Johnson, I. and Waller, G. orcid.org/0000-0001-7794-9546 (2021) The perceived importance of alliance and technique adherence within cognitive behavioural therapy: A comparison of patients’ and therapists’ beliefs. Journal of Behavioral and Cognitive Therapy, 31 (3). pp. 239-247. ISSN 2589-9791
Abstract
Alliance and adherence to therapeutic techniques are key elements of Cognitive Behavioural Therapy (CBT). Therapists’ beliefs about how important alliance and technique adherence are throughout CBT might impact how they deliver therapy. Furthermore, these beliefs might or might not be congruent with patients’ therapy-related beliefs. This research investigated whether therapists hold similar beliefs to patients regarding the importance of alliance and technique adherence throughout CBT and whether therapists could accurately predict patients’ beliefs. CBT therapists (n = 103) and CBT patients (n = 181) rated the importance of alliance and technique adherence to CBT outcomes in early, mid and late therapy. Therapists also predicted patients’ responses. Mann-Whitney U tests compared therapists’ responses and therapists’ predictions with patients’ responses at each stage of therapy. Therapists rated alliance and technique adherence as more important than patients did throughout therapy, with the largest discrepancy for alliance in early therapy. Therapists accurately predicted patients’ alliance importance ratings but underestimated patients’ technique adherence importance ratings for early and mid-therapy. Therapists are encouraged to challenge their assumptions about patients’ therapy-related beliefs by having open discussions with patients. Therapists are encouraged to prioritise technique adherence as well as alliance in early CBT.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 Association Française de Therapie Comportementale et Cognitive. Published by Elsevier Masson SAS. This is an author produced version of a paper subsequently published in Journal of Behavioral and Cognitive Therapy. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | Cognitive behaviour therapy; Psychotherapy; Client attitudes; Therapist attitudes; Therapeutic alliance; Treatment compliance |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 27 Apr 2021 09:39 |
Last Modified: | 10 Apr 2022 00:38 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.jbct.2021.03.002 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:173475 |
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Filename: IJ paper - CBT 2021 (accepted version).pdf
Licence: CC-BY-NC-ND 4.0