Leslie B. Alexander

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This is the first dedicated review of quantitative studies on Sigmund Freud's proposition that the poorer the psychological health, the more limited are the benefits from treatment. Since observer-rated scales for psychological health-sickness were developed in 1949, many studies have applied them, and the majority show significant prediction of outcomes of(More)
This paper reports on the development of measures of helping alliances in psychotherapy, i.e., the patient's experience of the treatment or relationship with the therapist as helpful, or potentially helpful. The helping alliance counting signs measure, which is the special focus of this paper, entails the counting of certain types of patient statements(More)
This study explores early alliance formation between adult consumers with schizophrenic-spectrum disorders and their case managers from the consumers’ perspectives using a prospective, cohort design. While quantitative studies have demonstrated positive links between the alliance and some client outcomes, such methods cannot reveal in concrete and authentic(More)
In the context of earlier work on the Cambridge-Somerville Youth Study, McCord's recent 30-year follow-up is seen as raising issues with respect to the controlled experiment as a basis for evaluation and study of psychotherapeutic effects. The follow-up's general conclusion that "treatment" produces insidious long-term side-effects is challenged, and its(More)
BACKGROUND The role of front-line researchers, those whose responsibilities include face-to-face contact with participants, is critical to ensuring the responsible conduct of community-based drug use research. To date, there has been little empirical examination of how front-line researchers perceive the effectiveness of ethical procedures in their(More)
Findings are presented from a pilot study to determine the reliability, relevance, and feasibility of child and adult versions of the Working Alliance Inventory, adapted from psychotherapy research for use in the management of chronic childhood hematologic disorders. Thirty-four children, 13 adolescents, 43 parent/guardians, and 4 health-care providers(More)
There has been little empirical research into misconduct and misbehavior among community research workers who recruit and collect data in vulnerable and marginalized health populations and are also members of those same communities. We conducted qualitative interviews with community research workers and traditional research assistants to understand the(More)
Community researchers are laypersons who conduct research activities in their own communities. In addiction and HIV research, community researchers are valued for their insider status and knowledge. At the same time, their presence on the research team raises concerns about coercion and confidentiality when community researchers and participants know each(More)
TOPIC This article examines the issue of parenting with a psychiatric disability and the risk of custody loss for these parents. PURPOSE The purpose of this article is to examine the parental rights of parents with psychiatric disabilities and the use of the Americans with Disabilities Act as a legal defense. The current status of the law on terminating(More)
In order to understand the nature of the therapeutic alliance in intensive case management, this study used qualitative methods to assess the dynamics of the case managers’ relationships with their consumers by examining their perspectives on their own and their consumers’ likeability, how helpful consumers perceive them to be, as well as their expectations(More)