Client Perceptions And Working Alliance

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Client Perceptions and Working Alliance

Author : Theresa Do
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (568 download)

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Book Synopsis Client Perceptions and Working Alliance by : Theresa Do

Download or read book Client Perceptions and Working Alliance written by Theresa Do and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND In recent years, there has been a push to measure and monitor the quality of health care and the delivery of effective services. Substance use disorders are debilitating and in order to better understand this facet of substance abuse, it is important for organizations and providers to assess the quality of services, client satisfaction, and the relationships that exist between clients and treatment providers. PURPOSE The purpose of the study was to (1) assess the extent of the relationship between measures of client perceptions of satisfaction and treatment outcomes and (2) to assess the relationship between measures of therapeutic alliance and treatment outcomes. METHODS Data was obtained from a larger study assessing organizational factors affecting the implementation of evidence-based practices in the treatment of substance use disorders. This study was focused on the client satisfaction survey data obtained during the months of August and December of 2008, consisting of several five-day periods, during which clients were asked to complete the survey. The study population consisted of 371 clients aged 18 to 64 years. Logistic regression was used to evaluate demographic and other substance use-disorder factors for each of the scales pertaining to client satisfaction (general satisfaction, access, and quality/appropriateness) and therapeutic alliance (bond, goal, and task) in order to obtain odds ratios and 95% confidence intervals. Pearson correlation coefficients were used to assess the strength of the relationship of each of the measures of client satisfaction and therapeutic alliance with client perceived outcomes. Due to the nature of the survey questions being adapted from validated measures, Cronbach's coefficient alphas were used to determine internal consistency and reliability within each of the scales. To further assess client measures of satisfaction, multivariate linear regression was used to examine whether a specific client satisfaction measure or therapeutic alliance measure was a significant predictor of better client perceived outcomes. RESULTS Client perceptions of satisfaction - general satisfaction, access, and quality/appropriateness (worse vs. better) were significantly associated with better client perceived outcomes. Therapeutic alliance measures were also significantly associated with better client perceived outcomes. The strongest predictors from logistic regression analysis were quality/appropriateness (OR = 14.45, 95% CI 1.16-19.01) and general satisfaction (OR = 11.96, 95% CI 7.04-20.33) followed by WAI Goal (OR = 5.56, 95% 3.29-9.39), access (OR = 5.81, 95% CI 3.55-9.50), WAI Task (OR = 4.42, 95% CI 3.29-9.39), and WAI Bond (OR =3.61, 95% CI 2.06-5.22). Cronbach's coefficient alphas were all above the .70 threshold indicating strong internal consistency among the measures of client satisfaction, therapeutic alliance and client perceived outcomes. Pearson correlation coefficients indicated moderate relationships between access, general satisfaction, WAI Bond, Goal and Task with client perceived outcomes. The strongest correlation was that of quality/appropriateness of treatment services and client-perceived outcomes (r = 0.61, p

Working Alliance Skills for Mental Health Professionals

Author : Jairo N. Fuertes
Publisher : Oxford University Press, USA
ISBN 13 : 019086852X
Total Pages : 249 pages
Book Rating : 4.1/5 (98 download)

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Book Synopsis Working Alliance Skills for Mental Health Professionals by : Jairo N. Fuertes

Download or read book Working Alliance Skills for Mental Health Professionals written by Jairo N. Fuertes and published by Oxford University Press, USA. This book was released on 2019-10-28 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: Working Alliance Skills for Mental Health Professionals provides expert guidance to mental health providers who wish to develop and augment their skills and competence in this area of practice. Each chapter deconstructs a dimension of the working alliance in psychotherapy, defining and describing specific mechanisms and interventions that can help professionals establish an alliance with their clients. The book includes skills in nonverbal communication, ways to foster the working bond with diverse clients, goal and task setting strategies, and verbal and interpersonal therapeutic skills, as well as mechanisms for repairing ruptures and for fostering the working alliance through supervision. The authors provide "in session" examples of how each skill may be implemented, and highlight the use of interventions through clinical vignettes and masked clinical cases. Working Alliance Skills for Mental Health Professionals is ideal for use in training programs in counseling, clinical psychology, and social work. It may also be valuable to professional-level practitioners interested in honing their skills in optimizing the working alliance.

