자료유형 | 학위논문 |
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서명/저자사항 | The Therapeutic Alliance in Individual Resiliency Training for First Episode Psychosis: Relationship with Treatment Outcomes and Therapy Participation. |
개인저자 | Browne, Julia. |
단체저자명 | The University of North Carolina at Chapel Hill. Psychology. |
발행사항 | [S.l.]: The University of North Carolina at Chapel Hill., 2019. |
발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2019. |
형태사항 | 79 p. |
기본자료 저록 | Dissertations Abstracts International 81-04B. Dissertation Abstract International |
ISBN | 9781085783200 |
학위논문주기 | Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2019. |
일반주기 |
Source: Dissertations Abstracts International, Volume: 81-04, Section: B.
Advisor: Penn, David L. |
이용제한사항 | This item must not be sold to any third party vendors.This item must not be added to any third party search indexes. |
요약 | The therapeutic alliance, or the relationship between the client and provider, has long been considered an essential part of treatment. Despite a large body of work examining the alliance-outcome relationship, very few studies have examined it within individuals with first episode psychosis (FEP). Given the dearth of research examining alliance and outcome in FEP in tandem with the sizeable rise in specialized FEP programs throughout the United States, the potential benefits of this work are substantial. As such, the present study examined the therapeutic alliance and its relationship to treatment outcomes and therapy participation in a sample of 144 FEP clients who received specialized FEP treatment at U.S. clinics. Furthermore, the present study extended prior literature by utilizing an observer-rated alliance measure and by examining between-therapist and within-therapist effects of alliance on outcomes. Results indicated that a better therapeutic alliance was related to improved mental health recovery, psychological well-being, quality of life, total symptoms, negative symptoms, and disorganized symptoms at the end of 24 months controlling for the baseline measure of outcome and treatment-related covariates. Additionally, the between-therapist effect of the alliance was significantly related to better mental health recovery whereas the within-therapist effect of the alliance was related to better quality of life, total symptoms, and negative symptoms at the end of treatment controlling for the baseline measure of outcome and treatment-related covariates. Future work should consider examining mediators of the alliance-outcome relationship as well as how changes in the alliance relate to changes in outcomes over time. |
일반주제명 | Clinical psychology. Psychology. Counseling psychology. |
언어 | 영어 |
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