The therapeutic alliance as a predictor of outcome in dialectical behavior therapy versus nonbehavioral psychotherapy by experts for borderline personality disorder

Psychotherapy
Jamie D BedicsMarsha M Linehan

Abstract

The purpose of the present study was to explore facets of the client- and therapist-rated therapeutic alliance as predictors of suicide attempts, nonsuicidal self-injury, depression, and introject during the course of 2 psychosocial treatments for borderline personality disorder. A total of 101 women meeting Diagnostic and Statistical Manual of Mental Disorders-IV DSM-IV criteria for borderline personality disorder participated in a randomized controlled trial of dialectical behavior therapy (DBT) versus community treatment by experts. Clients and therapists rated the therapeutic alliance at 4 time points during 1 year of treatment. Multilevel models showed no significant differences in client ratings of the alliance by treatment condition. DBT therapists reported greater working strategy consensus early in treatment and an overall greater alliance during treatment. Client ratings of commitment and working capacity were associated with fewer suicide attempts in DBT. Client ratings of commitment were also associated with reduced nonsuicidal self-injury in DBT only. Therapist ratings of the alliance were predictive of reduced suicide attempts in both treatments. Therapist ratings of the alliance in community treatment by experts ...Continue Reading

Citations

May 2, 2016·Journal of Behavior Therapy and Experimental Psychiatry·Kirsten BarnicotStefan Priebe
Dec 15, 2017·Frontiers in Psychology·Stephan KöhlerPhilipp Sterzer
May 12, 2016·The Cochrane Database of Systematic Reviews·Keith HawtonKees van Heeringen
May 6, 2020·The Cochrane Database of Systematic Reviews·Ole Jakob StorebøErik Simonsen
May 16, 2020·Clinical Psychology & Psychotherapy·Martha K FahlgrenMichael S McCloskey
May 15, 2018·The Nurse Practitioner·Kate Sheppard, Cameron Duncan
Jul 1, 2020·European Psychiatry : the Journal of the Association of European Psychiatrists·Libby IgraIlanit Hasson-Ohayon
Feb 6, 2017·The International Journal of Eating Disorders·Tiffany A GravesJennifer J Thomas
Jun 15, 2020·International Journal of Mental Health Nursing·Richard Lakeman, Mary Emeleus
Aug 18, 2018·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Tess SouliéSunny Collings
Aug 25, 2020·Journal of Contemporary Psychotherapy·Kathy Benhamou, Alexandra Piedra
Oct 13, 2020·Psychotherapy Research : Journal of the Society for Psychotherapy Research·E J FolmoE H Kvarstein
Feb 24, 2021·Clinical Psychology & Psychotherapy·Mareike BusmannSebastian Euler
Apr 23, 2021·The Cochrane Database of Systematic Reviews·Katrina G WittKeith Hawton
Jul 29, 2021·Clinical Psychology & Psychotherapy·Carolina Coelho SchollVera Lucia Marques de Figueiredo

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