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Systemic Alliance and Progress in Individual Therapy: The Influence of Indirect Client System Alliance on Process and Progress in Individual Therapy

Schielke, Hugo Josef
http://rave.ohiolink.edu/etdc/view?acc_num=miami1385655060

Abstract Details

2013, Doctor of Philosophy, Miami University, Psychology.
Using the revised Individual Therapeutic Alliance Scale short form (ITASr-SF; Pinsof, Zinbarg, & Knobloch-Fedders, 2008), this study examined the session-by-session influence of indirect client system alliance (clients' important others' alliance to the client's therapy; Pinsof, 1989, 1995a, 2003) as well as the alliance as traditionally conceived (i.e., the direct alliance) on therapeutic progress in the first four sessions of individual psychotherapy. Results supported the construct validity of a systemic view of alliance in individual therapy that accounts for both direct and indirect therapeutic alliance: All four interpersonal alliance sub-systems (self- therapist, other-therapist, therapist-group, and within group) targeted by the ITASr-SF were identified as separate, reliable factors (i.e., Self, Other, Group, and Within alliance), and models representing systemic conceptualizations of the therapeutic alliance demonstrated the best fit with the underlying data. Consistent with traditional alliance theory (Bordin, 1979), when examined separately from other alliance factors, direct alliance (Self alliance) consistently predicted intersession progress with respect to target problems and symptom intensity; only important others' alliance to therapy (Other alliance) was found to be related to the rate and developmental course of change in therapy-targeted problems, however. Additional findings, clinical implications, limitations, and future directions are discussed.
William B. Stiles, Ph.D. (Committee Chair)
Rose Marie Ward, Ph.D. (Committee Member)
Margaret O'Dougherty Wright, Ph.D. (Committee Member)
M. Elise Radina, Ph.D. (Committee Member)
87 p.
Psychology; Psychotherapy
Therapeutic Alliance, Therapeutic Progress, Therapeutic Process, Systems, Systemic Alliance, Indirect Alliance, Important Others, Significant Others

Recommended Citations

Citations

  • Schielke, H. J. (2013). Systemic Alliance and Progress in Individual Therapy: The Influence of Indirect Client System Alliance on Process and Progress in Individual Therapy [Doctoral dissertation, Miami University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=miami1385655060

    APA Style (7th edition)

  • Schielke, Hugo. Systemic Alliance and Progress in Individual Therapy: The Influence of Indirect Client System Alliance on Process and Progress in Individual Therapy. 2013. Miami University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=miami1385655060.

    MLA Style (8th edition)

  • Schielke, Hugo. "Systemic Alliance and Progress in Individual Therapy: The Influence of Indirect Client System Alliance on Process and Progress in Individual Therapy." Doctoral dissertation, Miami University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=miami1385655060

    Chicago Manual of Style (17th edition)

miami1385655060
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© 2013, all rights reserved.
This open access ETD is published by Miami University and OhioLINK.