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Research Article

The sister concepts of working alliance and real relationship: A meta-analysis

ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon
Pages 247-268 | Received 28 Jul 2022, Accepted 17 Apr 2023, Published online: 23 Apr 2023

References

  • Aafjes-van Doorn, K., Békés, V., & Prout, T. A. (2020). *Grappling with our therapeutic relationship and professional self-doubt during COVID-19: Will we use video therapy again? Counselling Psychology Quarterly, 34, (3–4), 1–12. 10.1080/09515070.2020.1773404.
  • Alessi, E. J., Dillon, F. R., & Van Der Horn, R. (2019). *The therapeutic relationship mediates the association between affirmative practice and psychological well-being among lesbian, gay, bisexual, and queer clients: Psychotherapy. 56(2), 229–240. 10.1037/pst0000210
  • Alexander, L. B., & Luborsky, L. (1986). The penn helping alliance scales. In L. S. G. In & W. M. Pinsof (Eds.), The psychotherapeutic process: A research handbook (pp. 325–356). New York: Guilford Press.
  • Altman, A. D., Shapiro, L. A., & Fisher, A. J. (2020). Why does therapy work? An idiographic approach to explore mechanisms of change over the course of psychotherapy using digital assessments. Frontiers in Psychology, 11, 782. doi:10.3389/fpsyg.2020.00782
  • Baumann, E. C., & Hill, C. E. (2016). *Client concealment and disclosure of secrets in outpatient psychotherapy. Counselling Psychology Quarterly, 29(1), 53–75. 10.1080/09515070.2015.1023698
  • Bhatia, A., & Gelso, C. J. (2017). *The termination phase: therapists’ perspective on the therapeutic relationship and outcome. Psychotherapy, 54(1), 76–87. 10.1037/pst0000100
  • Bhatia, A., & Gelso, C. J. (2018). *Therapists’ perspective on the therapeutic relationship: examining a tripartite model. Counselling Psychology Quarterly, 31(3), 271–293. 10.1080/09515070.2017.1302409
  • Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252–260. doi:10.1037/h0085885
  • Cuijpers, P., Reijnders, M., & Huibers, M. J. H. (2019). The role of common factors in psychotherapy outcomes. Annual Review of Clinical Psychology, 15(1), 207–231. doi:10.1146/annurev-clinpsy-050718-095424
  • Doran, J. M., Safran, J. D., & Muran, J. C. (2016). *The alliance negotiation scale: a psychometric investigation. Psychological Assessment, 28(8), 885–897. 10.1037/pas0000222
  • Eugster, S. L., & Wampold, B. E. (1996). Systematic effects of participant role on evaluation of the psychotherapy session. Journal of Consulting and Clinical Psychology, 64(5), 1020–1028. doi:10.1037/0022-006X.64.5.1020
  • Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2018). The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy, 55(4), 316–340. doi:10.1037/pst0000172
  • Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2019). Alliance in adult psychotherapy. In J. C. Norcross & M. J. Lambert (Eds.), Psychotherapy relationships that work: volume 1: evidence-based therapist contributions (3rd ed. pp. 24–78). New York: Oxford University Press.
  • Flückiger, C., Horvath, A. O., & Brandt, H. (2022). The evolution of patients’ concept of the alliance and its relation to outcome: A dynamic latent-class structural equation modeling approach. Journal of Counseling Psychology, 69(1), 51–62. doi:10.1037/cou0000555
  • Friedlander, M. L., Escudero, V., Welmers-van de Poll, M. J., & Heatherington, L. (2019). Alliance in couple and family therapy. In J. C. Norcross & M. J. Lambert (Eds.), Psychotherapy relationships that work: volume 1: evidence-based therapist contributions (3rd ed. pp. 117–166). New York: Oxford University Press.
  • Fuertes, J. N., Gelso, C. J., Owen, J. J., & Cheng, D. (2013). Real relationship, working alliance, transference/countertransference and outcome in time-limited counseling and psychotherapy. Counselling Psychology Quarterly, 26(3–4), 294–312. doi:10.1080/09515070.2013.845548
  • Fuertes, J. N., Mislowack, A., Brown, S., Gur-Arie, S., Wilkinson, S., & Gelso, C. J. (2007). *Correlates of the real relationship in psychotherapy: A study of dyads. Psychotherapy Research, 17(4), 423–430. 10.1080/10503300600789189
  • Gelso, C. J. (2009). The real relationship in a postmodern world: theoretical and empirical explorations. Psychotherapy Research, 19(3), 253–264. doi:10.1080/10503300802389242
  • Gelso, C. J. (2011). The real relationship in psychotherapy: the hidden foundation of change (1st ed.). American Psychological Association.
  • Gelso, C. (2014). A tripartite model of the therapeutic relationship: theory, research, and practice. Psychotherapy Research, 24(2), 117–131. doi:10.1080/10503307.2013.845920
  • Gelso, C. J. (2019). The therapeutic relationship in psychotherapy practice: an integrative perspective. New York: Routledge.
