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Related Experiment Videos

Alliance and technique in short-term dynamic therapy.

P Crits-Christoph1, M B Connolly

  • 1Department of Psychiatry, University of Pennsylvania, Philadelphia 19104-2648, USA.

Clinical Psychology Review
|July 28, 1999
PubMed
Summary

In short-term dynamic psychotherapy (STDP), specific techniques, particularly exploratory interventions, show a more consistent link to successful outcomes than the therapeutic alliance. Further research is needed to clarify these relationships.

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Area of Science:

  • Psychotherapy Research
  • Clinical Psychology

Background:

  • The therapeutic alliance is a key predictor of outcomes in many psychotherapies.
  • Evidence for the alliance's role in short-term dynamic psychotherapy (STDP) is inconsistent.

Purpose of the Study:

  • To review existing studies on the predictive power of the alliance and techniques on STDP outcomes.
  • To examine the relationship between technical factors, the alliance, and treatment success in STDP.

Main Methods:

  • Systematic review of empirical studies on STDP.
  • Analysis of findings regarding the alliance-outcome and technique-outcome relationships.
  • Assessment of research on the interaction between technical factors and the alliance.

Main Results:

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  • The alliance's predictive role in STDP is inconsistent across studies.
  • Competence with exploratory interventions is linked to better STDP outcomes.
  • Limited evidence supports the potentiation of technical factors by a positive alliance or vice versa.

Conclusions:

  • Findings suggest that STDP outcomes are not solely due to nonspecific relationship factors.
  • Consistent links between techniques and outcomes warrant further efficacy and process research in STDP.
  • Methodological limitations highlight the need for more rigorous studies in this area.