The Alliance as Mediator of Expectancy Effects in Short-Term Individual Therapy
The authors investigated the hypothesis that the therapeutic alliance mediates the relationship between pretherapy expectancy of improvement and psychotherapy outcome. Data were drawn from a comparative trial of 2 forms of short-term, time-limited individual psychotherapy ( W. E. Piper, A. S. Joyce,...
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| Veröffentlicht in: | Journal of consulting and clinical psychology 2003-08, Vol.71 (4), p.672-679 |
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| container_title | Journal of consulting and clinical psychology |
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| creator | Joyce, Anthony S Ogrodniczuk, John S Piper, William E McCallum, Mary |
| description | The authors investigated the hypothesis that the therapeutic alliance mediates the relationship between pretherapy expectancy of improvement and psychotherapy outcome. Data were drawn from a comparative trial of 2 forms of short-term, time-limited individual psychotherapy (
W. E. Piper, A. S. Joyce, M. McCallum, & H. F. Azim, 1998
). Measures of expectancy and outcome were based on an individualized assessment of target objectives; outcome was considered from 3 perspectives (patient, independent assessor, therapist). Using the
R. M. Baron and D. A. Kenny (1986)
procedure, the authors found evidence in support of the hypothesized mediation effect. The effect was evident when the alliance was rated from the perspective of either patient or therapist, and it accounted for one third of the direct impact of expectancy on outcome. Clinical implications and limitations of the study are discussed. |
| doi_str_mv | 10.1037/0022-006X.71.4.672 |
| format | Article |
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W. E. Piper, A. S. Joyce, M. McCallum, & H. F. Azim, 1998
). Measures of expectancy and outcome were based on an individualized assessment of target objectives; outcome was considered from 3 perspectives (patient, independent assessor, therapist). Using the
R. M. Baron and D. A. Kenny (1986)
procedure, the authors found evidence in support of the hypothesized mediation effect. The effect was evident when the alliance was rated from the perspective of either patient or therapist, and it accounted for one third of the direct impact of expectancy on outcome. Clinical implications and limitations of the study are discussed.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.71.4.672</identifier><identifier>PMID: 12924672</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adult ; Alliances ; Attitude to Health ; Biological and medical sciences ; Brief Psychotherapy ; Clinical outcomes ; Depressive Disorder, Major - therapy ; Expectation ; Expectations ; Female ; Follow-Up Studies ; Human ; Humans ; Individual Psychotherapy ; Male ; Mediators ; Medical sciences ; Mental illness ; Middle Aged ; Outpatient ; Patient Acceptance of Health Care ; Patients ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapeutic Outcomes ; Psychotherapies. Psychological and clinical counseling ; Psychotherapy ; Psychotherapy, Brief ; Therapeutic Alliance ; Therapeutic alliances ; Therapy ; Treatments</subject><ispartof>Journal of consulting and clinical psychology, 2003-08, Vol.71 (4), p.672-679</ispartof><rights>2003 American Psychological Association</rights><rights>2003 INIST-CNRS</rights><rights>Copyright American Psychological Association Aug 2003</rights><rights>2003, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a523t-b984e4f837ae43bd095680ba73f1e3300159aa5e6be59dd6dfaf2d98c96212683</citedby><cites>FETCH-LOGICAL-a523t-b984e4f837ae43bd095680ba73f1e3300159aa5e6be59dd6dfaf2d98c96212683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999,31000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15008325$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12924672$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Joyce, Anthony S</creatorcontrib><creatorcontrib>Ogrodniczuk, John S</creatorcontrib><creatorcontrib>Piper, William E</creatorcontrib><creatorcontrib>McCallum, Mary</creatorcontrib><title>The Alliance as Mediator of Expectancy Effects in Short-Term Individual Therapy</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>The authors investigated the hypothesis that the therapeutic alliance mediates the relationship between pretherapy expectancy of improvement and psychotherapy outcome. Data were drawn from a comparative trial of 2 forms of short-term, time-limited individual psychotherapy (
W. E. Piper, A. S. Joyce, M. McCallum, & H. F. Azim, 1998
). Measures of expectancy and outcome were based on an individualized assessment of target objectives; outcome was considered from 3 perspectives (patient, independent assessor, therapist). Using the
R. M. Baron and D. A. Kenny (1986)
