Please use this identifier to cite or link to this item:
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: The impact of clients’ and therapists’ characteristics on therapeutic alliance and outcome
Authors: Tschuschke, Volker
Koemeda-Lutz, Margit
von Wyl, Agnes
Crameri, Aureliano
Schulthess, Peter
et. al: No
DOI: 10.1007/s10879-021-09527-2
Published in: Journal of Contemporary Psychotherapy
Issue Date: 10-Nov-2021
Publisher / Ed. Institution: Springer
ISSN: 0022-0116
Language: English
Subjects: Therapeutic alliance; Therapist-patient agreement; Alliance repair; Alliance rupture
Subject (DDC): 616.89: Mental disorders, clinical psychology and psychiatry
Abstract: This article investigates distances between therapists and their clients in their experience of the therapeutic alliance across the duration of the psychotherapeutic treatments in a naturalistic study. We looked at the working alliances from different vantage points—rupture, repair of ruptures, distances in the alliance impressions of both clients and therapists—and their correlation with treatment outcome. The only predictive variable of alliance ruptures was the inability of therapists to bond sufficiently with their clients regarding a sustainable working atmosphere, which could be identified through a continuous distant alliance rating by the therapists. Alliance ruptures in turn significantly predicted premature termination of treatments, whereas alliance ruptures per se did not necessarily predict treatment outcome. The paper discusses the possible role of the quality of therapists’ attachment styles as a potentially crucial variable in an effective working alliance in psychotherapy.
Further description: Erworben im Rahmen der Schweizer Nationallizenzen (
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
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

Files in This Item:
File Description SizeFormat 
2021_Tschuschke-etal_Impact-clients-therapists-characteristics.pdf599.61 kBAdobe PDFThumbnail

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.