The authors describe psychometric characteristics of the new Therapy Process Observational Coding System-Alliance scale (TPOCS-A; B. D. McLeod, 2001) and illustrate its use in the study of treatment as usual. The TPOCS-A uses session observation to assess child-therapist and parent-therapist alliance. Both child and parent forms showed acceptable interrater reliability and internal consistency; when applied to cases treated for internalizing disorders, both forms were associated with youth outcomes. Child-therapist alliance during treatment predicted reduced anxiety symptoms at the end of treatment. Parent-therapist alliance during treatment predicted reduced internalizing, anxiety, and depression symptoms at the end of treatment. The findings held up well after confounding variables were controlled, which suggests that both child-therapist and parent-therapist alliance play key (and potentially different) roles in the outcome of treatment as usual.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1037/0022-006X.73.2.323 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A qualitative study on parents of autistic adolescents' experience of OT-ParentShip: A family-centred intervention.
Aust Occup Ther J
October 2023
School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Background: OT-ParentShip intervention addresses the needs of autistic adolescents and the physical and emotional burden associated with parental caregiving.
Aim: This article describes the qualitative findings of a mixed-method, single-group, pre-test-post-test pilot study to determine whether this intervention has adequate potential for further, large-scale testing.
Method: The qualitative study sought to understand 14 parents' (N = 4 couples, N = 6 mothers) experiences in the intervention, examine their satisfaction, and receive their suggestions for improvement, using a grounded approach, with the aim of conceptualising a theoretical understanding of the data gathered.
A Three-level Meta-analysis on the Alliance-Outcome Association in Child and Adolescent Psychotherapy.
Res Child Adolesc Psychopathol
March 2023
Research Institute of Child Development and Education, University of Amsterdam, P.O. Box 15780, 1001 NG, Amsterdam, The Netherlands.
Previous meta-analyses have found small to moderate associations between child-therapist alliance and treatment outcomes. However, these meta-analyses have not taken into account changes in alliance (i.e.
View Article and Find Full Text PDFChild-therapist and parent-therapist alliances and outcome in the treatment of children with oppositional defiant/conduct disorder.
Psychother Res
April 2023
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy; Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Objective: This study examined the quality of therapeutic alliance from different rater perspectives (child, parent, therapist) in cognitive behavioural therapy for children with oppositional defiant disorder (ODD) and conduct disorder (CD), and its association with symptom severity. Further, a panel model with an autoregressive cross-lagged panel design was used to explore whether therapist-rated and parent-rated therapeutic alliance influences change in symptom severity, or vice versa.
Methods: Sixty boys aged 6-12 years with a principal diagnosis of ODD/CD, and their parents, received individually delivered social competence training for childhood aggressive behaviour problems.
A Meta-Analysis on Differences and Associations between Alliance Ratings in Child and Adolescent Psychotherapy.
J Clin Child Adolesc Psychol
February 2023
Research Institute Child Development and Education, University of Amsterdam.
Objective: The alliance in child and adolescent psychotherapy is widely recognized as an important factor in therapy. Studies on the alliance have increasingly focused on assessment of the alliance as a dyadic construct, measuring both client and therapist alliance ratings. However, cross-informant reports of the alliance in child psychotherapy have not yet been subjected to meta-analysis.
View Article and Find Full Text PDFFour perspectives on traumatized youths' therapeutic alliance: Correspondence and outcome predictions.
Psychother Res
July 2022
Norwegian Centre for Violence and Traumatic Stress Studies, University of Oslo, Oslo, Norway.
Objective: Does the rater-perspective of youths' therapeutic alliance matter? To answer this, we evaluated the relationships between four perspectives of youths' alliance, then, we examined whether each perspective and potential discordance between the perspectives predicted outcomes.
Method: Participants were 65 youth ( age = 15.11, = 2.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!