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Client self-image, therapist acting, and the establishment of the therapeutic alliance in a training context
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
2018 (English)In: European Journal of Psychotherapy, ISSN 1364-2537, E-ISSN 1469-5901, Vol. 20, no 4, p. 373-390Article in journal (Refereed) Published
Abstract [en]

This study examined how clients' self-image and perception of therapist's behavior are related to the therapeutic alliance, as well as how these variables change in the psychotherapy process in trainee-led psychotherapy. A total of 164 participants (M = 28.9 years) who attended two semesters of treatment at the Psychology Clinic of Umea University completed the Working Alliance Inventory (WAI) to evaluate their perception of their alliance with the therapist. They also completed two questionnaires based on the Structural Analysis of Social Behavior (SASB) model to give insight into their self-image patterns and to analyze their perceptions of the therapist's behavior. The results show that a positive self-image and positive perceptions of the therapist's actions increased significantly over the course of the therapy, with a corresponding decrease in negative patterns. The alliance scores show that the therapeutic alliance gains significance over time and that it is influenced more by the perception of the therapist's behavior than by the self-image. The self-image becomes relevant after the mid part of therapy, underlining the role of the therapist in co-creating the treatment relationship. The implications of these results are discussed, and so are directions for future research in other traineeled settings and samples.

Place, publisher, year, edition, pages
Routledge, 2018. Vol. 20, no 4, p. 373-390
Keywords [en]
Self-image, therapeutic alliance, perception of therapist behavior, SASB, WAI, psychotherapy
National Category
Psychology
Identifiers
URN: urn:nbn:se:umu:diva-157353DOI: 10.1080/13642537.2018.1529687ISI: 000457598400002OAI: oai:DiVA.org:umu-157353DiVA, id: diva2:1296510
Available from: 2019-03-15 Created: 2019-03-15 Last updated: 2019-03-15Bibliographically approved

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Ybrandt, HeleneArmelius, Kerstin

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CiteExportLink to record
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Citation style
  • apa
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Output format
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