance for Tobacco Cessation Counseling for Behavioral Health Clinicians." Journal of Smoking Cessation 2021 (March 12, 2021): 1–5. http://dx.doi.org/10.1155/2021/6671899.

Full text

Abstract:

Introduction. Those coping with significant mental illness smoke at a high prevalence rate. Increasingly, behavioral health clinicians (BHCs) are being asked to provide tobacco-dependence interventions. In this context, it is important to measure their success at doing so. While the Working Alliance Inventory (WAI) is a well-established measurement of the effectiveness of therapeutic alliance, it is not specific to tobacco-dependence interventions. The Working Alliance Inventory for Tobacco (WAIT-3) has been found valid for tobacco cessation counselors (health providers who address tobacco), but its validity has not been established when BHCs address tobacco cessation as part of addressing all other needs of their patients. The purpose of this study was to examine the validity of the WAIT-3 in the context of behavioral health clinicians. Methods. Wisconsin Community Support Programs and Comprehensive Community Services programs distributed an anonymous, brief (14 items) survey to 1,930 of their clients. Measured variables included smoking status, behavioral intentions regarding quitting, and perception of help received from their clinic. Respondents could enter a chance to win a gift card as a thank you. Results. WAIT-3 scores were correlated with quitting-related variables. Compared to those with lower WAIT-3 scores, those with higher scores reported more attempts to quit, were more motivated to quit, were more likely to have a smoking cessation/reduction goal in their general treatment plan, had more conversations about quitting with their BHC, and wanted more help from their BHC to quit. Conclusions. The WAIT-3 may be a valid way to measure the effectiveness of BHCs to address the tobacco use of their patients. Next steps include establishing its predictive validity.

APA, Harvard, Vancouver, ISO, and other styles

19

Datz, Wong, and Löffler-Stastka. "Interpretation and Working through Contemptuous Facial Micro-Expressions Benefits the Patient-Therapist Relationship." International Journal of Environmental Research and Public Health 16, no. 24 (December 4, 2019): 4901. http://dx.doi.org/10.3390/ijerph16244901.

Full text

Abstract:

Introduction: The significance of psychotherapeutic micro-processes, such as nonverbal facial expressions and relationship quality, is widely known, yet hitherto has not been investigated satisfactorily. In this exploratory study, we aim to examine the occurrence of micro-processes during psychotherapeutic treatment sessions, specifically facial micro-expressions, in order to shed light on their impact on psychotherapeutic interactions and patient-clinician relationships. Methods: In analyzing 22 video recordings of psychiatric interviews in a routine/acute psychiatric care unit of Vienna General Hospital, we were able to investigate clinicians’ and patients’ facial micro-expressions in conjunction with verbal interactions and types. To this end, we employed the Emotion Facial Action Coding System (EmFACS)—assessing the action units and microexpressions—and the Psychodynamic Intervention List (PIL). Also, the Working Alliance Inventory (WAI), assessed after each session by both patients and clinicians, provided information on the subjective quality of the clinician–patient relationship. Results: We found that interpretative/confrontative interventions are associated with displays of contempt from both therapists and patients. Interestingly, displays of contempt also correlated with higher WAI scores. We propose that these seemingly contradictory results may be a consequence of the complexity of affects and the interplay of primary and secondary emotions with intervention type. Conclusion: Interpretation, confrontation, and working through contemptuous microexpressions are major elements to the adequate control major pathoplastic elements. Affect-cognitive interplay is an important mediator in the working alliance.

APA, Harvard, Vancouver, ISO, and other styles

20

Boeckxstaens, Pauline, Annelou Meskens, Aline Van der Poorten, Anne-Catherine Verpoort, and Elizabeth Ann Sturgiss. "Exploring the therapeutic alliance in Belgian family medicine and its association with doctor–patient characteristics: a cross-sectional survey study." BMJ Open 10, no. 2 (February 2020): e033710. http://dx.doi.org/10.1136/bmjopen-2019-033710.

Full text

Abstract:

ObjectivesPatient-centred care is related to better health outcomes, greater patient satisfaction and reduced healthcare costs. One of the core components of patient-centred care, defined in the patient-centred clinical method, is enhancing the patient–doctor relationship. In this study, we aim to measure the therapeutic alliance in consultations between patients and family doctors in Belgium, and explore which patient, provider and practice characteristics are associated with the strength of the therapeutic alliance.DesignCross-sectional cohort study using the Working Alliance Inventory for General Practice (WAI-GP). The patients and family doctors completed a survey after the consultation. The survey consisted of the WAI-GP, demographics, consultation characteristics and variables related to the patient–doctor relationship.SettingBelgian primary care.ParticipantsEvery third patient (both practice and house call visits) was invited to participate. 170 patient–doctor dyads from four practices were included. Total of 10 doctors (30% men, age range 24–63 years) and 170 patients (35.9% men, age range 18–92 years).Primary and secondary outcome measuresPrimary outcome was the WAI-GP score and its correlations with characteristics of the doctor (gender, age) and patients (gender, age, chronic disease, number of annual consultations).ResultsThe median WAI-GP score reported after these consultations was 4.5±0.62. Higher WAI-GP scores were reported for consultations with male doctors and by older patients. In the subsample of patients with a chronic illness, higher WAI-GP scores were reported by patients who had more than 10 follow-up consultations per year.ConclusionsConsultation quality is an important aspect of healthcare, but attention is needed to understand how the WAI-GP performs in relation to variables that are beyond control, such as gender of the physician, age of the patient and variables related to building continuity of care. This has implications for the measurement of quality of healthcare.

