The first session is the one that counts: An exploratory study of therapeutic alliance

Background: The controversy about whether psychotherapy outcome is the consequence of the techniques themselves, common factors or both is still current. The importance of common factors has been demonstrated, although it is also known that they alone are insufficient. At the present time, the conte...

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Autores: Río Olvera, Francisco Javier del, Rodríguez Mora, Álvaro, Senín Calderón, María Cristina, Rodríguez Testal, Juan Francisco
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/141473
Acesso em linha:https://hdl.handle.net/11441/141473
https://doi.org/10.3389/fpsyg.2022.1016963
Access Level:acceso abierto
Palavra-chave:common factors
working alliance
early alliance
ORS
psychotherapy
SRS
STATIS DUAL
therapeutic alliance
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spelling The first session is the one that counts: An exploratory study of therapeutic allianceRío Olvera, Francisco Javier delRodríguez Mora, ÁlvaroSenín Calderón, María CristinaRodríguez Testal, Juan Franciscocommon factorsworking allianceearly allianceORSpsychotherapySRSSTATIS DUALtherapeutic allianceBackground: The controversy about whether psychotherapy outcome is the consequence of the techniques themselves, common factors or both is still current. The importance of common factors has been demonstrated, although it is also known that they alone are insufficient. At the present time, the contextual model grants heavy weight to the therapeutic alliance in the first sessions and seems to predict positive final results. Furthermore, monitoring sessions has demonstrated that this alliance improves. Objectives: To analyze the relationship between the therapeutic alliance and patient’s perceived improvement during the first five sessions of therapy, and find out whether the therapeutic alliance is maintained or unstable within that timeframe. Methods: Thirty-four patients at a university psychological care service who had had at least five therapy sessions participated. Of these, 70.46% were women (Mage = 24.24, SD = 6.73). The patients filled out the Outcome Rating Scale and Session Rating Scale the week before each session. Data were analyzed by the Dual STATIS method. Results: The compromise matrix explained 77.36% of the variability. The position of the vectors and the distribution of the position of the patients on the graph show that as their perception increased, therapeutic alliance remained stable. Moreover, the position of the vectors shows that the therapeutic alliance was forged in the first session and remained stable during the following sessions. Conclusion: This exploratory study demonstrated the importance of the first session in establishing the therapeutic alliance, and for it to remain stable, regardless of whether the rest of the therapeutic process has variations or changes. Novel use of the STATIS method for analyzing measurements in the first five sessions, showed that beginning the therapeutic intervention with a strong alliance, produced the favorable, lasting effects necessary for development of the intervention.Frontiers MediaPersonalidad, Evaluación y Tratamiento Psicológicos2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11441/141473https://doi.org/10.3389/fpsyg.2022.1016963reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésFrontiers in Psychology, 13, 1016963.https://dx.doi.org/10.3389/fpsyg.2022.1016963info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1414732026-06-17T12:51:07Z
dc.title.none.fl_str_mv The first session is the one that counts: An exploratory study of therapeutic alliance
title The first session is the one that counts: An exploratory study of therapeutic alliance
spellingShingle The first session is the one that counts: An exploratory study of therapeutic alliance
Río Olvera, Francisco Javier del
common factors
working alliance
early alliance
ORS
psychotherapy
SRS
STATIS DUAL
therapeutic alliance
title_short The first session is the one that counts: An exploratory study of therapeutic alliance
title_full The first session is the one that counts: An exploratory study of therapeutic alliance
title_fullStr The first session is the one that counts: An exploratory study of therapeutic alliance
title_full_unstemmed The first session is the one that counts: An exploratory study of therapeutic alliance
title_sort The first session is the one that counts: An exploratory study of therapeutic alliance
dc.creator.none.fl_str_mv Río Olvera, Francisco Javier del
Rodríguez Mora, Álvaro
Senín Calderón, María Cristina
Rodríguez Testal, Juan Francisco
author Río Olvera, Francisco Javier del
author_facet Río Olvera, Francisco Javier del
Rodríguez Mora, Álvaro
Senín Calderón, María Cristina
Rodríguez Testal, Juan Francisco
author_role author
author2 Rodríguez Mora, Álvaro
Senín Calderón, María Cristina
Rodríguez Testal, Juan Francisco
author2_role author
author
author
dc.contributor.none.fl_str_mv Personalidad, Evaluación y Tratamiento Psicológicos
dc.subject.none.fl_str_mv common factors
working alliance
early alliance
ORS
psychotherapy
SRS
STATIS DUAL
therapeutic alliance
topic common factors
working alliance
early alliance
ORS
psychotherapy
SRS
STATIS DUAL
therapeutic alliance
description Background: The controversy about whether psychotherapy outcome is the consequence of the techniques themselves, common factors or both is still current. The importance of common factors has been demonstrated, although it is also known that they alone are insufficient. At the present time, the contextual model grants heavy weight to the therapeutic alliance in the first sessions and seems to predict positive final results. Furthermore, monitoring sessions has demonstrated that this alliance improves. Objectives: To analyze the relationship between the therapeutic alliance and patient’s perceived improvement during the first five sessions of therapy, and find out whether the therapeutic alliance is maintained or unstable within that timeframe. Methods: Thirty-four patients at a university psychological care service who had had at least five therapy sessions participated. Of these, 70.46% were women (Mage = 24.24, SD = 6.73). The patients filled out the Outcome Rating Scale and Session Rating Scale the week before each session. Data were analyzed by the Dual STATIS method. Results: The compromise matrix explained 77.36% of the variability. The position of the vectors and the distribution of the position of the patients on the graph show that as their perception increased, therapeutic alliance remained stable. Moreover, the position of the vectors shows that the therapeutic alliance was forged in the first session and remained stable during the following sessions. Conclusion: This exploratory study demonstrated the importance of the first session in establishing the therapeutic alliance, and for it to remain stable, regardless of whether the rest of the therapeutic process has variations or changes. Novel use of the STATIS method for analyzing measurements in the first five sessions, showed that beginning the therapeutic intervention with a strong alliance, produced the favorable, lasting effects necessary for development of the intervention.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/141473
https://doi.org/10.3389/fpsyg.2022.1016963
url https://hdl.handle.net/11441/141473
https://doi.org/10.3389/fpsyg.2022.1016963
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Frontiers in Psychology, 13, 1016963.
https://dx.doi.org/10.3389/fpsyg.2022.1016963
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301603

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