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Predictors of therapeutic outcome and process
Luis Botella1, Sergi Corbella, Laia Belles
1Department of Psychology, Ramon Llull University, Barcelona, Spain. lluisbg@blanquerna.url.es
Psychotherapy Research : Journal of the Society for Psychotherapy Research
|September 26, 2008
Summary
This study found that a strong therapeutic alliance predicts better psychotherapy outcomes and sustained improvement. Temporary alliance weakening and relapse did not negate positive long-term results.
Area of Science:
- Psychology
- Psychotherapy research
Background:
- The Blanquerna Psychotherapy Service in Barcelona conducted an intensive study.
- Understanding the relationship between therapeutic process and outcome is crucial in psychotherapy.
Purpose of the Study:
- To analyze the relationship between therapeutic alliance and psychotherapy outcome.
- To investigate the effects of temporary weakening of the therapeutic alliance and symptomatic relapse on therapeutic outcomes.
Main Methods:
- A study involving 239 clients at the Blanquerna Psychotherapy Service.
- Utilized the CORE Outcome Measure and the short version of the Working Alliance Inventory for assessment.
Main Results:
- A strong therapeutic alliance was a significant predictor of positive psychotherapy outcomes.
- Therapeutic change was maintained after treatment.
- Temporary weakening of the alliance and symptomatic relapse did not negatively impact the overall positive outcome.
Conclusions:
- The therapeutic alliance is a key factor in successful psychotherapy.
- Effective psychotherapy leads to sustained improvement and maintained therapeutic change.
- Even temporary setbacks in the therapeutic alliance or client symptoms do not preclude a positive overall outcome.
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