APA, Harvard, Vancouver, ISO, and other styles

21

Walton, Ashleigh, Elizabeth L. Jeglic, and Brandy L. Blasko. "The Role of Psychopathic Traits in the Development of the Therapeutic Alliance Among Sexual Offenders." Sexual Abuse 30, no. 3 (March 21, 2016): 211–29. http://dx.doi.org/10.1177/1079063216637859.

Full text

Abstract:

There is a growing body of research demonstrating that the therapeutic alliance (TA) affects outcomes among specialized forensic populations, including sexual offenders. Despite this consensus, researchers continue to question whether higher levels of psychopathic traits are conducive to the formation of a therapeutic relationship for high-risk sexual offenders. Thus, the current study adds to the literature by examining the relationship between the TA and levels of psychopathy among a sample of incarcerated sexual offenders participating in sexual offender treatment. Overall, we found no significant relationships between Psychopathy Checklist–Revised (PCL-R) scores and the Working Alliance Inventory (WAI) for either client or therapist ratings. However, when we excluded those offenders who were participating in aftercare, a significant negative relationship was found between client ratings of the Bonds subscale and PCL-R total scores. Next, after controlling for risk and group status (aftercare/non-aftercare), we found no significant differences between either client or therapist total WAI scores when compared by level of psychopathy as measured by the PCL-R (low, >20; moderate, 20-30; and high, >30). Furthermore, when Factor 1 and Factor 2 scores of the PCL-R were examined individually, neither factor significantly predicted either client or therapist total WAI score after controlling for risk and group status. Findings are discussed as they pertain to the treatment of sexual offenders with elevated levels of psychopathic traits.

APA, Harvard, Vancouver, ISO, and other styles

22

Köhne, Sandra, Ulrich Schweiger, Gitta A. Jacob, Diana Braakmann, Jan Philipp Klein, Stefan Borgwardt, Nele Assmann, Mirco Rogg, Anja Schaich, and Eva Faßbinder. "Therapeutic Relationship in eHealth—A Pilot Study of Similarities and Differences between the Online Program Priovi and Therapists Treating Borderline Personality Disorder." International Journal of Environmental Research and Public Health 17, no. 17 (September 3, 2020): 6436. http://dx.doi.org/10.3390/ijerph17176436.

Full text

Abstract:

eHealth programs have been found to be effective in treating many psychological conditions. Regarding Borderline Personality Disorder (BPD), few programs have been tested; nevertheless, results are promising. The therapeutic alliance is an important factor predicting treatment outcome in BPD. However, we do not know yet to what extent BPD patients form a therapeutic alliance with an eHealth tool and how this relationship differs from the relationship with their human therapist. This study aims to address this question using priovi, an interactive schema therapy-based eHealth tool for BPD. Semi-structured interviews were conducted to explore how patients perceived the therapeutic alliance with priovi and its differences compared to the alliance with their human therapist (N = 9). Interview data were analyzed following the procedures of qualitative content analysis. Additionally, the Working Alliance Inventory (WAI-SR) was administered in two versions (regarding the human therapist and priovi, N = 16) every three months during the treatment phase of one year. Results indicate that patients were able to form a good therapeutic relationship with priovi, but it differed from the relationship to their human therapist. Important categories were “priovi is helpful, supportive and always there” and “priovi is less flexible”. WAI ratings for the task subscale were high in both relationships but significantly higher in WAItherapist compared to WAIpriovi in two measurements (nine-months measurement: t = 2.76, df = 15, p = 0.015; twelve-months measurement: t = 3.44, df = 15, p = 0.004). These results indicate that BPD patients can form a functioning alliance with an eHealth program and that eHealth programs may be especially useful for psychoeducation and cognitive exercises.

APA, Harvard, Vancouver, ISO, and other styles

23

Voderholzer, Ulrich, Ina Beintner, Bernhard Backes, Elisa Esguerra, and Johannes Baltasar Hessler-Kaufmann. "Implementing Videoconference CBT for Depression in Routine Outpatient Care: Outcome, Working Alliance, and Influence of Patients’ Technology Commitment." Verhaltenstherapie 31, no. 3 (2021): 238–47. http://dx.doi.org/10.1159/000513643.

Full text

Abstract:

Background: While videoconference cognitive behavioral therapy (V-CBT) has shown promising results in controlled studies, data from routine care are rare. We examined (1) changes in depressive symptoms and life satisfaction during V-CBT in German routine outpatient care for patients with depressive disorders, (2) the quality of the established working alliance, and (3) the influence of working alliance and the patients’ technology commitment on outcomes. Patients and Methods: Patients with primary diagnoses of depressive disorders were treated with V-CBT and concurrent internet-guided self-help via the MindDoc program, which operates within the regulations of the German health care system. The patients completed the 9-item Patient Health Questionnaire (PHQ-9) for depressive symptoms, an item on life satisfaction before and after treatment, the Working Alliance Inventory (WAI), and the Technology Commitment questionnaire for beliefs about handling technology. Results: Fifty-nine patients (71.2% female) with a mean age of 44.46 years (SD = 12.86) were included in the analyses. Longitudinal multilevel mixed models revealed improvements in depressive symptoms (Cohen’s d = 1.27) and life satisfaction (d = 0.80). The working alliance was good and showed a positive association with outcome, while technology commitment did not. Conclusion: V-CBT seems effective in reducing depressive symptoms, increasing life satisfaction, and establishing a good working alliance in routine care.

APA, Harvard, Vancouver, ISO, and other styles

24

Meringolo, Patrizia, Alessandro Ridolfi, and Alice Visi. "Alleanza terapeutica e tossicodipendenza da eroina. Un'indagine esplorativa." PSICOBIETTIVO, no. 1 (August 2010): 91–111. http://dx.doi.org/10.3280/psob2010-001006.

