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Original Articles

The Development of Therapeutic Alliance During Psychological Assessment: Patient and Therapist Perspectives Across Treatment

Pages 332-344 | Published online: 10 Jun 2010

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (26)

Leah Zelencich, Nikolaos Kazantzis, Dana Wong, Dean McKenzie, Marina Downing & Jennie Ponsford. (2020) Predictors of working alliance in cognitive behaviour therapy adapted for traumatic brain injury. Neuropsychological Rehabilitation 30:9, pages 1682-1700.
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Jan H. Kamphuis & Stephen E. Finn. (2019) Therapeutic Assessment in Personality Disorders: Toward the Restoration of Epistemic Trust. Journal of Personality Assessment 101:6, pages 662-674.
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Christopher Joseph Pagano, Meghan Colleen Commins Blattner & Sara Kaplan-Levy. (2019) Therapeutic Assessment With Child Inpatients. Journal of Personality Assessment 101:5, pages 556-566.
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Cesare Maffei, Marco Cavicchioli, Mariagrazia Movalli, Roberto Cavallaro & Andrea Fossati. (2018) Dialectical Behavior Therapy Skills Training in Alcohol Dependence Treatment: Findings Based on an Open Trial. Substance Use & Misuse 53:14, pages 2368-2385.
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Michael D. Barnett, Thomas D. Parsons, Brooke L. Reynolds & Lee A. Bedford. (2018) Impact of rapport on neuropsychological test performance. Applied Neuropsychology: Adult 25:3, pages 258-265.
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Justin D. Smith & Kaitlyn N. Egan. (2017) Trainee and Client Experiences of Therapeutic Assessment in a Required Graduate Course: A Qualitative Analysis. Journal of Personality Assessment 99:2, pages 126-135.
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Claire Frederick. (2016) Beyond Empathy: The Tree of Compassion With Malevolent Ego States. American Journal of Clinical Hypnosis 58:4, pages 331-346.
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Jennifer M. Doran. (2016) The working alliance: Where have we been, where are we going?. Psychotherapy Research 26:2, pages 146-163.
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Jon Hinrichs. (2016) Inpatient Therapeutic Assessment With Narcissistic Personality Disorder. Journal of Personality Assessment 98:2, pages 111-123.
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Justin D. Smith, Wendy C. Eichler, Kaila R. Norman & Steven R. Smith. (2015) The Effectiveness of Collaborative/Therapeutic Assessment for Psychotherapy Consultation: A Pragmatic Replicated Single-Case Study. Journal of Personality Assessment 97:3, pages 261-270.
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Elisabeth Cronin, Bethany L. Brand & Jonathan F. Mattanah. (2014) The impact of the therapeutic alliance on treatment outcome in patients with dissociative disorders. European Journal of Psychotraumatology 5:1.
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Jacques P. Barber, Sigal Zilcha-Mano, Robert Gallop, Marna Barrett, Kevin S. McCarthy & Ulrike Dinger. (2014) The associations among improvement and alliance expectations, alliance during treatment, and treatment outcome for major depressive disorder. Psychotherapy Research 24:3, pages 257-268.
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JoshuaA. Tiegreen, LorettaE. Braxton, EricB. Elbogen & Daniel Bradford. (2012) Building a Bridge of Trust: Collaborative Assessment With a Person With Serious Mental Illness. Journal of Personality Assessment 94:5, pages 513-521.
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FrankP. Pesale, MarkJ. Hilsenroth & JesseJ. Owen. (2012) Patient early session experience and treatment outcome. Psychotherapy Research 22:4, pages 417-425.
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JustinD. Smith & Carol George. (2012) Therapeutic Assessment Case Study: Treatment of a Woman Diagnosed With Metastatic Cancer and Attachment Trauma. Journal of Personality Assessment 94:4, pages 331-344.
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Filippo Aschieri & JustinD. Smith. (2012) The Effectiveness of Therapeutic Assessment With an Adult Client: A Single-Case Study Using a Time-Series Design. Journal of Personality Assessment 94:1, pages 1-11.
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ChristopherJ. Hopwood. (2010) An Interpersonal Perspective on the Personality Assessment Process. Journal of Personality Assessment 92:6, pages 471-479.