procedure, the authors found evidence in support of the hypothesized mediation effect. The effect was evident when the alliance was rated from the perspective of either patient or therapist, and it accounted for one third of the direct impact of expectancy on outcome. Clinical implications and limitations of the study are discussed.</description><subject>Adult</subject><subject>Alliances</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Brief Psychotherapy</subject><subject>Clinical outcomes</subject><subject>Depressive Disorder, Major - therapy</subject><subject>Expectation</subject><subject>Expectations</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Human</subject><subject>Humans</subject><subject>Individual Psychotherapy</subject><subject>Male</subject><subject>Mediators</subject><subject>Medical sciences</subject><subject>Mental illness</subject><subject>Middle Aged</subject><subject>Outpatient</subject><subject>Patient Acceptance of Health Care</subject><subject>Patients</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapeutic Outcomes</subject><subject>Psychotherapies. Psychological and clinical counseling</subject><subject>Psychotherapy</subject><subject>Psychotherapy, Brief</subject><subject>Therapeutic Alliance</subject><subject>Therapeutic alliances</subject><subject>Therapy</subject><subject>Treatments</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0UuLFDEQB_AgijuufgEPEkS99Zj347gsoy6s7MERvIXqPNheerrbpFucb2-GGRzw4J4SyK8qVfwRek3JmhKuPxLCWEOI-rHWdC3WSrMnaEUttw2jVD9Fq7_gAr0o5YEQQhWRz9EFZZaJ6lfobnsf8VXfdzD4iKHgrzF0MI8Zjwlvfk_Rz_Vljzcp1WvB3YC_3Y95brYx7_DNELpfXVigx7VPhmn_Ej1L0Jf46nReou-fNtvrL83t3eeb66vbBiTjc9NaI6JIhmuIgreBWKkMaUHzRCPndVBpAWRUbZQ2BBUSJBas8VYxypThl-jDse-Ux59LLLPbdcXHvochjktxmkutjLGPQqmJkpw_DrmRVFitKnz7D3wYlzzUbZ2ighshqPwfYpQoTjnhFbEj8nksJcfkptztIO8dJe4QsTsk6A4JOk2dcDWyWvTm1HlpdzGcS06ZVvD-BKB46FOuAXbl7CQhhrPDiO-ODiZwU9l7yHPn-1ic99P5vz93KbfZ</recordid><startdate>20030801</startdate><enddate>20030801</enddate><creator>Joyce, Anthony S</creator><creator>Ogrodniczuk, John S</creator><creator>Piper, William E</creator><creator>McCallum, Mary</creator><general>American Psychological Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope></search><sort><creationdate>20030801</creationdate><title>The Alliance as Mediator of Expectancy Effects in Short-Term Individual Therapy</title><author>Joyce, Anthony S ; Ogrodniczuk, John S ; Piper, William E ; McCallum, Mary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a523t-b984e4f837ae43bd095680ba73f1e3300159aa5e6be59dd6dfaf2d98c96212683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Alliances</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Brief Psychotherapy</topic><topic>Clinical outcomes</topic><topic>Depressive Disorder, Major - therapy</topic><topic>Expectation</topic><topic>Expectations</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Human</topic><topic>Humans</topic><topic>Individual Psychotherapy</topic><topic>Male</topic><topic>Mediators</topic><topic>Medical sciences</topic><topic>Mental illness</topic><topic>Middle Aged</topic><topic>Outpatient</topic><topic>Patient Acceptance of Health Care</topic><topic>Patients</topic><topic>Psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapeutic Outcomes</topic><topic>Psychotherapies. Psychological and clinical counseling</topic><topic>Psychotherapy</topic><topic>Psychotherapy, Brief</topic><topic>Therapeutic Alliance</topic><topic>Therapeutic alliances</topic><topic>Therapy</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Joyce, Anthony S</creatorcontrib><creatorcontrib>Ogrodniczuk, John S</creatorcontrib><creatorcontrib>Piper, William E</creatorcontrib><creatorcontrib>McCallum, Mary</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Joyce, Anthony S</au><au>Ogrodniczuk, John S</au><au>Piper, William E</au><au>McCallum, Mary</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Alliance as Mediator of Expectancy Effects in Short-Term Individual Therapy</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>2003-08-01</date><risdate>2003</risdate><volume>71</volume><issue>4</issue><spage>672</spage><epage>679</epage><pages>672-679</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>The authors investigated the hypothesis that the therapeutic alliance mediates the relationship between pretherapy expectancy of improvement and psychotherapy outcome. Data were drawn from a comparative trial of 2 forms of short-term, time-limited individual psychotherapy (
W. E. Piper, A. S. Joyce, M. McCallum, & H. F. Azim, 1998
). Measures of expectancy and outcome were based on an individualized assessment of target objectives; outcome was considered from 3 perspectives (patient, independent assessor, therapist). Using the
R. M. Baron and D. A. Kenny (1986)
procedure, the authors found evidence in support of the hypothesized mediation effect. The effect was evident when the alliance was rated from the perspective of either patient or therapist, and it accounted for one third of the direct impact of expectancy on outcome. Clinical implications and limitations of the study are discussed.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>12924672</pmid><doi>10.1037/0022-006X.71.4.672</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Alliances Attitude to Health Biological and medical sciences Brief Psychotherapy Clinical outcomes Depressive Disorder, Major - therapy Expectation Expectations Female Follow-Up Studies Human Humans Individual Psychotherapy Male Mediators Medical sciences Mental illness Middle Aged Outpatient Patient Acceptance of Health Care Patients Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapeutic Outcomes Psychotherapies. Psychological and clinical counseling Psychotherapy Psychotherapy, Brief Therapeutic Alliance Therapeutic alliances Therapy Treatments |
| title | The Alliance as Mediator of Expectancy Effects in Short-Term Individual Therapy |
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