A study in reliability and validation: What is the nature of the unique and joint contributions of therapist adherence and therapeutic alliance to treatment outcome?
Item
-
Title
-
A study in reliability and validation: What is the nature of the unique and joint contributions of therapist adherence and therapeutic alliance to treatment outcome?
-
Identifier
-
AAI9807981
-
identifier
-
9807981
-
Creator
-
Patton, Jennifer Ramsey.
-
Contributor
-
Adviser: Paul L. Wachtel
-
Date
-
1997
-
Language
-
English
-
Publisher
-
City University of New York.
-
Subject
-
Psychology, Clinical
-
Abstract
-
In the last fifteen years in the area of comparative psychotherapy outcome research, the necessity for documentation of therapist fidelity to treatment protocol has been widely recognized. To evaluate the differential impact of treatments, it is necessary to demonstrate that clinicians have delivered treatments as intended and that treatments are reliably discriminable. A preliminary version of the Beth Israel Adherence Scale (Santangelo, 1995) was developed to evaluate therapist adherence to behaviors specified by protocol in three brief treatments: psychodynamic psychotherapy, cognitive-behavioral therapy, and interpersonal-experiential therapy. Patients were participants in The Beth Israel Brief Psychotherapy Research Project which has been conducting an NIMH-funded pilot project on the efficacy of psychotherapy treatments and their differential capacity to respond to ruptures in the therapeutic alliance. Three raters used a shortened and refined version of the Beth Israel Adherence Scale to rate therapist adherence in 72 fifteen minute audiotaped segments excerpted from 24 cases, eight from each of the three therapies. Results demonstrated that therapists engaged in more behaviors reflective of their own orientations as opposed to those reflective of other treatment perspectives. Preliminary evidence indicated that the scale demonstrates psychometric properties to an acceptable degree: satisfactory to strong levels of interrater reliability and discriminant validity were obtained. A secondary and related goal of this study was to evaluate the unique and joint contributions of therapist adherence and therapeutic alliance to treatment outcome to further an understanding of the nature of the contributions of both specific and non-specific factors. Results relating to this question did not yield significance, but were suggestive of the need for further research.
-
Type
-
dissertation
-
Source
-
PQT Legacy CUNY.xlsx
-
degree
-
Ph.D.