Full text

Abstract:

Lo scopo di questa indagine esplorativa č quello di indagare la costruzione dell'Alleanza Terapeutica (AT) con pazienti dipendenti da eroina in trattamento nei Ser.T. della regione Toscana. Hanno partecipato all'indagine trenta terapeuti in servizio presso i Ser.T. di ognuna delle 12 ASL della regione Toscana. Gli strumenti utilizzati sono: il Working Alliance Inventory (WAI) (Horvath, 1981, 1982), un'intervista semistrutturata per raccogliere le opinioni dei terapeuti, una scheda per annotare i dati degli utenti. Dai risultati emerge che alcune caratteristiche dei pazienti risultano influenzare negativamente la costruzione dell'AT. Di fronte a queste caratteristiche, sembrano esistere importanti differenze circa le modalitŕ con cui i terapeuti intervistati costruiscono l'AT, per aumentare la durata dell'intervento, ridurre il drop out e aumentare cosě l'efficacia del trattamento.

APA, Harvard, Vancouver, ISO, and other styles

25

Darcy, Alison, Jade Daniels, David Salinger, Paul Wicks, and Athena Robinson. "Evidence of Human-Level Bonds Established With a Digital Conversational Agent: Cross-sectional, Retrospective Observational Study." JMIR Formative Research 5, no. 5 (May 11, 2021): e27868. http://dx.doi.org/10.2196/27868.

Full text

Abstract:

Background There are far more patients in mental distress than there is time available for mental health professionals to support them. Although digital tools may help mitigate this issue, critics have suggested that technological solutions that lack human empathy will prevent a bond or therapeutic alliance from being formed, thereby narrowing these solutions’ efficacy. Objective We aimed to investigate whether users of a cognitive behavioral therapy (CBT)–based conversational agent would report therapeutic bond levels that are similar to those in literature about other CBT modalities, including face-to-face therapy, group CBT, and other digital interventions that do not use a conversational agent. Methods A cross-sectional, retrospective study design was used to analyze aggregate, deidentified data from adult users who self-referred to a CBT-based, fully automated conversational agent (Woebot) between November 2019 and August 2020. Working alliance was measured with the Working Alliance Inventory-Short Revised (WAI-SR), and depression symptom status was assessed by using the 2-item Patient Health Questionnaire (PHQ-2). All measures were administered by the conversational agent in the mobile app. WAI-SR scores were compared to those in scientific literature abstracted from recent reviews. Results Data from 36,070 Woebot users were included in the analysis. Participants ranged in age from 18 to 78 years, and 57.48% (20,734/36,070) of participants reported that they were female. The mean PHQ-2 score was 3.03 (SD 1.79), and 54.67% (19,719/36,070) of users scored over the cutoff score of 3 for depression screening. Within 5 days of initial app use, the mean WAI-SR score was 3.36 (SD 0.8) and the mean bond subscale score was 3.8 (SD 1.0), which was comparable to those in recent studies from the literature on traditional, outpatient, individual CBT and group CBT (mean bond subscale scores of 4 and 3.8, respectively). PHQ-2 scores at baseline weakly correlated with bond scores (r=−0.04; P<.001); however, users with depression and those without depression had high bond scores of 3.45. Conclusions Although bonds are often presumed to be the exclusive domain of human therapeutic relationships, our findings challenge the notion that digital therapeutics are incapable of establishing a therapeutic bond with users. Future research might investigate the role of bonds as mediators of clinical outcomes, since boosting the engagement and efficacy of digital therapeutics could have major public health benefits.

APA, Harvard, Vancouver, ISO, and other styles

26

Gómez Penedo, Juan Martín, Anna Margarete Babl, Martin grosse Holtforth, Fritz Hohagen, Tobias Krieger, Wolfgang Lutz, Björn Meyer, Steffen Moritz, Jan Philipp Klein, and Thomas Berger. "The Association of Therapeutic Alliance With Long-Term Outcome in a Guided Internet Intervention for Depression: Secondary Analysis From a Randomized Control Trial." Journal of Medical Internet Research 22, no. 3 (March 24, 2020): e15824. http://dx.doi.org/10.2196/15824.

Full text

Abstract:

Background Therapeutic alliance has been well established as a robust predictor of face-to-face psychotherapy outcomes. Although initial evidence positioned alliance as a relevant predictor of internet intervention success, some conceptual and methodological concerns were raised regarding the methods and instruments used to measure the alliance in internet interventions and its association with outcomes. Objective The aim of this study was to explore the alliance-outcome association in a guided internet intervention using a measure of alliance especially developed for and adapted to guided internet interventions, showing evidence of good psychometric properties. Methods A sample of 223 adult participants with moderate depression received an internet intervention (ie, Deprexis) and email support. They completed the Working Alliance Inventory for Guided Internet Intervention (WAI-I) and a measure of treatment satisfaction at treatment termination and measures of depression severity and well-being at termination and 3- and 9-month follow-ups. For data analysis, we used two-level hierarchical linear modeling that included two subscales of the WAI-I (ie, tasks and goals agreement with the program and bond with the supporting therapist) as predictors of the estimated values of the outcome variables at the end of follow-up and their rate of change during the follow-up period. The same models were also used controlling for the effect of patient satisfaction with treatment. Results We found significant effects of the tasks and goals subscale of the WAI-I on the estimated values of residual depressive symptoms (γ02=−1.74, standard error [SE]=0.40, 95% CI −2.52 to −0.96, t206=−4.37, P<.001) and patient well-being (γ02=3.10, SE=1.14, 95% CI 0.87-5.33, t198=2.72, P=.007) at the end of follow-up. A greater score in this subscale was related to lower levels of residual depressive symptoms and a higher level of well-being. However, there were no significant effects of the tasks and goals subscale on the rate of change in these variables during follow-up (depressive symptoms, P=.48; patient well-being, P=.26). The effects of the bond subscale were also nonsignificant when predicting the estimated values of depressive symptoms and well-being at the end of follow-up and the rate of change during that period (depressive symptoms, P=.08; patient well-being, P=.68). Conclusions The results of this study point out the importance of attuning internet interventions to patients’ expectations and preferences in order to enhance their agreement with the tasks and goals of the treatment. Thus, the results support the notion that responsiveness to a patient’s individual needs is crucial also in internet interventions. Nevertheless, these findings need to be replicated to establish if they can be generalized to different diagnostic groups, internet interventions, and supporting formats.

