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Detection of Rupture-Repair Sequences in Patterns of Alliance Development: The Effects of Client vs. Therapist Raters and Therapist Training Status

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Degree
Master of Science (MS), Ohio University, Clinical Psychology (Arts and Sciences), .
Abstract

In an attempt to extend and replicate work by Kivlighan & Shaughnessy (2000) and Stiles et al. (2004) that showed client-reported rupture-repair sequences are associated with improved outcome, client and therapist WAI data from sessions 1,3,5, and 7 of a 7-session treatment in the Ohio University Helping Relationships Study are cluster analyzed. Clients (n=44) are undergraduates. Therapists are novice (n=5) and advanced (n=6) trainee graduate psychology students and graduate students in unrelated fields (n=12). Outcome is measured by IIP-C and OQ. Cluster analysis of client data reveals no quadratic pattern. Cluster analysis of therapist data reveals a quadratic pattern. Alternative coding reveals 5 client ruptures and 7 therapist ruptures. None is associated with outcome. Clients who indicate ruptures have high social skills. Four of five therapists have low Facilitative Interpersonal Skills. This work provides preliminary evidence that when therapists are interpersonally challenged, ruptures are not associated with outcome.

Subject Headings
Psychology, Clinical
Keywords
therapeutic alliance; psychotherapy process; process and outcome research; alliance patterns; alliance ruptures; therapeutic relationship; Facilitative Interpersonal Skills; therapist characteristics
Advisor
Timothy Anderson
Pages
120p.

Document number: ohiou1133405084
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