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Title: Client and Therapist Factors Related to the Alliance in Therapy
Author: Hawker, Katharine A. J.
ISNI:       0000 0001 3546 7514
Awarding Body: University of Southampton
Current Institution: University of Southampton
Date of Award: 2008
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Over the last few decades, the importance of the therapeutic alliance in therapy has been established, with meta-analyses indicating an effect size of between .22 and .26 for the alliance on outcome. However, relatively few findings have been reported regarding factors associated with strong alliance, thus limiting clinicians' understanding of alliance development. In this review, client and therapist factors related to alliance were considered. Factors related to the alliance reviewed were attachment/interpersonal functioning; severity/type of presenting problem; personality factors and therapist technique and experience. Evaluation of current research findings indicated they are limited by their focus upon factors associated with, or perspectives of, only one member of the therapeutic dyad at anyone time. The research study carried out aimed to investigate further the relationship between client and therapist personality and the alliance, considering for the first time both members of the dyad together. Client personality factors were found to correlate with client ratings of the alliance and therapist personality factors were found to correlate with therapist alliance ratings. Relationships were also identified between client/therapist personality and the other member of the dyad's alliance rating. In addition, relationships were identified between client-therapist personality similarity and client/therapist working alliance ratings. Implications of the results for clinicians engaged in psychological therapy, issues regarding recruitment and other study limitations are discussed. Possible areas of future research are highlighted, with particular emphasis of the strength of the dyadic approach
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available