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Therapists’ and clients’ ratings of real relationship, attachment, therapist self-disclosure, and treatment progress

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Abstract Objective: While there has been much research on the role of the working alliance in psychotherapy, researchers only recently began investigating the role of the real relationship in treatment.… Click to show full abstract

Abstract Objective: While there has been much research on the role of the working alliance in psychotherapy, researchers only recently began investigating the role of the real relationship in treatment. Methods: In the current study on therapist and client dyads, we used actor–partner interdependence modeling (APIM) to examine associations between therapists’ and clients’ ratings of the real relationship, therapist self-disclosure, attachment, and treatment progress. APIM analyses allowed for an examination into how therapists’ and clients’ views of a particular phenomenon might affect their own ratings (actor), as well as the others’ (partner) ratings of that same phenomenon. Results: Significant negative associations between therapist self-reported attachment anxiety and avoidance and therapist-rated real relationship and treatment progress. Significant positive associations were found between client-rated real relationship and client-rated treatment progress. These results and others are discussed in the context of the literature along with implications for future research in this area.

Keywords: real relationship; therapist; relationship; treatment progress

Journal Title: Psychotherapy Research
Year Published: 2019

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