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Psychother Res. 2014;24(2):171-83. doi: 10.1080/10503307.2013.851425. Epub 2013 Nov 13.

Negative, not positive symptoms predict the early therapeutic alliance in cognitive behavioral therapy for psychosis.

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1
a Section for Clinical Psychology and Psychotherapy, Department of Psychology , Philipps-Universit├Ąt Marburg , Marburg , Germany.

Abstract

OBJECTIVE:

The strength of therapeutic alliance is consistently associated with therapy outcome. The aim of this study was to identify relevant predictors for early therapeutic alliance in cognitive behavioral therapy for psychosis.

METHOD:

Fifty-six patients with schizophrenia spectrum disorders were included in the analysis. Possible predictors (positive and negative symptoms, depression, insight, social functioning, theory of mind, and medication adherence) were assessed at baseline. Alliance was assessed after each therapy session.

RESULTS:

Lower negative symptoms significantly predicted higher patient and therapist rated alliance.

CONCLUSIONS:

The findings indicate that negative symptoms might be a barrier to the development of therapeutic alliance. Assumed underlying processes and practical implications are discussed.

PMID:
24219351
DOI:
10.1080/10503307.2013.851425
[Indexed for MEDLINE]
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