APA, Harvard, Vancouver, ISO, and other styles

27

Otte, Stefanie, Judith Streb, Katharina Rasche, Irina Franke, Stefanie Nigel, Felix Segmiller, Zrinka Sosic-Vasic, Nenad Vasic, and Manuela Dudeck. "Die therapeutische Beziehung im forensischen und allgemeinpsychiatrischen Setting." Fortschritte der Neurologie · Psychiatrie 87, no. 08 (July 30, 2018): 421–28. http://dx.doi.org/10.1055/a-0586-3253.

Full text

Abstract:

Zusammenfassung Einleitung Da die therapeutische Beziehung im Maßregelvollzug bzw. in der Forensischen Psychiatrie aufgrund des Zwangscharakters sowie der Doppelrolle des Therapeuten als Behandler und als Sachverständiger besonders belastet ist, wurde die therapeutische Beziehung im Maßregelvollzug mit der therapeutischen Beziehung in der Allgemeinpsychiatrie verglichen. Material & Methoden 52 Patienten des Maßregelvollzugs und 65 Patienten der Allgemeinpsychiatrie beantworteten das Psychopathy Personality Inventory – Revised (PPI-R), das Inventar zur Erfassung interpersonaler Probleme - Deutsche Version (IIP-D), den Fragebogen zur Erfassung der Psychotherapiemotivation (FPTM) sowie das Working Alliance Inventory – Short Revised (WAI-SR). Statistisch wurden deskriptive Analysen durchgeführt, univariate t-Tests, multivariate T-Tests sowie verallgemeinerte lineare Modelle gerechnet. Ergebnisse Die Qualität der therapeutischen Beziehung wird von den Patienten des Maßregelvollzugs genauso positiv wahrgenommen wie von den Patienten der Allgemeinpsychiatrie. Patienten des Maßregelvollzugs sind tendenziell sogar eher davon überzeugt, dass die in der Therapie angewandten Techniken der Erreichung ihrer Therapieziele dienen. Diskussion Die therapeutische Beziehung im Maßregelvollzug ist genauso tragfähig wie in der Allgemeinpsychiatrie. Dies könnte auf die längeren, zumeist mehrjährigen Unterbringungszeiten im Maßregelvollzug zurückgeführt werden, in deren Rahmen deutlich mehr Zeit auf den Beziehungsaufbau verwendet werden kann als im Rahmen einer zeitlich auf wenige Wochen begrenzten Therapie in der Allgemeinpsychiatrie.

APA, Harvard, Vancouver, ISO, and other styles

28

Fedorenko, S. M., V. V. Vitomskyi, О. B. Lazarіeva, and M. V. Vitomskа. "The results of the analysis of the criteria of therapeutic alliance of patients orthopedic profile of outpatient physical therapy program." Health, sport, rehabilitation 5, no. 3 (October 14, 2019): 15. http://dx.doi.org/10.34142/hsr.2019.05.03.02.

Full text

Abstract:

Objective: to determine the peculiarities of forming a therapeutic alliance in outpatients with disorders of orthopedic profile after completing a course of physical therapy and their physical therapists depending on the psychotype of patients.Methods of research: theoretical analysis and generalization of literary sources, method of systematization of scientific information; Working Alliance Inventory questionnaire Form SF Hatcher (WAI). Patients were grouped using the International Classification of Functioning and Disease Types. The obtained results were processed by adequate methods of mathematical statistics. The study involved 113 patients who underwent a course of physical therapy at FESCO Medical Center during 2013-2015.Results. According to the results of the statistical analysis, patients with irrational attitude to the disease (irrational psychotypes) had significantly lower scores on the eight items of the WAI questionnaire out of twelve, as well as on all three totals. In particular, the «goal» score was significantly better in patients with rational psychotypes: Me (25; 75) scores were 14 (12.75; 15) points, versus 12 (11; 14) scores among patients with irrational psychotypes (p<0,01). Similarly, the score of the "task" was 15 (13; 15) points against 12 (11; 15) points (p <0.01), and the total score of the "bond" points 16 (16; 17) points against 14 (13; 15) points (p <0.01). Thus, it can be stated that the evaluation of the “goal” items showed the lowest results, which were the farthest from the maximum values.Conclusion. The results obtained and the statistical analysis made it possible to evaluate the different sides of the level of formation of the therapeutic alliance, to identify the strengths and weaknesses and, thus, necessitated the development of ways to improve the union of the patient and the physical therapist.

APA, Harvard, Vancouver, ISO, and other styles

29

Sundin, Eva C., Aleksandra Mrowiec, Graham Bowpitt, Charlotte A. Boatman, A. J. Williams, Mustafa Sarkar, and Thom S. Baguley. "Feasibility and acceptability of an intervention for enhancing reintegration in adults with experience of homelessness." European Journal of Public Health 30, no. 3 (November 11, 2019): 578–83. http://dx.doi.org/10.1093/eurpub/ckz202.

