Alliance patterns over the course of short-term dynamic psychotherapy: The shape of productive relationships

Ueli Kramer, Yves de Roten, Véronique Beretta, Luc Michel, Jean-Nicolas Despland
2009 Psychotherapy Research  
The relevance of the shape of alliance processes over the course of psychotherapy has already been highlighted in several process-outcome studies on very brief psychotherapy. The present study applies the shape-of-change methodology to short-term dynamic psychotherapies (STDP) and complements this method with hierarchical linear modeling (HLM). A total of 50 psychotherapies of up to 40 sessions were included. The shape-ofchange methodology yields three main patterns: stable, linear and
more » ... linear and quadratic growth. In particular, the linear growth pattern, along with the slope parameter, is related to treatment outcome. This study sheds additional light on alliance process research, underlines the importance of alliance shape for outcome and also helps to understand its limitations better.
doi:10.1080/10503300902956742 pmid:19606388 fatcat:4q2eazqakrg63a7nd4vwpzk4h4