Has the concept of the therapeutic alliance outlived its usefulness?

  title={Has the concept of the therapeutic alliance outlived its usefulness?},
  author={Jeremy David Safran and J Christopher Muran},
  volume={43 3},
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… 
Therapeutic Alliance and Alliance Ruptures and Resolutions: Theoretical Definitions, Assessment Issues, and Research Findings
Therapeutic alliance is one of the most important and investigated constructs in psychotherapy research. In this chapter we first discuss the historical development of therapeutic alliance, from
Research on Therapeutic Impasses and Ruptures in the Therapeutic Alliance
Abstract In this article, we provide an overview of our research program on therapeutic impasses and alliance ruptures. Beginning in the mid-1980s at the University of Toronto, and continuing in New
Deconstructing the Therapeutic Alliance: Reflections on the Underlying Dimensions of the Concept
The concept of the alliance has received increasing attention from both clinicians and researchers over the past thirty years. Yet it remains only vaguely defined, and its role and effect in therapy
Processing the therapeutic relationship
  • C. Hill, Sarah Knox
  • Psychology
    Psychotherapy research : journal of the Society for Psychotherapy Research
  • 2009
If therapists and clients process their therapeutic relationship, feelings will be expressed and accepted, problems will be resolved, the relationship will be enhanced, and clients will transfer their learning to other relationships outside of therapy.
The development of the therapeutic alliance: rupture processes and the role of the therapist´s experiencet
Ruptures in the Therapeutic Alliance are the main theme of this dissertation, organizing all the studies that compose it. According to Safran and Muran (2000) ruptures may be defined “as tension or
College of 1-1-2009 Processing the Therapeutic Relationship
It is proposed that if therapists and clients directly address in the here and now their feelings about each other and about the inevitable problems that emerge in the therapy relationship), feelings will be expressed and accepted, problems will be resolved, the relationship will be enhanced, and clients will transfer their learning to other relationships outside of therapy.
Scientific Research into Psychotherapy
This chapter presents an overview of psychotherapy research. It starts by setting out a set of principles supported by scientific evidence and clinical experience. These principles work as synthesis
Ambivalence, Resistance, and Alliance Ruptures in Psychotherapy: It’s Complicated
Ambivalence, resistance, and alliance ruptures are three terms commonly used in psychotherapy, across different theoretical approaches and modalities. However, it is still not clear how those terms
Investigating the impact of alliance-focused training on interpersonal process and therapists' capacity for experiential reflection
Preliminary findings from a research program designed to investigate the value of alliance-focused training (AFT), a supervision approach designed to enhance therapists' ability to work constructively with negative therapeutic process are presented.
Traces of Oneself and Healing
Deriving from the new methodological approach of formal indication is the general principle that guides what we refer to as phenomenological psychotherapy. It consists in an interpretative


The resolution of ruptures in the therapeutic alliance.
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
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.
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.
Findings from the review confirm that depressed clients benefit substantially from psychotherapy, and these gains appear comparable to those observed with pharmacotherapy.