Full text

Abstract:

Abstract Background Service centres for homeless adults are potential settings for implementation of reintegration interventions. This study aimed to evaluate (i) the acceptability of a group-based programme among individuals from the broad population of homeless people and (ii) if a future study of its feasibility and acceptability for re-housed homeless people is warranted. Methods Recruiting participants and intervention facilitators from partnering service centres was thought to improve recruitment and retention, cost-effectiveness and social interactions compared to professional-led interventions. Seven adults with experience of homelessness (three females, four males, mean age 39 years, range 18–63) were recruited to participate in the intervention. The research protocol comprised completion pre/post of scales [Recovering Quality of Life questionnaire; Working Alliance Inventory-short form revised (WAI-SR)] and focus groups, and WAI-SR and focus groups after sessions 3 and 6. Results The intervention and research protocols were feasible, with all participants engaging in all sessions, completing all scales and attending all focus groups. The quantitative data demonstrated the feasibility of obtaining practically useful measures of relevant outcomes. In the four focus groups, the intervention received very favourable feedback. Conclusions This study demonstrated initial feasibility and acceptability of an intervention that places minimal burden on infrastructure and promotes user autonomy. This is an important advance as there is increasing recognition that the challenge of reintegration is as much a psychological and social problem as a housing problem. If effective, this style of intervention may serve as a template for future interventions with similar populations.

APA, Harvard, Vancouver, ISO, and other styles

30

Hamatani, Sayo, Noriko Numata, Kazuki Matsumoto, Chihiro Sutoh, Hanae Ibuki, Keiko Oshiro, Mari Tanaka, et al. "Internet-Based Cognitive Behavioral Therapy via Videoconference for Patients With Bulimia Nervosa and Binge-Eating Disorder: Pilot Prospective Single-Arm Feasibility Trial." JMIR Formative Research 3, no. 4 (October 23, 2019): e15738. http://dx.doi.org/10.2196/15738.

Full text

Abstract:

Background A major problem in providing mental health services is the lack of access to treatment, especially in remote areas. Thus far, no clinical studies have demonstrated the feasibility of internet-based cognitive behavioral therapy (ICBT) with real-time therapist support via videoconference for bulimia nervosa and binge-eating disorder in Japan. Objective The goal of the research was to evaluate the feasibility of ICBT via videoconference for patients with bulimia nervosa or binge-eating disorder. Methods Seven Japanese subjects (mean age 31.9 [SD 7.9] years) with bulimia nervosa and binge-eating disorder received 16 weekly sessions of individualized ICBT via videoconference with real-time therapist support. Treatment included CBT tailored specifically to the presenting diagnosis. The primary outcome was a reduction in the Eating Disorder Examination Edition 16.0D (EDE 16D) for bulimia nervosa and binge-eating disorder: the combined objective binge and purging episodes, objective binge episodes, and purging episodes. The secondary outcomes were the Eating Disorders Examination Questionnaire, Bulimic Investigatory Test, Edinburgh, body mass index for eating symptoms, Motivational Ruler for motivation to change, EuroQol-5 Dimension for quality of life, 9-item Patient Health Questionnaire for depression, 7-item Generalized Anxiety Disorder scale for anxiety, and Working Alliance Inventory–Short Form (WAI-SF). All outcomes were assessed at week 1 (baseline) and weeks 8 (midintervention) and 16 (postintervention) during therapy. Patients were asked about adverse events at each session. For the primary analysis, treatment-related changes were assessed by comparing participant scores and 95% confidence intervals using the paired t test. Results Although the mean combined objective binge and purging episodes improved from 47.60 to 13.60 (71% reduction) and showed a medium effect size (Cohen d=–0.76), there was no significant reduction in the combined episodes (EDE 16D –41; 95% CI –2.089 to 0.576; P=.17). There were no significant treatment-related changes in secondary outcomes. The WAI-SF scores remained consistently high (64.8 to 66.0) during treatment. Conclusions ICBT via videoconference is feasible in Japanese patients with bulimia nervosa and binge-eating disorder. Trial Registration UMIN Clinical Trials Registry UMIN000029426; https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033419

APA, Harvard, Vancouver, ISO, and other styles

31

McGhee, Jasmine, Karina L. Wilkerson, Deva Sharma, Gina Frieden, and Adetola A. Kassim. "Decreased Hospitalizations and Improved Health-Related Outcomes Using Client-Centered Therapy in Adults with Sickle Cell Disease with High Health Care Utilization." Blood 136, Supplement 1 (November 5, 2020): 3–4. http://dx.doi.org/10.1182/blood-2020-143278.

Full text

Abstract:

