Evidence Based Relationships 1: Therapeutic Alliance, Goals and Collaboration, Alliance Rupture–Repair, and Feedback-informed Care

Abstract

In the previous chapter, I introduced the reader to the ideas and research of the common factors. The common factors are varied and have demonstrated to have small to large effect sizes depending on what variable is being examined. In this chapter, I categorise four more evidence based relationship variables which tend to be more task orientated and aligned to the therapeutic alliance. Indeed, the therapeutic alliance, goals and collaboration, alliance rupture–repair, and feedback-informed care are four trans-theoretical factors that can contribute greatly to outcomes. At the same time, when poorly established they can and do impact negatively on client outcomes. This is not an exhaustive overview of the literature, rather each variable is briefly discussed, the evidence supporting the effectiveness is highlighted, and Top Tips are provided to assist the development of the practitioner.

Citation

Mahon, D. (2023), "Evidence Based Relationships 1: Therapeutic Alliance, Goals and Collaboration, Alliance Rupture–Repair, and Feedback-informed Care", Evidence Based Counselling & Psychotherapy for the 21st Century Practitioner, Emerald Publishing Limited, Leeds, pp. 39-51. https://doi.org/10.1108/978-1-80455-732-720231004