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Robin Westmacott, John Hunsley, Marlene Best, Orly Rumstein-McKean & Dwayne Schindler. (2010) Client and therapist views of contextual factors related to termination from psychotherapy: A comparison between unilateral and mutual terminators. Psychotherapy Research 20:4, pages 423-435.
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DanielM. Niederjohn & DanielT. Rogers. (2009) Objectivity in Evaluations for Assisted Suicide: Appreciating the Role of Relational and Intrapsychic Components. Journal of Forensic Psychology Practice 9:1, pages 70-81.
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Georgiana Shick Tryon, Sasha Collins Blackwell & Elizabeth Felleman Hammel. (2007) A meta-analytic examination of client–therapist perspectives of the working alliance. Psychotherapy Research 17:6, pages 629-642.
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MichaelP. Quirk, Philip Erdberg, Marlan Crosier & Bradley Steinfeld. (2007) Personality Assessment in Today's Health Care Environment: Therapeutic Alliance and Patient Satisfaction. Journal of Personality Assessment 89:2, pages 95-104.
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MarkJ. Hilsenroth, JaredA. Defife, MargaretM. Blake & ThomasD. Cromer. (2007) The effects of borderline pathology on short-term psychodynamic psychotherapy for depression. Psychotherapy Research 17:2, pages 172-184.
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MichelleB. Stein, JanetH. Pinsker-aspen & MarkJ. Hilsenroth. (2007) Borderline Pathology and the Personality Assessment Inventory (PAI): An Evaluation of Criterion and Concurrent Validity. Journal of Personality Assessment 88:1, pages 81-89.
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EricJ. Peters, MarkJ. Hilsenroth, ErinM. Eudell-Simmons, MatthewD. Blagys & Leonard Handler. (2006) Reliability and validity of the Social Cognition and Object Relations Scale in clinical use. Psychotherapy Research 16:5, pages 617-626.
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MarkJ. Hilsenroth, JaredA. Defife, MatthewD. Blagys & StevenJ. Ackerman. (2006) Effects of training in short-term psychodynamic psychotherapy: changes in graduate clinician technique. Psychotherapy Research 16:3, pages 293-305.
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Articles from other publishers (62)

Oliver Rumle Hovmand, Nina Reinholt, Kirstine Dichmann, Radoslav Borisov & Sidse Arnfred. (2023) Social phobia and evasiveness: trial protocol for a randomized controlled feasibility and superiority trial of the effect of Modified Collaborative Assessment vs. standard assessment on patients’ readiness for psychotherapy (CO-ASSM-RCT). Pilot and Feasibility Studies 9:1.
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Hale Martin & Jason Turret. 2023. Learning Disorders Across the Lifespan. Learning Disorders Across the Lifespan 249 269 .
C. Werdie Van Staden, C. Robert Cloninger & John Cox. 2023. Person Centered Medicine. Person Centered Medicine 85 103 .
Oliver Rumle Hovmand, Ole Jakob Storebø, Nina Reinholt, Jasmin Rejaye Gryesten & Sidse M. Arnfred. (2022) What is the effect of using collaborative assessment on symptomatology as an intervention in the treatment of mental illness? A systematic review and meta-analysis protocol. Systematic Reviews 11:1.
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Alexandria G. Bauer, Lesia M. Ruglass, Alina Shevorykin, Tanya C. Saraiya, Gabriella Robinson, Kechna Cadet, Lovelyne Julien, Thomas Chao & Denise Hien. (2022) Predictors of therapeutic alliance, treatment feedback, and clinical outcomes among African American women in treatment for co-occurring PTSD and SUD. Journal of Substance Abuse Treatment 139, pages 108766.
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Angélique AA Gruters, Inez HGB Ramakers, Frans RJ Verhey, Roy PC Kessels & Marjolein E de Vugt. (2021) A Scoping Review of Communicating Neuropsychological Test Results to Patients and Family Members. Neuropsychology Review 32:2, pages 294-315.
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E. Hale Martin. 2019. The Cambridge Handbook of Clinical Assessment and Diagnosis. The Cambridge Handbook of Clinical Assessment and Diagnosis 90 100 .
F. Brodard, I. Giroudeau, V. Quartier & P. Roman. (2019) La perception parentale de la pratique du bilan psychologique de l’enfant et de l’adolescent. Pratiques Psychologiques 25:4, pages 383-397.