Background:Sickle cell disease (SCD) is a chronic multisystem disorder associated with vaso-occlusive pain and organ damage, leading to substantial morbidity, impaired health-related quality of life, increased health care costs, and a high risk of premature death (Platt el al. N Engl J Med. 1994). SCD complications and pain episodes accounted for 23% of statewide admissions, mainly by a small group of high utilizers. (Woods et al. Public Health Rep, 1997). Adults with SCD have a high rate of depression, 35% compared to 6.7% in the general adult population (Adam, Flahiff, Kamble, et al. 2017). Chronic persistent pain occurs in more than a third of adults with SCD. Opioid analgesics, the mainstay for the management of acute and chronic pain, often results in opiate use disorder (Ehrentraut et al. J Pediatr Psychol. 2014). Current clinical approaches to address depressive symptoms in SCD have not been effective due to the gaps in care and barriers to access healthcare resources. Client-centered (or person-centered) therapy, is a non-directive approach to counseling that incorporates the concepts of unconditional positive regard, empathetic understanding, genuine affect, and culturally responsive care to improve psychosocial outcomes (Meyer & Zane, 2018). We sought to address these perceived gaps in care using client-centered therapy to improve patient related health outcomes in a cohort of adult patient who were high utilizers. Methods:The study sample comprised 9 patients with SCD (HbSS and SC), ages 23-42, who followed with the adult SCD Clinic at Vanderbilt University Medical Center in Nashville, TN. This cohort of patients was selected as they accounted for the highest health care utilization in our adult program. Demographics and baseline clinic data were obtained on each participant, including pre- and post-measures for hospitalizations, oral morphine equivalent (OME), PHQ-9 to measure depressive symptoms, and the Working Alliance Inventory (WAI), to measure the effectiveness of the client-centered approach to therapy (based on consensus of goals, confidence in and commitment to helping relationship, and mutual trust). Our approach to evaluations is depicted in Figure. Exclusion criteria included current diagnosis of psychosis or a comorbid disorder with psychosis as defined by the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition); active suicidal/homicidal ideation, and unwillingness to participate in counseling. Patients were expected to attend 7 individual sessions for 60 minutes each with a trained mental health clinician. Clinical and laboratory data was obtained through electronic medical record under an IRB approved protocol. Results:In our sample, 5/9 (56%) of our patients were male and they were all African Americans. Eight out of 9 participants had HbSS and 1 had HbSC. The median age of all participants was 30 years. The participants completed a combined total of 64 sessions over an average of 6.7 months. All participants completed an average of 7 sessions each. The average number of hospitalizations pre-intervention per participant was 3 and decreased to 1 post-intervention. The pre and post OME totals for 6/9 participants remained stable. One participant (#8) had a 50% decrease in OME, and two participants (#2, #3) had an increase in total OME post-intervention associated with pregnancy-related complications. Pre-intervention, 69% of participants identified mild to moderate severity in depressive symptoms. The total PHQ-9 scores decreased post-intervention by 3 points, or by 4.4%. The WAI average post-intervention depicts an average of 87.5% of participants identified a strong working alliance with their therapist (Table). Conclusion:Our pilot study shows that client-centered therapy is a safe and effective approach to address age-dependent chronic health challenges of adults with SCD. Client-centered therapy decreased hospitalization rates and PHQ-9 scores for our high utilizers. Though there was not a statistically significant decrease in participants' OME, 67% of the sample remained stable, without an OME increase during the intervention period. Future research and longer-term studies are needed on utilizing this approach to address coping mechanisms, baseline stress levels, and overall quality of life in a larger cohort of adults with SCD. Disclosures No relevant conflicts of interest to declare.

APA, Harvard, Vancouver, ISO, and other styles

32

Busseri, Michael A., and John D. Tyler. "Interchangeability of the Working Alliance Inventory and Working Alliance Inventory, Short Form." Psychological Assessment 15, no. 2 (2003): 193–97. http://dx.doi.org/10.1037/1040-3590.15.2.193.

Full text

APA, Harvard, Vancouver, ISO, and other styles

33

Paap, Davy, and Pieter U. Dijkstra. "Working Alliance Inventory-Short Form Revised." Journal of Physiotherapy 63, no. 2 (April 2017): 118. http://dx.doi.org/10.1016/j.jphys.2017.01.001.

Full text

APA, Harvard, Vancouver, ISO, and other styles

34

Tracey, Terence J., and Anna M. Kokotovic. "Factor structure of the Working Alliance Inventory." Psychological Assessment: A Journal of Consulting and Clinical Psychology 1, no. 3 (September 1989): 207–10. http://dx.doi.org/10.1037/1040-3590.1.3.207.

Full text

APA, Harvard, Vancouver, ISO, and other styles

35

Dykeman, Cass, and N. Kenneth LaFleur. "Counselors' Adjective Correlates of Working Alliance." Psychological Reports 78, no. 2 (April 1996): 563–70. http://dx.doi.org/10.2466/pr0.1996.78.2.563.

Full text

Abstract:

The authors present a study of 85 counselors' adjective descriptors of clients in relation to a working alliance. The imperative for such a study emerges from Gough's 1965 Conceptual Analysis of Test Scores approach to clinical measurement. For this investigation, all 300 items of the Adjective Check List were used. Working alliance was measured by the counselor's form of the Working Alliance Inventory-Short. Point biserial correlation of each adjective with inventory scores produced 54 significant adjectives. These 54 adjectives were 18 times the number expected by chance.

APA, Harvard, Vancouver, ISO, and other styles

36

Hanson, William E., Kyle T. Curry, and Deborah L. Bandalos. "Reliability Generalization of Working Alliance Inventory Scale Scores." Educational and Psychological Measurement 62, no. 4 (August 2002): 659–73. http://dx.doi.org/10.1177/0013164402062004008.

Full text

APA, Harvard, Vancouver, ISO, and other styles

37

Horvath, Adam O., and Leslie S. Greenberg. "Development and validation of the Working Alliance Inventory." Journal of Counseling Psychology 36, no. 2 (April 1989): 223–33. http://dx.doi.org/10.1037/0022-0167.36.2.223.

Full text

APA, Harvard, Vancouver, ISO, and other styles

38

Mallinckrodt, Brent, and Yacob T. Tekie. "Item response theory analysis of Working Alliance Inventory, revised response format, and new Brief Alliance Inventory." Psychotherapy Research 26, no. 6 (November 7, 2015): 694–718. http://dx.doi.org/10.1080/10503307.2015.1061718.

