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Socialization to the Model: The Active Component in the Therapeutic Alliance? A Preliminary Study

Published online by Cambridge University Press:  22 November 2010

Jo Daniels  and
Alison J. Wearden
Jo Daniels*
Affiliation:
University of Bath, UK
Alison J. Wearden
Affiliation:
University of Manchester, UK
*
Reprint requests to Jo Daniels, Department of Psychology, University of Bath, Claverton Down, Bath BA2 7AY, UK. E-mail: jo.daniels@live.com
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Abstract

Background: Therapeutic alliance has been found to be a significant predictor of outcome in psychotherapy yet what constitutes therapeutic alliance remains unclear. Examining the common constructs of therapeutic alliance, it is possible that there may be a conceptual overlap between active components of therapeutic alliance and socialization to the treatment model. Aim: To investigate the relationship between socialization to the model and therapeutic alliance. Method: Participants (N = 43) were taken from the active treatment arm in a RCT for the treatment of chronic fatigue syndrome (CFS/ME). Therapeutic alliance was measured using a 5-item questionnaire (brief CALPAS) and socialization to the model was extracted from therapy tapes using a novel coding system. Results: Key findings were that when patients and therapists agreed about goals of treatment, there were higher levels of concordance, less evidence of applying principles incongruent to the model, and less resistance during the treatment sessions. Conclusions: The outcome of this preliminary study contributes to the potential understanding of active components in the therapeutic alliance, and supports further research to achieve a more detailed picture of “non-specific” factors in therapy, including the active process of socialization in therapeutic alliance.

Keywords

Therapeutic alliancecognitive-behaviour therapysocializationactive componentsChronic Fatigue SyndromeCALPAS
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 2 , March 2011 , pp. 221 - 227
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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References

Andrusyna, T. P., Tang, T. Z., DeRubeis, R. J. and Luborsky, L. (2001). The factor structure of the working alliance inventory in cognitive-behavioral therapy. Journal of Psychotherapy Practice and Research, 10, 173–178.Google Scholar
Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy, 16, 252–260Google Scholar
Martin, D. J., Garske, J. P. and Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. Journal of Consulting and Clinical Psychology, 68, 438–450.Google Scholar
Muran, J., Safran, J., Wallner Samstag, L., Gorman, B., Twining, L. and Winston, A. (1995). Linking in-session change to overall outcome in short-term cognitive therapy. Journal of Consulting and Clinical Psychology, 63, 651–657.Google Scholar
Roos, J. and Wearden, A. J. (2009). What do we mean by “socialization to the model”: a Delphi study. Behavioural and Cognitive Psychotherapy, 37, 341–345Google Scholar
Roos, J. and Wearden, A. J. (submitted). Mechanisms of change in “pragmatic rehabilitation” for Chronic Fatigue Syndrome: dynamic illness cognitions and socialization to the treatment model.Google Scholar
Sharpe, M. C., Archard, L. C., Banatvala, J. E., Borysiewicz, L. K., Clare, A. W., David, A., Edwards, R. H. T., Hawton, K. E. H., Lambert, H. P., Lane, R. J. M., McDonald, E. M., Mowbray, J. F., Pearson, D. J., Peto, T. E. A., Preedy, V. R., Smith, A. P., Smith, D. G., Taylor, D. J., Tyrrell, D. A. J., Wessely, S. and White, P. D. (1991). A report – chronic fatigue syndrome: guidelines for research. Journal of the Royal Society of Medicine, 84, 118–121.CrossRefGoogle ScholarPubMed
Wearden, A. J., Dowrick, C., Chew-Graham, C., Bentall, R. P., Morriss, R. K., Peters, S., Riste, L., Richardson, G., Lovell, K. and Dunn, G, on behalf of the FINE Trial writing group and the FINE Trial group (2010). Nurse led, home based self help treatment for patients in primary care with chronic fatigue syndrome: randomised controlled trial. British Medical Journal, 340: c1777 doi:10.1136/bmj.c1777.Google Scholar
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