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Marco Cavicchioli, Mariagrazia Movalli, Giulia Vassena, Pietro Ramella, Francesca Prudenziati & Cesare Maffei. (2019) The therapeutic role of emotion regulation and coping strategies during a stand-alone DBT Skills training program for alcohol use disorder and concurrent substance use disorders. Addictive Behaviors 98, pages 106035.
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Robyn L. Croft & Jennifer Watson. (2019) Student clinicians’ and clients’ perceptions of the therapeutic alliance and outcomes in stuttering treatment. Journal of Fluency Disorders 61, pages 105709.
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Dana Castro & Damien Fouques. (2019) Des personnalités évitantes plus évitantes que d’autres : intérêt du test de Rorschach dans la compréhension des facteurs qui s’opposent au processus psychothérapique. Annales Médico-psychologiques, revue psychiatrique 177:6, pages 582-587.
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Kevin S. McCarthy, Sigal Zilcha-Mano & Jacques P. Barber. 2019. Contemporary Psychodynamic Psychotherapy. Contemporary Psychodynamic Psychotherapy 75 88 .
Christopher J. Hopwood. (2018) A framework for treating DSM‐5 alternative model for personality disorder features. Personality and Mental Health 12:2, pages 107-125.
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Fredric N. BuschElizabeth L. Auchincloss. (2018) The Role of Psychoeducation in Psychodynamic Psychotherapy. Psychodynamic Psychiatry 46:1, pages 145-163.
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Anna Elisa de Villemor-Amaral & Ana Cristina Resende. (2018) Novo Modelo de Avaliação Psicológica no Brasil. Psicologia: Ciência e Profissão 38:spe, pages 122-132.
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Nelson Andrade-González, Guillermo Lahera & Alberto Fernández-Liria. (2016) Patient-Therapist Perspective of the Working Alliance in Psychotherapy. Psychiatric Quarterly 88:3, pages 623-633.
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Mark J. Hilsenroth & Marc J. Diener. 2017. The Cycle of Excellence. The Cycle of Excellence 161 188 .
Racheli Miller & Mark Hilsenroth. (2017) Assessing Anaclitic and Introjective Characteristics Using the SWAP-200 Q-Sort: Concurrent Validity with the Inventory of Interpersonal Problems Circumplex Scales. Clinical Psychology & Psychotherapy 24:4, pages 932-941.
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Seth R. Pitman, Mark J. Hilsenroth, Joel Weinberger, Francine Conway & Jesse Owen. (2017) Psychotherapy Technique Related to Changes in Anxiety Symptoms With a Transdiagnostic Sample. Journal of Nervous & Mental Disease 205:6, pages 427-435.
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R. Michael Bagby, Tara M. Gralnick, Nadia Al‐Dajani & Amanda A. Uliaszek. (2016) The role of the five‐factor model in personality assessment and treatment planning.. Clinical Psychology: Science and Practice 23:4, pages 365-381.
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Gil Bar-Sela, Inbal Mitnik & Doron Lulav-Grinwald. (2015) Perceptions of the working alliance among medical staff and cancer patients. Palliative and Supportive Care 14:3, pages 199-203.
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Jenelle Slavin-Mulford, Alyssa Clements, Mark Hilsenroth, Jocelyn Charnas & Jennifer Zodan. (2016) An examination of generalized anxiety disorder and dysthymia utilizing the Rorschach inkblot method. Psychiatry Research 240, pages 137-143.
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C. Robert Cloninger, Kevin M. Cloninger & Juan E. Mezzich. 2016. Person Centered Psychiatry. Person Centered Psychiatry 47 59 .
F. Aschieri, H. de Saeger & I. Durosini. (2015) L’évaluation thérapeutique et collaborative : preuves empiriques. Pratiques Psychologiques 21:4, pages 307-317.
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Dave F. Smits, Laurence Claes, Nele Stinckens & Dirk J. M. Smits. (2014) Clinicians’ Attitudes Towards Outcome and Process Monitoring: A Validation of the Outcome Measurement Questionnaire. Administration and Policy in Mental Health and Mental Health Services Research 42:5, pages 634-641.
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Patty Leijten, Daniel S. Shaw, Frances Gardner, Melvin N. Wilson, Walter Matthys & Thomas J. Dishion. (2014) The Family Check-Up and Service Use in High-Risk Families of Young Children: A Prevention Strategy with a Bridge to Community-Based Treatment. Prevention Science 16:3, pages 397-406.
