uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Secure Attachment to Therapist, Alliance, and Outcome in Psychoanalytic Psychotherapy With Young Adults
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
Show others and affiliations
2015 (English)In: Journal of counseling psychology, ISSN 0022-0167, E-ISSN 1939-2168, Vol. 62, no 1, 1-13 p.Article in journal (Refereed) Published
Abstract [en]

Using a novel approach to assess attachment to therapist from patient narratives (Patient Attachment to Therapist Rating Scale; PAT-RS), we investigated the relationships between secure attachment to therapist, patient-rated alliance, and outcome in a sample of 70 young adults treated with psychoanalytic psychotherapy. A series of linear mixed-effects models, controlling for length of therapy and therapist effects, indicated that secure attachment to therapist at termination was associated with improvement in symptoms, global functioning, and interpersonal problems. After controlling for the alliance, these relationships were maintained in terms of symptoms and global functioning. Further, for the follow-up period, we found a suppression effect indicating that secure attachment to therapist predicted continued improvement in global functioning, whereas the alliance predicted deterioration when both variables were modeled together. Although limited by the correlational design, this study suggests that the development of a secure attachment to therapist is associated with treatment gains as well as predictive of posttreatment improvement in functioning. Future research should investigate the temporal development of attachment to therapist and its interaction with alliance and outcome more closely. To ensure differentiation from patient-rated alliance, observer-based measurement of attachment to therapist should be considered.

Place, publisher, year, edition, pages
2015. Vol. 62, no 1, 1-13 p.
Keyword [en]
attachment to therapist, therapeutic alliance, outcome, psychoanalytic psychotherapy, young adults
National Category
URN: urn:nbn:se:uu:diva-244495DOI: 10.1037/cou0000044ISI: 000348049200001OAI: oai:DiVA.org:uu-244495DiVA: diva2:789837
Available from: 2015-02-20 Created: 2015-02-17 Last updated: 2015-02-20Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text
By organisation
Centrum för klinisk forskning i Sörmland (CKFD)
In the same journal
Journal of counseling psychology

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 181 hits
ReferencesLink to record
Permanent link

Direct link