Is the Therapeutic Alliance Overvalued in the Treatment of Eating Disorders?

被引:30
|
作者
Brown, Amy [1 ]
Mountford, Victoria A. [1 ,2 ]
Waller, Glenn [3 ]
机构
[1] Kings Coll London, Inst Psychiat, Dept Psychol Med, London SE5 8AF, England
[2] South London & Maudsley NHS Fdn Trust, Eating Disorder Serv, London, England
[3] Univ Sheffield, Dept Psychol, Clin Psychol Unit, Sheffield S10 2TN, S Yorkshire, England
关键词
eating disorder; therapeutic alliance; outcome; COGNITIVE-BEHAVIORAL THERAPY;
D O I
10.1002/eat.22177
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
In this article, we make the case for a systematic program of research into the causal relationship between the therapeutic alliance and outcomes of psychological treatments for the eating disorders. To make that case, we need to begin by considering the validity of existing assumptions about that alliance-outcome relationship. We will then suggest what research is needed to allow clinicians to structure their work to best effect (e.g., should therapists focus on establishing a strong alliance even if it means not applying more therapy-specific techniques, or should they stress the application of those techniques even when the working alliance might seem likely to be weakened as a result). Although the authors have a background in cognitive-behavioral therapy (CBT), our aim is to suggest a research base that applies to a variety of psychotherapies, allowing for common or different conclusions about the alliance-outcome relationship, depending on what the proposed research indicates. (c) 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2013; 46:779-782)
引用
收藏
页码:779 / 782
页数:4
相关论文
共 50 条
  • [21] Therapist Ratings of Technique and Alliance Among Adults With Eating Disorders: Support for Integrative Treatment
    Giannopoulos, Evangeline
    Hilsenroth, Mark
    JOURNAL OF PSYCHOTHERAPY INTEGRATION, 2024,
  • [22] Journey of acculturation: developing a therapeutic alliance with Chinese adolescents suffering from eating disorders in Shenzhen, China
    Ma, Joyce L. C.
    JOURNAL OF FAMILY THERAPY, 2007, 29 (04) : 389 - 402
  • [23] Direct and indirect effects of psychological well-being and therapeutic alliance on therapy outcome in eating disorders
    Muzi, Laura
    Carone, Nicola
    Mirabella, Marta
    Franco, Anna
    Rugo, Michele A.
    Mazzeschi, Claudia
    Lingiardi, Vittorio
    FRONTIERS IN PSYCHOLOGY, 2024, 15
  • [24] EATING DISORDERS AND PSYCHOFARMACHOLOGY: RETHINK THE TREATMENT OF EATING DISORDERS
    Mendolicchio, Leonardo
    Apicella, Emanuela
    Ventura, Enrica
    PSYCHIATRIA DANUBINA, 2021, 33 : S63 - S68
  • [25] Eating disorders: outcome, prevention and treatment of eating disorders
    Ben-Tovim, DI
    CURRENT OPINION IN PSYCHIATRY, 2003, 16 (01) : 65 - 69
  • [26] TREATMENT EVALUATION FOR EATING DISORDERS BY CLIENTS WITH EATING DISORDERS
    NEWTON, T
    HARTLEY, P
    STURMEY, P
    BEHAVIOURAL AND COGNITIVE PSYCHOTHERAPY, 1993, 21 (04) : 371 - 374
  • [27] Therapeutic alliance and treatment attendance
    Dundon, WD
    Pettinati, HM
    Oslin, DW
    Lynch, KG
    Whittingham, TP
    Varillo, K
    Rabinowitz, A
    ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2004, 28 (05) : 26A - 26A
  • [28] Treatment compliance and the therapeutic alliance
    Munetz, MR
    PSYCHIATRIC SERVICES, 1998, 49 (11) : 1496 - 1497
  • [29] THE TREATMENT OF EATING DISORDERS
    YAGER, J
    JOURNAL OF CLINICAL PSYCHIATRY, 1988, 49 : 18 - 25
  • [30] TREATMENT OF EATING DISORDERS
    BRUCH, H
    MAYO CLINIC PROCEEDINGS, 1976, 51 (05) : 266 - 272