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Pretherapy Interpersonal Relations, Patients' Alliance, and Outcome in Brief Therapy
Karla Moras, MA;
Hans H. Strupp, PhD
Arch Gen Psychiatry. 1982;39(4):405-409.
Abstract
This study examined the relationship between pretherapy clinical assessments of interpersonal relations and (1) patients' therapeutic alliance and (2) outcome in time-limited psychotherapy (up to 25 sessions). For 33 college men with symptoms of depression, anxiety, and social introversion, clinical judgments of interpersonal relations predicted patients' level of collaborative, positively toned participation in a therapeutic relationship, accounting for up to a quarter of the variance in observers' ratings of audiotaped segments from therapy sessions. Pretherapy assessments of overall psychological health were highly comparable with assessments of interpersonal relations as predictors of a patient's alliance; however, when the redundancy between the two types of clinical judgments was controlled, interpersonal relations were the better predictor. Assessments of interpersonal relations were found to correlate with outcome measures at a modest level.
Author Affiliations
From the Department of Psychology, Vanderbilt University, Nashville, Tenn. Ms Moras is now with the Connecticut Mental Health Center, New Haven, Conn.
Footnotes
Accepted for publication April 13, 1981.
An abbreviated version of this report was read before the European Conference of the Society for Psychotherapy Research, Oxford, England, July 4, 1979.
Reprint requests to Department of Psychology, Vanderbilt University, 134 Wesley Hall, Nashville, TN 37240 (Dr Strupp).
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