  • Gelso, C. J., & Carter, J. A. (1994). Components of the psychotherapy relationship: their interaction and unfolding during treatment. Journal of Counseling Psychology, 41(3), 296–306. doi:10.1037/0022-0167.41.3.296
  • Gelso, C. J., Kelley, F. A., Fuertes, J. N., Marmarosh, C., Holmes, S. E., Costa, C., & Hancock, G. R. (2005). Measuring the real relationship in psychotherapy: initial validation of the therapist form. Journal of Counseling Psychology, 52(4), 640–649. doi:10.1037/0022-0167.52.4.640
  • Gelso, C. J., Kivlighan, D. M., Jr, Busa-Knepp, J., Spiegel, E. B., Ain, S., Hummel, A. M. … Markin, R. D. (2012). *The unfolding of the real relationship and the outcome of brief psychotherapy. Journal of Counseling Psychology, 59(4), 495–506. 10.1037/a0029838
  • Gelso, C. J., Kivlighan, D. M., Jr, & Markin, R. D. (2018). The real relationship and its role in psychotherapy outcome: A meta-analysis. Psychotherapy, 55(4), 434–444. doi:10.1037/pst0000183
  • Gelso, C. J., Kivlighan, D. M., Jr, & Markin, R. D. (2019). The real relationship. In J. C. Norcross & M. J. Lambert (Eds.), Psychotherapy relationships that work: volume 1: evidence-based therapist contributions (3rd ed. pp. 351–378). New York: Oxford University Press.
  • Gelso, C. J., & Kline, K. V. (2019). The sister concepts of the working alliance and the real relationship: On their development, rupture, and repair. Research in Psychotherapy: Psychopathology, Process and Outcome, 22(2), 142–149. doi:10.4081/ripppo.2019.373
  • Greenson, R. R. (1967). The technique and practice of psychoanalysis (Vol. 1). New York: International Universities Press.
  • Gullo, S., Lo Coco, G., & Gelso, C. (2012). Early and later predictors of outcome in brief therapy: the role of real relationship. Journal of Clinical Psychology, 68(6), 614–619. doi:10.1002/jclp.21860
  • Hatcher, R. L., & Gillaspy, J. A. (2006). Development and validation of a revised short version of the working alliance inventory. Psychotherapy Research, 16(1), 12–25. doi:10.1080/10503300500352500
  • Hill, C. E., Baumann, E., Shafran, N., Gupta, S., Morrison, A., Rojas, A. E. P. … Gelso, C. J. (2015). *Is training effective? A study of counseling psychology doctoral trainees in a psychodynamic/interpersonal training clinic. Journal of Counseling Psychology, 62(2), 184–201. 10.1037/cou0000053
  • Hill, C. E., Gelso, C. J., Chui, H., Spangler, P. T., Hummel, A., Huang, T. … Miles, J. R. (2014). To be or not to be immediate with clients: the use and perceived effects of immediacy in psychodynamic/interpersonal psychotherapy. Psychotherapy Research, 24(3), 299–315. doi:10.1080/10503307.2013.812262
  • Horvath, A. O., & Bedi, R. P. (2002). The alliance. In J. C. Norcross (Ed.), Psychotherapy relationships that work: therapist contributions and responsiveness to patients (pp. 37–69). New York: Oxford University Press.
  • Horvath, A. O., Del Re, A. C., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. In J. C. Norcross (Ed.), Psychotherapy relationships that work (2nd ed. pp. 25–69). New York: Oxford University Press. doi:10.1093/acprof:oso/9780199737208.003.0002
  • Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36(2), 223–233. doi:10.1037/0022-0167.36.2.223
  • Horvath, A. O., & Symonds, B. D. (1991). Relation between working alliance and outcome in psychotherapy: A meta-analysis. Journal of Counseling Psychology, 38(2), 139–149. doi:10.1037/0022-0167.38.2.139
  • Karver, M. S., De Nadai, A. S., Monahan, M., & Shirk, S. R. (2019). Alliance in child and adolescent psychotherapy. In J. C. Norcross & M. J. Lambert (Eds.), Psychotherapy relationships that work: volume 1: evidence-based therapist contributions (3rd ed. pp. 79–116). New York: Oxford University Press.
