Document Detail

The development of therapeutic alliance during psychological assessment: patient and therapist perspectives across treatment.
MedLine Citation:
PMID:  15548469     Owner:  NLM     Status:  MEDLINE    
We examined the impact of patient- and therapist-rated alliance developed during psychological assessment on the subsequent alliance measured early and late in formal psychotherapy. We hypothesized that a working alliance developed during psychological assessment conducted from a collaborative therapeutic model of assessment (TMA; Finn & Tonsager, 1992, 1997; Fischer, 1994) between the patient and therapist would carry into formal psychotherapy. We also hypothesized that alliance for those patients receiving a TMA would be significantly greater than patients receiving psychological testing as usual. To test this hypothesis, we administered the Combined Alliance Short Form-Patient Version (Hatcher & Barends, 1996) and the Combined Alliance Short Form-Therapist Version (Hatcher, 1999) to a sample of outpatients and their therapists at the end of the assessment feedback session, early, and late in psychotherapy. The hypotheses were supported as alliance scales rated at the assessment feedback session demonstrated positive and significant relationships with alliance throughout formal psychotherapy and in relation to a control group. The clinical utility and research implications of these findings are discussed.
Mark J Hilsenroth; Eric J Peters; Steven J Ackerman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of personality assessment     Volume:  83     ISSN:  0022-3891     ISO Abbreviation:  J Pers Assess     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-11-19     Completed Date:  2005-03-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1260201     Medline TA:  J Pers Assess     Country:  United States    
Other Details:
Languages:  eng     Pagination:  332-44     Citation Subset:  IM    
Derner of Advanced Psychological Studies, Adelphi University, Garden City, NY 11530, USA.
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MeSH Terms
Diagnostic and Statistical Manual of Mental Disorders*
Personality Disorders / diagnosis*,  therapy*
Psychotherapy / methods*
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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