In Bordin's view, the alliance between the client and the therapist was a conscious and collaborative relationship, which was not concerned with transference. (Bordin, 1979) In essence, this view stresses that in the first instance there should be an agreement between the client and the therapist as to the aims and intentions of the therapy; as well as an agreement on certain specific tasks and their aims and purposes within the ambit of the therapy
In Bordin's view, the alliance between the client and the therapist was a conscious and collaborative relationship, which was not concerned with transference. (Bordin, 1979) In essence, this view stresses that in the first instance there should be an agreement between the client and the therapist as to the aims and intentions of the therapy; as well as an agreement on certain specific tasks and their aims and purposes within the ambit of the therapy
Conversely, Brown and O'Leary, (2000), concluded that in most cases the lack of a positive therapeutic alliance resulted in a lack of therapeutic progress and poor outcomes and retention. (Brown and O'Leary, 2000) Similarly, other studies have found that there is a strong positive correlation between positive and early development of therapeutic alliance and positive outcomes
These theories were to lead to numerous clinical trials in the 1950 and 60s, which tended to establish the view that empathic client - therapist alliances resulted in better results and outcomes. (Horvath, 2001)
The question of retention and the reason for a patient choosing to endure and remain in the process of therapy was raised by Freud. (Freud, 1912) the answer that Freud gave to this his question reflects on the issues at stake in this paper
At the same time, it should be flexible enough to accommodate the interventions of the therapist. (Gaston, 1990) These theories were reinforced by further studies and statistical measurement
This is supported by theorists like Greenson who noted that that positive collaboration between client and therapist was one of the essential components for therapeutic success. (Greenson, 1967) The concept of therapeutic alliance was further developed in the late 1970s by Luborsky (1976)
This is supported by theorists like Greenson who noted that that positive collaboration between client and therapist was one of the essential components for therapeutic success. (Greenson, 1967) The concept of therapeutic alliance was further developed in the late 1970s by Luborsky (1976)
These theories were to lead to numerous clinical trials in the 1950 and 60s, which tended to establish the view that empathic client - therapist alliances resulted in better results and outcomes. (Horvath, 2001)
These theories were to lead to numerous clinical trials in the 1950 and 60s, which tended to establish the view that empathic client - therapist alliances resulted in better results and outcomes. (Horvath, 2001)
These theories were to lead to numerous clinical trials in the 1950 and 60s, which tended to establish the view that empathic client - therapist alliances resulted in better results and outcomes. (Horvath, 2001)
Secondly, the client is encouraged to cooperate and even collaborate with the therapist in the process of therapy. (Luborsky, 1976) This type of alliance would then lead to a form of shared commitment from both client and therapist, which would have the best chance of positive therapeutic outcomes
Secondly, the client is encouraged to cooperate and even collaborate with the therapist in the process of therapy. (Luborsky, 1976) This type of alliance would then lead to a form of shared commitment from both client and therapist, which would have the best chance of positive therapeutic outcomes
. can run their normal course only if the participants are familiar with certain ground rules, including the purpose of the enterprise and the roles to be played by the participants" (Orne and Wender,1968, p
The therapeutic alliance was seen in many instances as being in itself therapeutic. (Rogers 1957)
Other research even goes as far as to assert that therapeutic alliance is in fact more important than the types of treatment used in theory. (Safran and Muran, 1996) Therapeutic alliance has become so important to therapy that it has even been referred to as the"
In 1934, Sterba defined alliance as the relationship between the reasonable aspects of both the therapist and the client. (Sterba, 1934) Therefore, in order to enable positive outcomes and retention, the client's ego "
Furthermore Cue, Dozier and Barnett, (1994) also states that on one hand, the insecure adults will have lower competency effect level and unawareness about their underlying feelings and on other hand the organizations of adult attachments can affect the adults' internal managerial effect (Kobak and Dozier, 1992; Shaver and Hazan, 1987). Importance of the therapeutic alliance in Boundary issues Since the start of psycho-analysis, the treatment boundaries were a continuous issue and they are developed in the twentieth century based on outpatient psychodynamic psychotherapy (Freud, Reich and Ferenzi)
The therapeutic alliance is also named as "envelope" by Dr. Glen Gabbard, Professor of psychiatry and psychotherapist at Baylor College of Medicine, as it represents a complete and whole relationship and also includes the psychodynamic treatment (Gabbard, 2009)
The therapeutic alliance is also named as "envelope" by Dr. Glen Gabbard, Professor of psychiatry and psychotherapist at Baylor College of Medicine, as it represents a complete and whole relationship and also includes the psychodynamic treatment (Gabbard, 2009)