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Stefanie Otte1, Judith Streb1, Katharina Rasche1

  • 1Universität Ulm, Klinik für Forensische Psychiatrie und Psychotherapie am BKH Günzburg.

Fortschritte Der Neurologie-Psychiatrie
|July 31, 2018
PubMed
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The therapeutic alliance in forensic psychiatry is as effective as in general psychiatry. Forensic patients perceive therapeutic techniques as more valuable, potentially due to longer therapy durations allowing for better relationship building.

Area of Science:

  • Psychiatry
  • Psychology

Background:

  • Forensic psychiatry settings may impact therapeutic relationships due to coercion and therapist role conflict.
  • Therapeutic alliance is crucial for treatment outcomes in both general and forensic psychiatric contexts.

Purpose of the Study:

  • To compare the therapeutic relationship quality between forensic and general psychiatric patients.
  • To investigate patient perceptions of therapeutic techniques' value in achieving treatment goals.

Main Methods:

  • Utilized the Working Alliance Inventory - Short Revised (WAI-SR) and other psychometric tools.
  • Included 52 forensic psychiatric patients and 66 general psychiatric patients.
  • Employed descriptive analyses, univariate and multivariate t-tests, and general linear models.

Related Experiment Videos

Main Results:

  • No significant difference in the quality of the therapeutic alliance between forensic and general psychiatric patients.
  • Forensic patients rated therapeutic techniques as more valuable for achieving their aims compared to general psychiatric patients.

Conclusions:

  • The therapeutic relationship in forensic psychiatry is as viable as in general psychiatry.
  • Longer therapy durations in forensic settings may facilitate stronger relationship building.