  • Kelley, F. A. (2015). *The therapy relationship with lesbian and gay clients. Psychotherapy, 52(1), 113–118. 10.1037/a0037958
  • Kelley, F. A., Gelso, C. J., Fuertes, J. N., Marmarosh, C., & Lanier, S. H. (2010). *The real relationship inventory: development and psychometric investigation of the client form. Psychotherapy: Theory, Research, Practice, Training, 47(4), 540–553. 10.1037/a0022082
  • Kivlighan, D. M., Jr, Hill, C. E., Gelso, C. J., & Baumann, E. (2016). *Working alliance, real relationship, session quality, and client improvement in psychodynamic psychotherapy: A longitudinal actor partner interdependence model. Journal of Counseling Psychology, 63(2), 149–161. 10.1037/cou0000134
  • Kivlighan, D. M., Jr, Kline, K., Gelso, C. J., & Hill, C. E. (2017). *Congruence and discrepancy between working alliance and real relationship: variance decomposition and response surface analyses. Journal of Counseling Psychology, 64(4), 394–409. 10.1037/cou0000216
  • Koole, S. L., & Tschacher, W. (2016). Synchrony in psychotherapy: A review and an integrative framework for the therapeutic alliance. Frontiers in Psychology, 7, 862. doi:10.3389/fpsyg.2016.00862
  • Leichsenring, F., Steinert, C., & Crits-Christoph, P. (2018). On mechanisms of change in psychodynamic therapy. Zeitschrift Für Psychosomatische Medizin Und Psychotherapie, 64(1), 16–22. doi:10.13109/zptm.2018.64.1.16
  • Lo Coco, G., Gullo, S., Prestano, C., & Gelso, C. J. (2011). *Relation of the real relationship and the working alliance to the outcome of brief psychotherapy. Psychotherapy, 48(4), 359–367. 10.1037/a0022426
  • Marmar, C. R., Horowitz, M. J., Weiss, D. S., & Marziali, E. (1986). The development of the therapeutic alliance rating system. In L. S. Greenberg & W. M. Pinsof (Eds.), The psychotherapeutic process: A research handbook (pp. 367–390). New York: Guilford Press.
  • Marmarosh, C. L., Gelso, C. J., Markin, R. D., Majors, R., Mallery, C., & Choi, J. (2009). *The real relationship in psychotherapy: relationships to adult attachments, working alliance, transference, and therapy outcome. Journal of Counseling Psychology, 56(3), 337–350. 10.1037/a0015169
  • Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68(3), 438–450. doi:10.1037/0022-006X.68.3.438
  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS medicine, 6(7), e1000097. doi:10.1371/journal.pmed.1000097.
  • Morales, K., Keum, B. T., Kivlighan, D. M., Jr, Hill, C. E., & Gelso, C. J. (2018). Therapist effects due to client racial/ethnic status when examining linear growth for client-and therapist-rated working alliance and real relationship. Psychotherapy, 55(1), 9–19. doi:10.1037/pst0000135
  • Norcross, J. C. (2002). Psychotherapy relationships that work: therapist contributions and responsiveness to patients. New York: Oxford University Press.
  • Norcross, J. C. (2011). Psychotherapy relationships that work: evidence-based responsiveness (2nd ed.). Oxford University Press. doi:10.1093/acprof:oso/9780199737208.001.0001
  • Norcross, J. C., & Lambert, M. J. (2018). Psychotherapy relationships that work III. Psychotherapy, 55(4), 303–315. doi:10.1037/pst0000193
  • Norcross, J. C., & Lambert, M. J. (2019). Psychotherapy relationships that work: volume 1: evidence-based therapist contributions (3rd ed.). New York: Oxford University Press.
  • Norwood, C., Moghaddam, N. G., Malins, S., & Sabin‐farrell, R. (2018). Working alliance and outcome effectiveness in videoconferencing psychotherapy: A systematic review and noninferiority meta‐analysis. Clinical Psychology & Psychotherapy, 25(6), 797–808. doi:10.1002/cpp.2315
  • Owen, J. J., Tao, K., Leach, M. M., & Rodolfa, E. (2011). *Clients’ perceptions of their psychotherapists’ multicultural orientation . Psychotherapy, 48, (3), 274–282. 10.1037/a0022065.
  • Pérez-Rojas, A. E., & Gelso, C. J. (2020). *International counseling students: Acculturative stress, cultural distance, and the process of counseling with US clients . Counselling Psychology Quarterly, 33, (3), 352–374. 10.1080/09515070.2018.1553145.
  • Pinto-Coelho, K. G., Hill, C. E., & Kivlighan, D. M., Jr. (2016). Therapist self-disclosure in psychodynamic psychotherapy: A mixed methods investigation. Counselling Psychology Quarterly, 29(1), 29–52. doi:10.1080/09515070.2015.1072496
  • Psychometrica. (n.d.). Online-calculator for testing correlations. Psychometrica. https://www.psychometrica.de/correlation.html
  • Ramseyer, F., Kupper, Z., Caspar, F., Znoj, H., & Tschacher, W. (2014). Time-series panel analysis (TSPA): multivariate modeling of temporal associations in psychotherapy process. Journal of Consulting and Clinical Psychology, 82(5), 828–838. doi:10.1037/a0037168
  • Shafran, N., Kivlighan, D. M., Gelso, C. J., Bhatia, A., & Hill, C. E. (2017). *Therapist immediacy: the association with working alliance, real relationship, session quality, and time in psychotherapy . Psychotherapy Research, 27, (6), 737–748. 10.1080/10503307.2016.1158884.
  • Suh, C. S., Strupp, H. G., & O’Malley, S. S. (1986). The vanderbilt process measures: the psychotherapy process scale (VPPS) and the negative indicators scale (VNIS). In L. S. Greenberg & W. M. Pinsof (Eds.), The psychotherapeutic process: A research handbook (pp. 285–323). New York: Guilford Press.
  • Wampold, B., & Imel, Z. (2015). The great psychotherapy debate: the evidence for what makes psychotherapy work. New York: Routledge. doi:10.1007/s12485-015-0054-3