Helping alliance in general psychiatric care
Publikation/Tidskrift/Serie: Book of abstracts: 36th International meeting, June 22 - 25, 2005, Montreal, Quebec, Canada, Mount Royal Centre; a lasting effect!
Dokumenttyp: Konferensbidrag: abstract
Förlag: Ulmer Textbank
Övrig information: Abstract: Aim: To study helping alliance in general psychiatric treatment in natural in- and out-patient settings with a variety of diagnoses, treatments and staff. Methods: In the in-patient study, discharged patients completed questionnaires regarding ward atmosphere and helping alliance, were rated on psychosocial functioning, and diagnosed. In the out-patient study, newly admitted patients, and staff, completed questionnaires regarding the helping alliance, and the patients also regarding motivation, symptoms and interpersonal problems. The patients were diagnosed and followed up concerning early dropout. Results: A multivariate analysis suggested that support, program clarity, and spontaneity were important ingredients in the establishment of helping alliance, and that support was the most important contributor in the in-patient study. The results also showed that patients with a high level of psychosocial functioning established better helping alliance, and that individuals with personality disorders developed weaker helping alliance. In the out-patient study a multivariate analysis showed that cold/distant and interpersonal sensitivity correlated negatively with helping alliance. Two factors predicted early dropout: low helping alliance and low age. Also, alliance perceived by the patients, not the staff, was the most essential variable. Discussion: The findings emphasise that a supportive and holding environment is important in establishing a good helping alliance. Since helping alliance is known to have an important influence on outcome, one conclusion must be that the staff in their endeavour to strengthen the supportive element may improve the therapeutic outcome as well. Also, that the most important client factors for establishing the helping alliance and for predicting early dropout are those relevant to interpersonal processes.
- Social Sciences
- therapeutic alliance
- helping alliance
"A lasting effect". 36th Annual Meeting, Society for Psychotherapy Research
2005-06-22 / 2005-06-25
- ISBN: 3-926002-18-2