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The relationship between clients' personality traits, working alliance and therapy
Umeå University, Faculty of Social Sciences, Department of Psychology.ORCID iD: 0000-0001-7336-1657
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
2017 (English)In: Current Issues in Personality Psychology, ISSN 2353-4192, Vol. 5Article in journal (Refereed) Published
Abstract [en]

Objectives: This study investigated the relationships between client personality traits, and changes in those traits after cognitive behavioral or psychodynamic short-term therapy, and clients' perceived working alliances with their therapists and their clinical outcomes at a university training clinic in Sweden.

Design: This was a longitudinal study, with the measures collected at pre- and post-therapy.

Methods: The sample consisted of 138 clients with moderate psychological symptoms. Personality traits were measured using the Health-Relevant Personality Inventory, a health-relevant instrument that measures five factors.

Results: The results showed that Antagonism, Impulsivity, Hedonic Capacity, and Negative Affectivity improved significantly during therapy, while Alexithymia did not. Pre-therapy personality traits were not related to perceived working alliances (as measured by the Working Alliance Inventory) or therapeutic outcomes (as measured by the Clinical Outcomes in Routine Evaluation Outcome Measure). Post-therapy personality traits negative affectivity, hedonic capacity and alexithymia were related to working alliance, and changes in personality traits were predictive of therapy outcome. The change in Hedonic Capacity and Negative Affectivity explained about 20% of the variance in post-therapy symptoms after controlling for pre-therapy symptoms.

Conclusions: The results suggest that therapeutic foci on hedonism (extraversion) and negative affectivity (neuroticism) could be important for working alliance formation and symptom reduction in therapy. Future research should examine whether changes in clients' negative affectivity or hedonic capacity mediates the relation between perceived working alliance quality and clinical outcome in training and other psychotherapeutic contexts.

Place, publisher, year, edition, pages
Termedia Publishing House LTD , 2017. Vol. 5
Keyword [en]
outcome, client personality traits, HP5i, psychotherapy training, alliance
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:umu:diva-132273DOI: 10.5114/cipp.2017.65244ISI: 000404358900007OAI: oai:DiVA.org:umu-132273DiVA: diva2:1080159
Projects
The Outcome and Prediction of Outcome in Psychotherapy Training Programs
Available from: 2017-03-09 Created: 2017-03-09 Last updated: 2017-07-19Bibliographically approved

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Dennhag, IngaYbrandt, HeleneSundström, Anna
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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
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Language
  • de-DE
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  • Other locale
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Output format
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  • asciidoc
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