Has the concept of the therapeutic alliance outlived its usefulness?

@article{Safran2006HasTC,
  title={Has the concept of the therapeutic alliance outlived its usefulness?},
  author={Jeremy David Safran and J Christopher Muran},
  journal={Psychotherapy},
  year={2006},
  volume={43 3},
  pages={
          286-91
        }
}
In this article, we provide a brief summary of our current thinking about the constructs of the therapeutic alliance and ruptures in the therapeutic alliance. We speculate about some of the factors that have led to sustained interest in these constructs by psychotherapy researchers and discuss some of the conceptual problems associated with them. We also consider the question of whether the therapeutic alliance continues to be a meaningful construct, and we delineate more and less promising… 
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References

SHOWING 1-10 OF 29 REFERENCES
The resolution of ruptures in the therapeutic alliance.
TLDR
The evolution of a model of rupture resolution is described and its implications for treatment development and evaluation are discussed.
Working Alliance, Therapeutic Alliance, and Transference
  • C. Brenner
  • Psychology
    Journal of the American Psychoanalytic Association
  • 1979
Examination of the clinical evidence offered by proponents for the concepts of therapeutic and working alliance leads the author to conclude that neither concept is justifiable. Both refer to aspects
The working alliance: Theory, research, and practice.
Partial table of contents: CONCEPTUAL AND RESEARCH PERSPECTIVES. Theory and Research on the Therapeutic Working Alliance: New Directions (E. Bordin). Therapeutic Alliances as Predictors of
The Therapeutic Alliance
In this authoritative book, W. W. Meissner examines all the prevailing ideas about the therapeutic alliance-the collaborative relationship between psychotherapist and an individual patient. The book
BREACHES IN THE THERAPEUTIC ALLIANCE: AN ARENA FOR NEGOTIATING AUTHENTIC RELATEDNESS
In this article I argue that the clarification of the processes involved in working through breaches or ruptures in the therapeutic alliance, is a vitally important task for psychotherapy theorists
The generalizability of the psychoanalytic concept of the working alliance.
The psychoanalytic concept of the working alliance is reviewed and elaborated. It is argued that various modes of psychotherapy can be meaningfully differentiated in terms of the kinds of working
The Great Psychotherapy Debate: Models, Methods, and Findings
Contents: Foreword. Preface. Competing Meta-Models: The Medical Model Versus the Contextual Model. Differential Hypotheses and Evidentiary Rules. Absolute Efficacy: The Benefits of Psychotherapy
Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review.
TLDR
The results of the meta-analysis indicate that the overall relation of therapeutic alliance with outcome is moderate, but consistent, regardless of many of the variables that have been posited to influence this relationship.
Relation between Working Alliance and Outcome in Psychotherapy: A Meta-Analysis.
Results of 24 studies (based on 20 distinct data sets) relating the quality of the working alliance (WA) to therapy outcome were synthesized using meta-analytic procedures. A moderate but reliable
Psychotherapy for the treatment of depression: a comprehensive review of controlled outcome research.
TLDR
Findings from the review confirm that depressed clients benefit substantially from psychotherapy, and these gains appear comparable to those observed with pharmacotherapy.
...
...