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The working alliance, therapist interventions, client experiencing, and client good moments : a psychotherapy process study

These studies investigated relationships between the working alliance, client good moments, therapist verbal response modes, and client experiencing. Correlations between increased levels of the working alliance and increased occurrence of good moments were only between the bond aspect of the alliance and good moments of provision of significant information. The best fitting models of the working alliance, therapist verbal response modes, and client good moments indicated that a 3-way interaction was a good fit in the provision of significant information modality. Two-way interactions between the working alliance and therapist response modes revealed that low structure response modes, Particularly reflection/restatement occurred more frequently than expected at moderate alliance levels, and high structure interventions, particularly direct guidance/advice, occurred more frequently than expected at low and high affiance levels. It was suggested that the context of collaboration and liking (high alliance), and the context of struggle (low alliance), may be having an influence that prompts therapists to structure their interventions. The interactions between the working alliance and good moments in the exploratory and affective/expressive modalities showed that the high proportions of good moments occurred in the high and low working alliance sessions. The lowest proportions of good moments occurred in the moderate alliance sessions suggesting that different processes may be in operation at different alliance levels. The best fitting models of interactions of client experiencing, therapist verbal response modes, and client good moments in indicated that 2-way interactions best explained the data. In general, as experiencing levels rose, there were increases in the frequency of occurrence of client good moment. The interactions between therapist verbal response modes and experiencing indicated that specific levels of experiencing seem to be associated with specific c

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.34638
Date January 1997
CreatorsFitzpatrick, Marilyn.
ContributorsStalikas, Anastassios (advisor)
PublisherMcGill University
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
LanguageEnglish
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation
Formatapplication/pdf
CoverageDoctor of Philosophy (Department of Educational and Counselling Psychology.)
RightsAll items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated.
Relationalephsysno: 001615729, proquestno: NQ36976, Theses scanned by UMI/ProQuest.

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