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Dinger, Ulrike; Strack, Micha; Leichsenring, Falk; Wilmers, Fabian; Schauenburg, Henning

Therapist effects on outcome and alliance in inpatient psychotherapy

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  • Medientyp: E-Artikel
  • Titel: Therapist effects on outcome and alliance in inpatient psychotherapy
  • Beteiligte: Dinger, Ulrike; Strack, Micha; Leichsenring, Falk; Wilmers, Fabian; Schauenburg, Henning
  • Erschienen: Wiley, 2008
  • Erschienen in: Journal of Clinical Psychology
  • Sprache: Englisch
  • DOI: 10.1002/jclp.20443
  • ISSN: 0021-9762; 1097-4679
  • Schlagwörter: Arts and Humanities (miscellaneous) ; Clinical Psychology
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title><jats:p>As an addition to the ongoing discussion concerning the magnitude of therapist effects on outcome in psychotherapy, we investigated therapist variability in a large inpatient psychotherapy sample. We included global symptomatic outcome (Global Severity Index of the Symptom Checklist‐90 Revised [SCL‐90‐R]; German version, Franke, <jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="#bib4">1995</jats:ext-link>) and alliance (Helping Alliance Questionnaire; German version, Bassler, Potratz &amp; Krauthauser, <jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="#bib1">1995</jats:ext-link>) ratings of 2554 inpatients who were treated by 50 psychotherapists. Multilevel regression analyses (HLM; Raudenbush, Bryk, Cheong, &amp; Congdon, <jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="#bib13">2004</jats:ext-link>) were used for analyses. Overall, therapists accounted for a much greater variability on alliance (33%) than on outcome (3%). Therapists were differentially effective with regard to their patients' symptom severity at the beginning of treatment, and therapists differed in the degree that a positive alliance was associated with therapeutic outcome. The relatively small therapist effect on outcome is attributed to compensatory mechanisms in the specific context of inpatient therapy. © 2008 Wiley Periodicals, Inc. J Clin Psychol 64: 344–354, 2008.</jats:p>