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Vittorio Lingiardi & Antonello Colli. 2015. Psychotherapy Research. Psychotherapy Research 311 329 .
Avihay Sanders, Mark Hilsenroth & J. Christopher Fowler. (2014) Object representation quality, therapeutic alliance, and psychotherapy process. Bulletin of the Menninger Clinic 78:3, pages 197-227.
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Seth Pitman, Jenelle Slavin-Mulford & Mark Hilsenroth. (2014) Psychodynamic Techniques Related to Outcome for Anxiety Disorder Patients at Different Points in Treatment. Journal of Nervous & Mental Disease 202:5, pages 391-396.
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Scott W. Smith, Mark J. Hilsenroth, Katherine L. Fiori & Robert F. Bornstein. (2014) Relationship Between SWAP-200 Patient Personality Characteristics and Patient-Rated Alliance Early in Treatment. Journal of Nervous & Mental Disease 202:5, pages 372-378.
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Rolf Sundet. (2014) Patient-focused research supported practices in an intensive family therapy unit. Journal of Family Therapy 36:2, pages 195-216.
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Gregory N. Essig & Kevin R. Kelly. (2013) Comparison of the Effectiveness of Two Assessment Feedback Models in Reducing Career Indecision. Journal of Career Assessment 21:4, pages 519-536.
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Jesse Owen, Mark J. Hilsenroth & Emil Rodolfa. (2012) Interaction among Alliance, Psychodynamic–Interpersonal and Cognitive–Behavioural Techniques in the Prediction of Post‐session Change. Clinical Psychology & Psychotherapy 20:6, pages 513-522.
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Aarno Laitila & Mikko Oranen. (2013) Focused Dialogues in Training Contexts: A Model for Enhancing Reflection in Therapist’s Professional Practice. Contemporary Family Therapy 35:3, pages 599-612.
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Richard F. Summers, Yan Xuan & Donald N. Tavakoli. (2013) Teaching Focus in Psychotherapy: A Training Essential. Psychodynamic Psychiatry 41:1, pages 91-109.
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Rolf Sundet. (2013) Postmodern‐oriented practices and patient‐focused research: possibilities and hazards. Australian and New Zealand Journal of Family Therapy 33:4, pages 299-308.
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Leonard Handler & Justin D. Smith. 2012. Handbook of Psychology, Second Edition. Handbook of Psychology, Second Edition.
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Steinar Lorentzen, Jan Vegard Bakali, Anne Grete Hersoug, Knut A. Hagtvet, Torleif Ruud & Per Høglend. (2012) Psychodynamic Group Psychotherapy: Impact of Group Length and Therapist Professional Characteristics on Development of Therapeutic Alliance. Clinical Psychology & Psychotherapy 19:5, pages 420-433.
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Klara Kuutmann & Mark J. Hilsenroth. (2011) Exploring In‐Session Focus on the Patient–Therapist Relationship: Patient Characteristics, Process and Outcome. Clinical Psychology & Psychotherapy 19:3, pages 187-202.
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Meaghan E. Lehmann & Mark J. Hilsenroth. (2011) Evaluating Psychological Insight in a Clinical Sample Using the Shedler-Westen Assessment Procedure. Journal of Nervous & Mental Disease 199:5, pages 354-359.
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Steven R. SmithChauntel M. Wiggins & Tad T. Gorske. (2016) A Survey of Psychological Assessment Feedback Practices. Assessment 14:3, pages 310-319.
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Deborah J. Tharinger, Stephen E. Finn, Alison D. Wilkinson & Pamela McDonald Schaber. (2007) Therapeutic assessment with a child as a family intervention: A clinical and research case study. Psychology in the Schools 44:3, pages 293-309.
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Caleb J. Siefert, Mark J. Hilsenroth, Joel Weinberger, Matthew D. Blagys & Steven J. Ackerman. (2006) The relationship of patient defensive functioning and alliance with therapist technique during short-term psychodynamic psychotherapy. Clinical Psychology & Psychotherapy 13:1, pages 20-33.
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Uwe Hentschel. (2005) Die therapeutische AllianzTherapeutic alliance. Psychotherapeut 50:6, pages 385-393.
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Uwe Hentschel. (2005) Die Therapeutische AllianzTherapeutic alliance. Psychotherapeut 50:5, pages 305-317.
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