A systematic review of the effect of therapists’ internalised models of relationships on the quality of the therapeutic relationship

The quality of the therapeutic relationship has been identified as a key factor in predicting client outcomes, accounting for around 8% of variation (Horvath, Del Re, Flückiger, & Symonds, 2011; Martin, Garske, & Davis, 2000; Wampold, 2001). Although therapist factors have been seen as less...

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Main Authors: Steel, C., Macdonald, J., Schröder, Thomas
Format: Article
Published: Wiley 2018
Subjects:
Online Access:https://eprints.nottingham.ac.uk/41722/
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author Steel, C.
Macdonald, J.
Schröder, Thomas
author_facet Steel, C.
Macdonald, J.
Schröder, Thomas
author_sort Steel, C.
building Nottingham Research Data Repository
collection Online Access
description The quality of the therapeutic relationship has been identified as a key factor in predicting client outcomes, accounting for around 8% of variation (Horvath, Del Re, Flückiger, & Symonds, 2011; Martin, Garske, & Davis, 2000; Wampold, 2001). Although therapist factors have been seen as less relevant to therapeutic relationship quality than client factors, focus on therapist factors has steadily increased in line with the view that the therapist responds differently to different clients, due to their own personal characteristics and unconscious processes. Relational theory suggests that the therapist’s particular qualities combine with the client’s particular qualities to form a unique interpersonal context (e.g. Wachtel, 2008). Safran and Muran (2000) suggest that the interpersonal context is heavily influenced by client and therapist internalised patterns of relating formed in early childhood. Evidence shows that certain therapist factors do affect therapeutic relationship quality; the qualities of dependability, warmth and responsiveness in therapists have all been found to create stronger alliances (Ackerman & Hilsenroth, 2003). The importance of these mostly interpersonal characteristics imply that the internalised relational models of therapists may also be important in determining the type of relationship that is built and the therapeutic processes occurring within.
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spelling nottingham-417222020-05-04T19:53:19Z https://eprints.nottingham.ac.uk/41722/ A systematic review of the effect of therapists’ internalised models of relationships on the quality of the therapeutic relationship Steel, C. Macdonald, J. Schröder, Thomas The quality of the therapeutic relationship has been identified as a key factor in predicting client outcomes, accounting for around 8% of variation (Horvath, Del Re, Flückiger, & Symonds, 2011; Martin, Garske, & Davis, 2000; Wampold, 2001). Although therapist factors have been seen as less relevant to therapeutic relationship quality than client factors, focus on therapist factors has steadily increased in line with the view that the therapist responds differently to different clients, due to their own personal characteristics and unconscious processes. Relational theory suggests that the therapist’s particular qualities combine with the client’s particular qualities to form a unique interpersonal context (e.g. Wachtel, 2008). Safran and Muran (2000) suggest that the interpersonal context is heavily influenced by client and therapist internalised patterns of relating formed in early childhood. Evidence shows that certain therapist factors do affect therapeutic relationship quality; the qualities of dependability, warmth and responsiveness in therapists have all been found to create stronger alliances (Ackerman & Hilsenroth, 2003). The importance of these mostly interpersonal characteristics imply that the internalised relational models of therapists may also be important in determining the type of relationship that is built and the therapeutic processes occurring within. Wiley 2018-01 Article PeerReviewed Steel, C., Macdonald, J. and Schröder, Thomas (2018) A systematic review of the effect of therapists’ internalised models of relationships on the quality of the therapeutic relationship. Journal of Clinical Psychology, 74 (1). pp. 5-42. ISSN 1097-4679 attachment therapeutic relationship working alliance alliance/therapeutic alliance http://onlinelibrary.wiley.com/doi/10.1002/jclp.22484/full doi:10.1002/jclp.22484 doi:10.1002/jclp.22484
spellingShingle attachment
therapeutic relationship
working alliance
alliance/therapeutic alliance
Steel, C.
Macdonald, J.
Schröder, Thomas
A systematic review of the effect of therapists’ internalised models of relationships on the quality of the therapeutic relationship
title A systematic review of the effect of therapists’ internalised models of relationships on the quality of the therapeutic relationship
title_full A systematic review of the effect of therapists’ internalised models of relationships on the quality of the therapeutic relationship
title_fullStr A systematic review of the effect of therapists’ internalised models of relationships on the quality of the therapeutic relationship
title_full_unstemmed A systematic review of the effect of therapists’ internalised models of relationships on the quality of the therapeutic relationship
title_short A systematic review of the effect of therapists’ internalised models of relationships on the quality of the therapeutic relationship
title_sort systematic review of the effect of therapists’ internalised models of relationships on the quality of the therapeutic relationship
topic attachment
therapeutic relationship
working alliance
alliance/therapeutic alliance
url https://eprints.nottingham.ac.uk/41722/
https://eprints.nottingham.ac.uk/41722/
https://eprints.nottingham.ac.uk/41722/