The impact of patientsʼ and therapistsʼ views of the therapeutic alliance on treatment outcome in psychotherapy

Tschuschke, Volker; Koemeda-Lutz, Margit; von Wyl, Agnes; Crameri, Aureliano; Schulthess, Peter

doi:10.1097/NMD.0000000000001111

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	The impact of patientsʼ and therapistsʼ views of the therapeutic alliance on treatment outcome in psychotherapy
Authors:	Tschuschke, Volker Koemeda-Lutz, Margit von Wyl, Agnes Crameri, Aureliano Schulthess, Peter
et. al:	No
DOI:	10.1097/NMD.0000000000001111
Published in:	The Journal of Nervous and Mental Disease
Volume(Issue):	208
Issue:	1
Page(s):	56
Pages to:	64
Issue Date:	2020
Publisher / Ed. Institution:	Lippincott Williams & Wilkins
ISSN:	0022-3018 1539-736X
Language:	English
Subjects:	Therapeutic alliance; Process-outcome research
Subject (DDC):	616.8: Neurology, diseases of nervous system
Abstract:	This article reports about the role of psychotherapists in creating a good enough therapeutic alliance as the basic task for other therapeutic factors come into play. Data from a naturalistic study involving 237 patients treated by 68 psychotherapists using 10 different psychotherapy approaches were analyzed in a process-outcome research design. The results show that therapists had to adapt their alliance perspectives to patients' level of alliance ratings as treatments progressed. Treatment concepts did not play a role in outcome. The view of a similar quality of the therapeutic alliance seems to be an indispensable precondition for favorable treatment outcomes. Successful treatments were conducted more often by therapists who showed significant convergence of alliance ratings over time, whereas discrepant alliance ratings correlated significantly with unsuccessful treatments.
URI:	https://digitalcollection.zhaw.ch/handle/11475/19392
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	Applied Psychology
Organisational Unit:	Psychological Institute (PI)
Published as part of the ZHAW project:	Praxisstudie ambulante Psychotherapie Schweiz (PAP-S)
Appears in collections:	Publikationen Angewandte Psychologie

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Tschuschke, V., Koemeda-Lutz, M., von Wyl, A., Crameri, A., & Schulthess, P. (2020). The impact of patientsʼ and therapistsʼ views of the therapeutic alliance on treatment outcome in psychotherapy. The Journal of Nervous and Mental Disease, 208(1), 56–64. https://doi.org/10.1097/NMD.0000000000001111

Tschuschke, V. et al. (2020) ‘The impact of patientsʼ and therapistsʼ views of the therapeutic alliance on treatment outcome in psychotherapy’, The Journal of Nervous and Mental Disease, 208(1), pp. 56–64. Available at: https://doi.org/10.1097/NMD.0000000000001111.

V. Tschuschke, M. Koemeda-Lutz, A. von Wyl, A. Crameri, and P. Schulthess, “The impact of patientsʼ and therapistsʼ views of the therapeutic alliance on treatment outcome in psychotherapy,” The Journal of Nervous and Mental Disease, vol. 208, no. 1, pp. 56–64, 2020, doi: 10.1097/NMD.0000000000001111.

TSCHUSCHKE, Volker, Margit KOEMEDA-LUTZ, Agnes VON WYL, Aureliano CRAMERI und Peter SCHULTHESS, 2020. The impact of patientsʼ and therapistsʼ views of the therapeutic alliance on treatment outcome in psychotherapy. The Journal of Nervous and Mental Disease. 2020. Bd. 208, Nr. 1, S. 56–64. DOI 10.1097/NMD.0000000000001111

Tschuschke, Volker, Margit Koemeda-Lutz, Agnes von Wyl, Aureliano Crameri, and Peter Schulthess. 2020. “The Impact of Patientsʼ and Therapistsʼ Views of the Therapeutic Alliance on Treatment Outcome in Psychotherapy.” The Journal of Nervous and Mental Disease 208 (1): 56–64. https://doi.org/10.1097/NMD.0000000000001111.

Tschuschke, Volker, et al. “The Impact of Patientsʼ and Therapistsʼ Views of the Therapeutic Alliance on Treatment Outcome in Psychotherapy.” The Journal of Nervous and Mental Disease, vol. 208, no. 1, 2020, pp. 56–64, https://doi.org/10.1097/NMD.0000000000001111.