Descriptive study of the perception of the psychotherapeutic relationship in patients from the city of San Luis
Keywords:
Therapeutic alliance, psychotherapy, therapeutic relationshipAbstract
To investigate the patient’s perception of the therapeutic relationship and assessments about the therapist which could be facilitating, we designed a study using a non-probabilistic sample composed by 108 patients (M = 31.90, SD = 11.54), residents in San Luis, Argentina. The Helping Alliance Questionnaire - HAq-II was used (Luborsky et al., 1996) and a questionnaire built ad hoc, too. In general, the results show an appropriate therapeutic relationship and a high rating of therapist aspects such as warmth, seriousness, understanding, trust, respect, interest and commitment. Women therapists obtained higher scores in warmth and seriousness, trust, commitment to work, among others. Patients without knowledge of the different psychotherapy approaches tend to assess more positively relational aspects of the therapeutic relationship; meanwhile those who have knowledge have higher expectations about the results that are intended to be achieved.
Downloads
References
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, Nueva York: Lawrence Earlbaum Associates.
Conn, H., Medrano, L. A., & Moretti, L. (2013). Adaptación del cuestionario de alianza de ayuda revisado versión paciente (HAQ-II-P) para la población de cordobeses. Terapia Psicológica, 31(2), 165-174.
Corbella, S. & Botella, L. (2003). La alianza terapéutica: historia, investigación y evaluación. Anales de Psicología, 19(2), 205-221.
Critelli, J. W. & Neumann, K. F. (1984). The placebo: conceptual analysis of a construct in transition. American Psychologist, 39, 32-39.
Crits-Christoph, P., Gallop, R., Temes, C. M., Woody, G., Ball, S. A., Martino, S., & Carroll, K. (2009). The Alliance in Motivational Enhancement Therapy and Counseling as Usual for Substance Use Problems. Consulting and Clinical Psychology, 77(6), 1125-1135.
Del Re, A. C., Flückiger, C., Horvath, A., Symonds, D., & Wampold, B. (2012). Therapist effects in the therapeutic alliance–outcome relationship: A restricted-maximum likelihood meta-analysis. Clinical Psychology Review, 32(7), 642-649.
Fridlander, V., Heatherington, L., & Myna, L. (2009). La Alianza Terapéutica en la terapia familiar y de pareja. Madrid: Paidós Ibérica.
Lambert, M. J., Shapiro, D. A., & Bergin, A. E. (1986). The effectiveness of psychotherapy. In S. L. Garfield & A. E. Bergin (Eds.), Handbook of psychotherapy and behavior change (pp. 157-212). New York: Wiley.
Luborsky, L., Barber, J. P., Siqueland, L., Johnson, S., Najavits, L. M., Frank, A., & Daley, D. (1996). The revised Helping Alliance Questionnaire (HAq-II): Psychometric properties. Psychotherapy Practice and Research, 6(3), 260-271.
Nadelson, C. C., Notman, M. T., & McCarthy, M. K. (2008). Gender issues in psychotherapy. Paradigm, 12(2),14-18.
Norcross, J. C. (2011). Psychotherapy relationships that work: Evidence-based responsiveness (2ª ed.). New York: Oxford University Press.
Petry, N. M. & Bickel, W. K. (1999). Therapeutic Alliance and Psychiatric Severity as Predictors of Completion of Treatment for Opioid Dependence. Psychiatric Services, 50(2), 219-227.
Romero, A. F. (2008). Factores atribucionales de la efectividad psicoterapéutica. Anales de psicología, 24(1), 88-99.
Ryan, R. M. & Deci, E. L. (2008). A self-determination theory approach to psychotherapy: The motivational basis for effective change. Canadian Psychology, 49, 186-193.
Ryan, R. M., Lynch, M. F., Vansteenkiste, M., & Deci, E. L. (2011). Motivation and Autonomy in Counseling, Psychotherapy, and Behavior Change: A Look at Theory and Practice. The Counseling Psychologist, 39(2), 193-260.
Santa Cruz, S. & Sepúlveda, R. (2010). Alianza terapéutica: traducción, adaptación y validación del Helping Alliance Questionarie II (HAQ-II) de Lester Luborsky para estándares chilenos (Tesis de Magíster en Psicología Clínica). Universidad del Desarrollo. Santiago, Chile. Recuperado de http://biblioteca.udd.cl/pergamo/OPAC/pgopac.cgi?VDOC?2?39002
Santibáñez, P. (2002). La Alianza en Psicoterapia: Una sistematización. Terapia Psicológica, 20(1), 9-21.
Shields, C. & McDaniel, S. (1992). Process Differences between male and female therapist in a first family interview. Marital and Family Therapy, 18, 143-151.
Wiseman, H., Tishby, O., & Barber, J. (2012). Collaboration in Psychodynamic Psychotherapy. Journal of Clinical Psychology: In session, 68(2), 136-145.
Downloads
Published
Issue
Section
License
Copyright: In the event that the manuscript is approved for future publication, the authors retain the copyright and assign to the journal the rights to publish, edit, reproduce, distribute, exhibit, and communicate nationally and internationally in the various databases, repositories and portals.
Self-archiving policy: The author can share, disseminate, and publicize his research published by the media (e.g., academic social networks, repositories, and portals) available on the web. During the editorial review process, the journal will provide the author with the previous versions (post-print) which should NOT be disclosed by any media, only for personal use and for final approval. Liberabit will send the author the final version of the article (published version) in PDF and HTML to be shared, disseminated and disclosed by the media available on the web. After the publication of the articles, the authors can make other independent or additional agreements for the non-exclusive dissemination of the version of the article published in this journal (publication in books or institutional repositories), provided that it is indicated with the respective reference that the work has been published for the first time in this journal.