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Related Experiment Videos

The relationship between interpersonal problems and the helping alliance.

Bernd Puschner1, Stephanie Bauer, Leonard M Horowitz

  • 1Ulm University, Germany.

Journal of Clinical Psychology
|October 27, 2004
PubMed
Summary
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Patients with interpersonal problems often experience initial difficulties in psychotherapy. However, these early challenges in the therapeutic alliance can improve over time, suggesting treatment can overcome initial relational hurdles.

Area of Science:

  • Psychology
  • Psychotherapy Research

Background:

  • Interpersonal problems are common in individuals seeking psychotherapy.
  • The quality of the helping alliance is a crucial factor in psychotherapy outcomes.

Purpose of the Study:

  • To investigate the prevalence of interpersonal problems in an outpatient sample.
  • To examine the relationship between patients' interpersonal problems and the therapeutic alliance.

Main Methods:

  • Utilized data from a large longitudinal naturalistic study.
  • Analyzed a sample of 714 outpatients using the Inventory of Interpersonal Problems (IIP) scales.

Main Results:

  • Patients reported significant interpersonal distress across multiple IIP scales at the start of therapy.

Related Experiment Videos

  • Specific interpersonal styles, such as "too hostile" or "too friendly," were associated with initial alliance quality.
  • Interpersonal problems at intake did not predict the therapeutic alliance 18 months later.

    • Conclusions:

    • A poor initial therapeutic alliance may improve during psychotherapy.
    • Findings have implications for psychotherapeutic practice and future research on interpersonal dynamics.