Using Attachment to Better Understand the Therapy Alliance: The Attachment Based Alliance Questionnaire

2018 ◽  
Vol 45 (2) ◽  
pp. 337-353 ◽  
Author(s):  
Lee N. Johnson ◽  
Scott A. Ketring ◽  
Jennifer Espino
Keyword(s):  
Therapy Alliance

Do Changes in Emotional States Predict Therapy Alliance in Dutch Male Offenders in Mandated Clinical Care?

2021 ◽  
pp. 0306624X2110137
Author(s):  
Marije Keulen-de Vos ◽  
Vivienne de Vogel
Keyword(s):  
Personality Disorders ◽  
Clinical Care ◽  
Emotional States ◽  
Regression Analyses ◽  
Global Alliance ◽  
Sexual Offenses ◽  
Male Offenders ◽  
Therapy Goals ◽  
Therapy Alliance ◽  
The Relationship

Therapy alliance has been studied largely in voluntary psychotherapy but less is known about its predictive factors for positive alliance and treatment outcome in forensic populations. The aim of this study was to examine the relationship between offenders’ emotional states and therapy alliance. Moreover, we were interested in the predictive impact of emotional states early in treatment on alliance at 18 months into treatment. Self-ratings of emotional states and alliance by 103 male offenders, and therapist-ratings for therapy alliance were examined using hierarchical multiple regression analyses. Participants were primarily convicted for violent of sexual offenses, and were diagnosed with antisocial, borderline or narcissistic personality disorders. Healthy emotional states were predictive of mid-treatment agreement on therapy goals and therapist ratings on tasks within the therapy. Unhealthy emotional states were predictive of patient-rated agreement on tasks. Emotional states were not predictive for the reported therapist/patient bond or global alliance ratings. This study emphasizes the importance of healthy emotional states in treatment of offenders with personality disorders.

The influence of therapy alliance and treatment motivation in patients with Cluster B personality disorders on incidents in forensic hospitals

2021 ◽  
Vol 23 (3) ◽  
pp. 272-284
Author(s):  
Maartje Clercx ◽  
Vivienne de Vogel ◽  
Marike Lancel ◽  
Marije Keulen-de Vos
Keyword(s):  
Personality Disorders ◽  
Psychiatric Patients ◽  
Therapy Outcome ◽  
Treatment Motivation ◽  
Content Type ◽  
Forensic Psychiatric Patients ◽  
Cluster B Personality Disorders ◽  
Nonspecific Factors ◽  
Therapy Alliance ◽  
Forensic Psychiatric

Purpose Nonspecific factors such as therapy alliance and treatment motivation have been shown to be predictive of therapy outcome. However, research investigating these factors among patients with personality disorders, or studies in the context of mandated treatment showed mixed results. A new theory furthermore speculates there may be differences between early formed therapeutic alliance (trait-like) versus alliance formed on the longer term (state-like). This paper aims to investigate the effects of therapy alliance and treatment motivation in 103 Dutch male forensic psychiatric patients with Cluster B personality disorders. Design/methodology/approach The authors used incidents as a measure of treatment outcome. They studied the effect of nonspecific factors on incidents in two phases, namely, 0 – 18 months and 18 – 36 months, along with known predictors of incidents (age, Historical items of the HCR-20 and psychopathy) as covariates. Findings Regression models predicting incidents in the first 18 months of treatment were nonsignificant. Incidents in the second 18 months were significantly predicted by models including alliance and motivation measured at the start of treatment, but not measures at 18 months and covariates. Predictors, except for age, were all nonsignificant. Practical implications These findings lend tentative support for the trait-like vs state-like theory of change through nonspecific factors. However, it may also be that other factors are more important in predicting therapy outcome in forensic psychiatric patients with Cluster B personality disorders. Originality/value The current study represents the first effort to study the effects of non-specific factors on therapeutic discourse in hospitalized offenders with Cluster B personality disorders.

scholarly journals Epidemiology and Outcomes of Candidemia in 2019 Patients: Data from the Prospective Antifungal Therapy Alliance Registry

2009 ◽  
Vol 48 (12) ◽  
pp. 1695-1703 ◽  
Author(s):  
David L. Horn ◽  
Dionissios Neofytos ◽  
Elias J. Anaissie ◽  
Jay A. Fishman ◽  
William J. Steinbach ◽  
...  
Keyword(s):  
Antifungal Therapy ◽  
Therapy Alliance
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