Full text

APA, Harvard, Vancouver, ISO, and other styles

39

Krieg, Christina H., and Terence J. Tracey. "Client interpersonal problems and the initial working alliance." European Journal of Counselling Psychology 4, no. 2 (August 18, 2016): 191–204. http://dx.doi.org/10.5964/ejcop.v4i2.64.

Full text

Abstract:

This study examined the relationship of client pretreatment interpersonal problems (measured by the Inventory of Interpersonal Problems) to the therapeutic alliance (as measured early in treatment by a self-report version of the Working Alliance Inventory- Short), using multilevel modeling to account for client and counselor variables. Specifically, the correlations of dominance, affiliation and vindictive/self-centered interpersonal problems with the initial working alliance were investigated. Participants consisted of 144 clients and 44 graduate student counselors at a university training clinic in the southwest. Multilevel modeling revealed that there was an interaction between dominance and counselor gender with working alliance scores. Clients who had problems with dominance reported higher working alliance scores with male counselors while clients who had problems with non-assertiveness reported higher working alliance scores with female counselors. Vindictive/self-centered interpersonal problems were associated with lower initial working alliance scores regardless of counselor gender. Implications for clinical practice are discussed.

APA, Harvard, Vancouver, ISO, and other styles

40

Samardzic, Ljiljana, and Gordana Nikolic. "Transference patterns and working alliance during the early phase of psychodynamic psychotherapy." Vojnosanitetski pregled 71, no. 2 (2014): 175–82. http://dx.doi.org/10.2298/vsp1402175s.

Full text

Abstract:

Background/Aim. Working alliance, as a collaborative part of the therapeutic relationship has been proven to be one of the most powerful therapeutic factors in psychotherapy in general, regardless many technical differences between numerous psychotherapeutic modalities. On the other hand, transference is the basic concept of psychodynamic psychotherapy, and, according to the psychoanalytic theory and practice, it forms a major part of the therapeutic relationship. The aim of our paper was to determine the differences between the groups of patients with low, middle, and high working alliance scores and the dropout group in transference patterns, sociodemographic and clinical parameters, during the early phase of psychodynamic psychotherapy. Methods. Our sample consisted of 61 non-psychotic patients, randomly selected by the method of consecutive admissions and treated with psychoanalytic psychotherapy in the outpatient clinical setting. The patients were prospectively followed during 5 initial sessions of the therapeutic process. The working alliance inventory and Core conflictual relationship theme method were used for the estimation of working alliance and transference patterns, respectively. According to the Working Alliance Inventory scores, four groups of patients were formed and than compared. Results. Our results show a significant difference between the groups of patients with low, middle, and high working alliance inventory scores and the dropout group on the variable - transference patterns in the therapeutic relationship. Conclusion. Disharmonious transference patterns are more frequent in patients who form poor quality working alliance in the early phase of psychotherapy, or early dropout psychotherapy. It is of great importance to recognize transference patterns of a patient at the beginning of the psychotherapeutic process, because of their potentially harmful influence on the quality of working alliance.

APA, Harvard, Vancouver, ISO, and other styles

41

Andrews, Katrina, Debra Bath, and Calvin Smith. "Replication of the learning alliance inventory to blended student populations." Journal of Adult and Continuing Education 24, no. 1 (April 18, 2018): 100–116. http://dx.doi.org/10.1177/1477971418771090.

Full text

Abstract:

The therapeutic working alliance by Bordin has been demonstrated as a ‘common ground’ variable attributable to change in identified change enterprises, including education. In this context, working alliance (renamed learning alliance) has been empirically demonstrated to predict positive on-campus student outcomes. However, minimal research investigating whether learning alliance predicts blended student outcomes has been conducted. A measure of on-campus student teaching alliance (the learning alliance inventory, LAI; Rogers), which operationalises (measures) learning alliance using three subscales (collaborative bond, teacher competency and student investment) was administered to 199 Australian tertiary students, enrolled in a counselling program delivered in the blended learning modality (online learning coupled with synchronous tutorials and an on-campus intensive). The aim of the study was to investigate if this on-campus measure of learning alliance can validly measure learning alliance in blended student populations as well. Results revealed that learning alliance in the blended student population is best operationalised as a two-factor model (collaborative bond and student investment) only. Thematic analysis of an open question revealed learning alliance in the blended teaching environment is understood as four themes: qualities of the teacher, teacher style, mastery of the technology and unique online factors. These results were interpreted as evidence that the bond factor of the original learning alliance construct as operationalised by Bordin (1979) continues to be important in the blended teaching space, but other factors unique to blended learning are important for online learning alliance, including content relevancy, currency and validity, as well as a transparent and structured course delivery style, flexibility when technology fails and online objectivity. Study limitations, implications and future research recommendations are discussed.

APA, Harvard, Vancouver, ISO, and other styles

42

Tatman, Anthony W., and Keisha M. Love. "An Offender Version of the Working Alliance Inventory-Short Revised." Journal of Offender Rehabilitation 49, no. 3 (April 14, 2010): 165–79. http://dx.doi.org/10.1080/10509671003666560.

Full text

APA, Harvard, Vancouver, ISO, and other styles

43

Briggs, Denise Broholm, and Patrick H. Munley. "Therapist Stress, Coping, Career Sustaining Behavior and the Working Alliance." Psychological Reports 103, no. 2 (October 2008): 443–54. http://dx.doi.org/10.2466/pr0.103.2.443-454.

