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Chiropractic Journal of Australia : CJA March 2013
Chiropractic Journal of Australia Volume 43 Number 1 March 2013 27 Research on racial dynamics in the counselling dyad suggests that the therapist must be aware of how both his/ her own as well as the client's racial identity affects the client.28 CONCLUSION It is the authors contention that current research is beginning to unravel the size of the impact that the therapeutic alliance may have in determining outcomes in physical and manual therapies. As such it important for the prudent practitioner to be mindful of its nature and seek to enhance its role. We are hopeful that continuing research in manual therapies will deepen our understanding of this mediating factor and ways to utilise it for improved outcomes. REFERENCES 1. Pransky G, Borkan J, Young A, Cherkin D. 2010. Are We Making Progress? The Tenth International Forum for Primary Care Research on Low Back Pain. 2. Ferreira P, Ferreira M, Maher C, Refshauge K, Latimer J, Herbert H, Adams, R. The therapeutic alliance between Physiotherapists and patients predicts outcome in chronic low back pain. Phys Ther 2010;90:1099-110. doi: 10.2522/ptj.20090245 3. Fuertes JN, Mislowack A, Bennett J, Paul L, Gilbert TC, Fontan G, Boylan LS: The physician-patient working alliance. Patient education and counselling 2007; 66(1):29-36. 4. Johansson P, Høglend P, Hersoug AG. Therapeutic alliance mediates the effect of patient expectancy in dynamic psychotherapy. Br J Clin Psychol 2011;50:283-97. doi: 10.1348/014466510X517406. Epub 2011 Mar 8. 5. Oxford Dictionary on line http://oxforddictionaries.com/defnition/ therapeutic+alliance- accessed 22/10/11. 6. Bordin, ES. The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice 1979;16: 252-60. 7. Martin DJ, Garske JP, Davis MK. Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. J Consult Clin Psychol 2000;68:438--50. 8. Bedi, RP, Horvath, AO. The therapeutic relationship: Research and theory. Psychother Res 2004;15(1-2): 3-8. 9. Allen S, Dalton WT. Treatment of eating disorders in primary care: A systematic review. J Health Psychol 2011;16:1165-76. Epub 2011 Apr 1 10. , Isserlin L, Couturier J, Therapeutic alliance and family-based treat- ment for adolescents with anorexia nervosa. Psychotherapy (Chic). 2011 Oct 3. [Epub ahead of print] 11. Ellis DA, Berio H, Carcone AI, Naar-King S. Adolescent and Parent Motivation for Change Affects Psychotherapy Outcomes Among Youth With Poorly Controlled Diabetes. J Pediatr Psychol 2011; Sep 20 12. Plexico LW, Manning WH, DiLollo A. Client perceptions of effective and ineffective therapeutic alliances during treatment for stuttering. J Fluency Disord 2010;35:333-54. Epub 2010 Jul 16. 13. Byrne MK, Deane FP. Enhancing patient adherence: outcomes of medication alliance training on therapeutic alliance, insight, adherence, and psychopathology with mental health patients. Int J Ment Health Nurs 2011;20(4):284-95. doi: 10.1111/j.1447-0349.2010.00722.x. Epub 2011 Feb 18. 14. Keeley ML, Geffken GR, Ricketts E, McNamara JP, Storch EA. The therapeutic alliance in the cognitive behavioral treatment of pediatric obsessive-compulsive disorder. J Anxiety Disord 2011;25:855-63. Epub 2011 Apr 8. 15. Weck F, Weigel M, Hautzinger M, Barocka A, Schlösser RG, Stangier U. Relapses in recurrent depression 1year after psychoeducational treatment: The role of therapist adherence and competence, and the therapeutic alliance. Psychiatry Res 2011 Aug 16. [Epub ahead of print] 16. Martin DJ, Garske JP, Davis MK. Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. J Consult Clin Psychol, 2000;68:438--50. 17. Horvath AO, Del Re AC, Flückiger C, Symonds D. Alliance in individual psychotherapy. Psychotherapy (Chic) 2011;48(1):9-16. 18. Flückiger C, Del Re AC, Wampold BE, Symonds D, Horvath AO. How central is the alliance in psychotherapy? A multilevel longitudinal meta-analysis. J Couns Psychol 2011; Oct 10. 19. Sharf J, Primavera LH, Diener MJ. Dropout and therapeutic alliance: a meta-analysis of adult individual psychotherapy. Psychotherapy (Chic) 2010;47:637-45. 20. Ravitz P, McBride C, Maunder R. Failures in interpersonal psychotherapy (IPT): factors related to treatment resistances. J Clin Psychol 2011;67:1129-39. doi: 10.1002/jclp.20850. Epub 2011 Oct 3. 21. Connors GJ, Carroll KM, DiClemente CC, Longabaugh R, Donovan DM. The therapeutic alliance and its relationship to alcoholism treatment participation and outcome.J Consult Clin Psychol 1997;65:588-98. 22. Luborsky, L. Update (1994) in R. Russell (1981,1994) Report on effective psychotherapy: Legislative testimony, Lake Placid, New York: Hillgarth Press 23. Mamodhoussen, Wright, Tremblay, Poitras-Wright. Impact of Marital and Psychological Distress on Therapeutic Alliance in Couples Undergoing Couple Therapy. J Marital Fam Ther 2005;31:(2) 159--69. 24. Auerbach, A, Johnson, M. A review of the impact of psychotherapy training on client outcome. Aust Psychol 1977; 36:122-30. 25. Dunkle, JH, Friedlander, ML. Contribution of therapist experience and personal characteristics to the working alliance. J Counselling Psychol 1996; 43:456-60. 26. Daniel, S. Adult attachment patterns and individual psychotherapy: A review. Clin Psychol Rev 2006;26:968-84. 27. Ogrodniczuk, JS, Piper, WE, McCallum, M, Joyce, AS, Rosie, JS. Interpersonal predictors of group therapy outcome for complicated grief. Internat J Group Psychother 2002;52:511-35. 28. Sue, S, Fujino, DC, Hu, L, Takeuchi, DT, Zane,N. Community mental health services for ethnic minority groups: A test of the cultural responsiveness hypothesis. J Consult Clinic Psychol 1991;59:533- 40. 29. Hartmann A, Orlinsky D, Zeeck A. The structure of intersession experience in psychotherapy and its relation to the therapeutic alliance. J Clin Psychol 2011;67:1044-63. doi: 10.1002/jclp.20826. Epub 2011 Jul 28. THERAPEUTIC ALLIANCE INNES • CAMERON
CJA December 2012
CJA June 2013