Therapist and Client Perceptions of the Therapeutic Alliance

Author : Robert M. Cowle
Publisher :
ISBN 13 :
Total Pages : 384 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Therapist and Client Perceptions of the Therapeutic Alliance by : Robert M. Cowle

Download or read book Therapist and Client Perceptions of the Therapeutic Alliance written by Robert M. Cowle and published by . This book was released on 2003 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Client Perceptions of the Therapeutic Alliance and Session Outcome

Author : David Alan Cislo
Publisher :
ISBN 13 :
Total Pages : 364 pages
Book Rating : 4.:/5 (197 download)

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Book Synopsis Client Perceptions of the Therapeutic Alliance and Session Outcome by : David Alan Cislo

Download or read book Client Perceptions of the Therapeutic Alliance and Session Outcome written by David Alan Cislo and published by . This book was released on 1988 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Working Alliance

Author : Adam O. Horvath
Publisher : John Wiley & Sons
ISBN 13 : 9780471546405
Total Pages : 320 pages
Book Rating : 4.5/5 (464 download)

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Book Synopsis The Working Alliance by : Adam O. Horvath

Download or read book The Working Alliance written by Adam O. Horvath and published by John Wiley & Sons. This book was released on 1994-04-14 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past decade, the working alliance has emerged as possibly the most important conceptualization of the common elements in diverse therapy modalities. Created to define the relationship between a client in therapy or counseling and the client's therapist, it is a way of looking at and examining the vagaries and expectations and commitments previously implicit in the therapeutic relationship, explaining the cooperative aspects of the alliance between the two parties.

Therapeutic Presence

Author : Shari M. Geller
Publisher : American Psychological Association (APA)
ISBN 13 : 9781433810602
Total Pages : 0 pages
Book Rating : 4.8/5 (16 download)

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Book Synopsis Therapeutic Presence by : Shari M. Geller

Download or read book Therapeutic Presence written by Shari M. Geller and published by American Psychological Association (APA). This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors present their empirically based model of therapeutic presence, along with practical, experiential exercises for cultivating presence.

Predicting Therapy Working Alliance Through Client Adult Attachment and Client Perceptions of Therapist Behaviors

Author : Scott Eugene Bair
Publisher :
ISBN 13 :
Total Pages : 323 pages
Book Rating : 4.:/5 (61 download)

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Book Synopsis Predicting Therapy Working Alliance Through Client Adult Attachment and Client Perceptions of Therapist Behaviors by : Scott Eugene Bair

Download or read book Predicting Therapy Working Alliance Through Client Adult Attachment and Client Perceptions of Therapist Behaviors written by Scott Eugene Bair and published by . This book was released on 2007 with total page 323 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Psychotherapeutic Process

Author : Leslie S. Greenberg
Publisher : Guilford Press
ISBN 13 : 9780898626513
Total Pages : 734 pages
Book Rating : 4.6/5 (265 download)

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Book Synopsis The Psychotherapeutic Process by : Leslie S. Greenberg

Download or read book The Psychotherapeutic Process written by Leslie S. Greenberg and published by Guilford Press. This book was released on 1986-12-09 with total page 734 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive volume represents the first state-of-the-art handbook to appear in the field of process research in over a decade. Updating and expanding upon Kiesler's groundbreaking work (1973), Greenberg and Pinsof present here the most systems for understanding the mechanisms of change in individual, group, and family treatment. Special attention is given to the role of the alliance between therapist and client. Emphasizing the impact that empirical investigations can make on practice, the Handbook presents a wide variety of up-to-date process research systems and consolidates methodological information in the field.

Psychotherapy Relationships That Work

Author : John C. Norcross
Publisher : Oxford University Press
ISBN 13 : 0199930503
Total Pages : 457 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Psychotherapy Relationships That Work by : John C. Norcross

Download or read book Psychotherapy Relationships That Work written by John C. Norcross and published by Oxford University Press. This book was released on 2011-05-04 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in 2002, the landmark Psychotherapy Relationships That Work broke new ground by focusing renewed and corrective attention on the substantial research behind the crucial (but often overlooked) client-therapist relationship. This thoroughly revised edition brings a decade of additional research to the same task. In addition to updating each chapter, the second edition features new chapters on the effectiveness of the alliance with children and adolescents, the alliance in couples and family therapy, real-time feedback from clients, patient preferences, culture, and attachment style. The new editon provides "two books in one"--one on evidence-based relationship elements and one on evidence-based methods of adapting treatment to the individual patient. Each chapter features a specific therapist behavior that improves treatment outcome, or a transdiagnostic patient characteristic (such as reactance, preferences, culture, stage of change) by which clinicians can effectively tailor psychotherapy. All chapters provide original, comprehensive meta-analyses of the relevant research; clinical examples, and research-supported therapeutic practices by distinguished contributors. The result is a compelling synthesis of the best available research, clinical expertise, and patient characteristics in the tradition of evidence-based practice. The second edition of Psychotherapy Relationships That Work: Evidence-Based Responsiveness proves indispensible for any mental health professional. Reviews of the First Edition: "A veritable gold mine of research related to relationships, this is a volume that should be an invaluable reference for every student and practitioner of psychotherapy."--Psychotherapy "This is a MUST READ for any researcher, clinician, or counselor who is genuinely interested in the active ingredients of effective psychotherapy and who appreciates the importance of applying empirical evidence to the therapy relationship."--Arnold A. Lazarus, Ph.D., Distinguished Professor Emeritus, Rutgers University "Psychotherapy Relationships That Work is a superb contemporary textbook and reference source for students and professionals seeking to expand their knowledge and understanding of person-related psychotherapy." --Psychotherapy Research "One is struck with the thoroughness of all the chapters and the care and detail of presentation."--Brief Treatment and Crisis Intervention

The Real Relationship in Psychotherapy

Author : Charles J. Gelso
Publisher : American Psychological Association (APA)
ISBN 13 :
Total Pages : 208 pages
Book Rating : 4.:/5 (1 download)

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Book Synopsis The Real Relationship in Psychotherapy by : Charles J. Gelso

Download or read book The Real Relationship in Psychotherapy written by Charles J. Gelso and published by American Psychological Association (APA). This book was released on 2011 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: The concept of the real or personal relationship between client and therapist has existed since the earliest days of psychotherapy. In this engaging book, Charles J. Gelso argues the case for the relevance of the real relationship to successful therapeutic outcomes.

Effects of the Congruence Between Clients' Interpersonal Perceptions and Those of Others on the Early Therapeutic Alliance

Author : Kimberlly M. Buck
Publisher :
ISBN 13 :
Total Pages : 204 pages
Book Rating : 4.:/5 (123 download)

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Book Synopsis Effects of the Congruence Between Clients' Interpersonal Perceptions and Those of Others on the Early Therapeutic Alliance by : Kimberlly M. Buck

Download or read book Effects of the Congruence Between Clients' Interpersonal Perceptions and Those of Others on the Early Therapeutic Alliance written by Kimberlly M. Buck and published by . This book was released on 2005 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Consistent with predictions, clients' appraisals of their own interpersonal impacts were significantly incongruent with therapists' views of the clients and the combined views of the therapists and observers. Contrary to predictions, clients' appraisals of the therapists' interpersonal impacts were congruent with the therapists'. However, there was a significant difference on both dimensions of love and dominance between the mean of the therapists' and observers' appraisals of the therapists' interpersonal impact and the clients' appraisals of the therapists' interpersonal impact. Level of congruence between clients' and therapists' appraisals was significantly related to clients' self-reported symptom severity, but opposite of the predicted direction. Higher congruence between client and therapist appraisals was related to higher client self-reported symptom severity. Clients' symptom severity was also significantly related to the working alliance. Higher self-reported symptom severity was associated with a lower total working alliance score. Level of congruence between clients' and therapists' appraisals was not significantly related to the working alliance.

Master Therapists

Author : Thomas M. Skovholt
Publisher : Oxford University Press
ISBN 13 : 0190496584
Total Pages : 229 pages
Book Rating : 4.1/5 (94 download)

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Book Synopsis Master Therapists by : Thomas M. Skovholt

Download or read book Master Therapists written by Thomas M. Skovholt and published by Oxford University Press. This book was released on 2017-02-07 with total page 229 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this 10th Anniversary text, Thomas M. Skovholt and Len Jennings paint an elaborate portrait of expert or "master" therapists. The book contains extensive qualitative research from three doctoral dissertations and an additional research study conducted over a seven-year period on the same ten master therapists. This intensive research project on master therapists, those considered the "best of the best" by their colleagues, is the most extensive research on high-level functioning of mental health professionals ever done. Therapists and counselors can use the insights gained from this book as potential guidelines for use in their own professional development. Furthermore, training programs may adopt it in an effort to develop desirable characteristics in their trainees. Featuring a brand new Preface and Epilogue, this 10th Anniversary Edition of Master Therapists revisits a landmark text in the field of counseling and therapy.

Effects of Therapist Self-disclosure on Client Perceptions of the Therapeutic Alliance and Session Impact

Author : Tracey A. Fatzinger
Publisher :
ISBN 13 :
Total Pages : 200 pages
Book Rating : 4.:/5 (366 download)

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Book Synopsis Effects of Therapist Self-disclosure on Client Perceptions of the Therapeutic Alliance and Session Impact by : Tracey A. Fatzinger

Download or read book Effects of Therapist Self-disclosure on Client Perceptions of the Therapeutic Alliance and Session Impact written by Tracey A. Fatzinger and published by . This book was released on 1997 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Impact of Psychological Reactance on Client Perceptions of Styles of Therapeutic Alliance

Author : Alice M. Kobermann
Publisher :
ISBN 13 :
Total Pages : 64 pages
Book Rating : 4.:/5 (791 download)

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Book Synopsis Impact of Psychological Reactance on Client Perceptions of Styles of Therapeutic Alliance by : Alice M. Kobermann

Download or read book Impact of Psychological Reactance on Client Perceptions of Styles of Therapeutic Alliance written by Alice M. Kobermann and published by . This book was released on 1996 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Principles Of Psychoanalytic Psychotherapy

Author : Lester Luborsky
Publisher :
ISBN 13 :
Total Pages : 312 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Principles Of Psychoanalytic Psychotherapy by : Lester Luborsky

Download or read book Principles Of Psychoanalytic Psychotherapy written by Lester Luborsky and published by . This book was released on 1984-06-26 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this splendid book a master psychotherapist, one of the field's most respected researchers, provides the first definitive account of psychoanalytic psychotherapy in manual format. What distinguishes this book from other guides to therapy is the way in which the author systematically demystifies the therapeutic process, taking the reader step by step through a sequence of specific intervention strategies.The book offers the essence of psychoanalytic psychotherapy by extracting the treatment principles from Freud's six papers on technique and the Menninger Foundation tradition of supportive-expressive psychotherapy. At the heart of the expressive techniques is the Core Conflictual Relationship Theme method of delineating the transference pattern and providing a focus for the therapist's responses. Both the short-term and the usual open-ended treatment are presented. Each technique is illustrated by clinical vignettes. Precise measurement scales for each technique make it easy to evaluate the therapist's performance. Therapists, clinical supervisors, and researchers will all find this book to be a valuable source of practical information and inspiration.

Clients' Perception of Therapeutic Alliance as a Predictor of Increased Hope and Decreased Negative Affect and Symptoms

Author : Rebecca Ann Kraatz
Publisher :
ISBN 13 :
Total Pages : 216 pages
Book Rating : 4.:/5 (568 download)

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Book Synopsis Clients' Perception of Therapeutic Alliance as a Predictor of Increased Hope and Decreased Negative Affect and Symptoms by : Rebecca Ann Kraatz

Download or read book Clients' Perception of Therapeutic Alliance as a Predictor of Increased Hope and Decreased Negative Affect and Symptoms written by Rebecca Ann Kraatz and published by . This book was released on 2003 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Working Alliance Skills for Mental Health Professionals

Author : Jairo N. Fuertes
Publisher : Oxford University Press
ISBN 13 : 0190868538
Total Pages : 216 pages
Book Rating : 4.1/5 (98 download)

DOWNLOAD NOW!

Book Synopsis Working Alliance Skills for Mental Health Professionals by : Jairo N. Fuertes

Download or read book Working Alliance Skills for Mental Health Professionals written by Jairo N. Fuertes and published by Oxford University Press. This book was released on 2019-09-30 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Working Alliance Skills for Mental Health Professionals provides expert guidance to mental health providers who wish to develop and augment their skills and competence in this area of practice. Each chapter deconstructs a dimension of the working alliance in psychotherapy, defining and describing specific mechanisms and interventions that can help professionals establish an alliance with their clients. The book includes skills in nonverbal communication, ways to foster the working bond with diverse clients, goal and task setting strategies, and verbal and interpersonal therapeutic skills, as well as mechanisms for repairing ruptures and for fostering the working alliance through supervision. The authors provide "in session" examples of how each skill may be implemented, and highlight the use of interventions through clinical vignettes and masked clinical cases. Working Alliance Skills for Mental Health Professionals is ideal for use in training programs in counseling, clinical psychology, and social work. It may also be valuable to professional-level practitioners interested in honing their skills in optimizing the working alliance.