Full text

Abstract:

Relations were examined among therapist stress, coping styles, career sustaining behaviors and therapist working alliance. 160 therapists completed a demographic questionnaire, a rating of stress experienced in work as a psychotherapist, a rating of stress experienced in work with an individual client, the Perceived Stress Scale, the Career Sustaining Behavior Questionnaire, the COPE, and the Working Alliance Inventory. After controlling for demographic and therapists' stress variables, and alternating entry of Career Sustaining Behavior and COPE scores in the regression model. Career Sustaining Behavior contributed significant variance to predicting working alliance, and COPE scores accounted for significant variance in working alliance with active coping a significant predictor. Career Sustaining Behavior and COPE scores entered together accounted for significant unique variance in Working Alliance with career sustaining behavior and avoidant coping identified as significant predictors.

APA, Harvard, Vancouver, ISO, and other styles

44

Sønsterud, Hilda. "The Importance of the Working Alliance in the Treatment of Cluttering." Perspectives of the ASHA Special Interest Groups 4, no. 6 (December 26, 2019): 1568–72. http://dx.doi.org/10.1044/2019_pers-19-00057.

Full text

Abstract:

It is expected that the quality of the working alliance between speech-language pathologists (SLPs) and persons who clutter matters. The term working alliance is an important concept in cluttering and stuttering treatment and can be described as the degree to which the therapy dyad is engaged in collaborative, purposive work. The concept includes, among other factors, a shared understanding of therapy goals and the relevance of the therapy approach to achieving those goals. There has been an increasing interest regarding research that supports the therapeutic relationship as an evidence-based component of interventions in speech-language pathology, and recent research ( Sønsterud et al., 2019 ) supports that a critical element for successful stuttering therapy lies, among other factors, in the concept of the working alliance. Purpose Although there is consensus that SLPs should openly and honestly discuss the individual's goals and expectations for therapy, personal motivation and the impact of the working alliance for people who clutter have not been investigated. This clinical focus article highlights the importance of open and honest discussion around not only the individual's goals for treatment but also the tasks or activities to be incorporated in that treatment. Relevant and specific quantitative and qualitative assessments for measuring the working alliance are required to investigate the concept of the working alliance in more detail. The Working Alliance Inventory–Short Revised version is regarded to be one useful tool to evaluate this client–clinician relationship. The Working Alliance Inventory–Short Revised version is quick and easy to use and explores the working alliance across the 3 processes of bond, goal, and task. Conclusion This clinical focus article contains no research results. Anyhow, some considerations on this concept, both from a person who clutters and SLP perspectives, are included in this clinical focus article. Research is required to investigate whether shared understanding of treatment goals, agreement on tasks, and a respectful and trustful bond may become important predictors for successful therapy outcome also for people who clutter.

APA, Harvard, Vancouver, ISO, and other styles

45

Sabella, Scott A., Jared C. Schultz, and Trenton J. Landon. "Validation of a Brief Form of the Supervisory Working Alliance Inventory." Rehabilitation Counseling Bulletin 63, no. 2 (May 16, 2019): 115–24. http://dx.doi.org/10.1177/0034355219846652.

Full text

Abstract:

The Supervisory Working Alliance Inventory–Trainee Form (SWAI-T) is among the most frequently used instruments for measuring the quality of supervisor–supervisee relationships within counselor supervision. Although the full-scale SWAI-T instrument has proven utility, there are instances when a shorter form may be useful for research and field applications. The current study used secondary data from a pair of cross-sectional studies to test the utility of a brief form of the SWAI-T in a two-step process: (a) reduction of the SWAI-T based on item analyses from an electronic survey of 87 rehabilitation counselors working in a Western state vocational rehabilitation agency and (b) an initial validation study of the instrument using electronic survey responses from a national sample of 228 rehabilitation counselors working in private rehabilitation. The resultant 5-item scale showed evidence of high internal consistency, convergent validity, and minimal differences in psychometric properties relative to the full-scale instrument. An abbreviated supervisory working alliance scale offers practical advantages for select research purposes and for continuous evaluation of supervisory relationships in field environments.

APA, Harvard, Vancouver, ISO, and other styles

46

Bat Or, Michal, and Sigal Zilcha-Mano. "The Art Therapy Working Alliance Inventory: the development of a measure." International Journal of Art Therapy 24, no. 2 (November 14, 2018): 76–87. http://dx.doi.org/10.1080/17454832.2018.1518989.

Full text

APA, Harvard, Vancouver, ISO, and other styles

47

Hsu, Sharon, Ruth De-Hui Zhou, and Calvin Kai-Ching Yu. "A Hong Kong validation of working alliance inventory – short form – client." Asia Pacific Journal of Counselling and Psychotherapy 7, no. 1-2 (June 4, 2016): 69–81. http://dx.doi.org/10.1080/21507686.2016.1193036.

Full text

APA, Harvard, Vancouver, ISO, and other styles

48

Hsu, Sharon, and Calvin Kai-Ching Yu. "A Hong Kong study of working alliance inventory short form – therapist." Asia Pacific Journal of Counselling and Psychotherapy 8, no. 2 (April 7, 2017): 87–100. http://dx.doi.org/10.1080/21507686.2017.1313285.

Full text

APA, Harvard, Vancouver, ISO, and other styles

49

Paap, Davy, Melvin Schepers, and Pieter U. Dijkstra. "Reducing ceiling effects in the Working Alliance Inventory-Rehabilitation Dutch Version." Disability and Rehabilitation 42, no. 20 (January 24, 2019): 2944–50. http://dx.doi.org/10.1080/09638288.2018.1563833.

Full text

APA, Harvard, Vancouver, ISO, and other styles

50

Schlosser, Lewis Z., and Charles J. Gelso. "The Advisory Working Alliance Inventory--Advisor Version: Scale Development and Validation." Journal of Counseling Psychology 52, no. 4 (October 2005): 650–54. http://dx.doi.org/10.1037/0022-0167.52.4.650.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Working Alliance Inventory (WAI)'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles