HOME HELP FEEDBACK SUBSCRIPTIONS ALL ISSUES SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Fenton, L. R. Articles by Carroll, K. M. Search for Related Content PubMed PubMed Citation Articles by Fenton, L. R. Articles by Carroll, K. M. Related Collections General Topics in Psychiatry

Perspective Is Everything

The Predictive Validity of Six Working Alliance Instruments

Received December 21, 2000; revised May 2, 2001; accepted May 22, 2001. From the Division of Substance Abuse, Yale University School of Medicine, New Haven, Connecticut; and the Department of Psychology, Fordham University, Bronx, New York. Address correspondence to Dr. Fenton, Depression Research Clinic, 100 York Street, Suite 2B, New Haven, CT 06511. E-mail: lisa.fenton{at}yale.edu

The predictive validity of instruments commonly used to measure the therapeutic alliance was evaluated, using 46 sessions drawn from a clinical trial comparing manual-guided therapies for substance use. The California Psychotherapy Alliance Scale, Penn Helping Alliance Rating Scale, Vanderbilt Therapeutic Alliance Scale, and Working Alliance Inventory (Observer, Therapist, and Client versions) were rated for participants receiving either cognitive-behavioral therapy or twelve-step facilitation. All observer-rated instruments were significantly correlated with outcome; however, therapist-rated and client-rated instruments did not predict outcome. Findings suggest that the different observer-rated instruments are minimally different with respect to predictive validity, whereas patient- and therapist-rated measures may have a weaker relationship to outcome when highly objective outcome measures are used.

Key Words: Rating Instruments • Alliance, Therapeutic

This article has been cited by other articles:

				B. Kirsh and E. Tate Developing a comprehensive understanding of the working alliance in community mental health. Qual Health Res, October 1, 2006; 16(8): 1054 - 1074. [Abstract] [PDF]

				R. F. Summers and J. P. Barber Therapeutic Alliance as a Measurable Psychotherapy Skill Acad Psychiatry, September 1, 2003; 27(3): 160 - 165. [Abstract] [Full Text] [PDF]

				W. E. Hanson, K. T. Curry, and D. L. Bandalos Reliability Generalization of Working Alliance Inventory Scale Scores Educational and Psychological Measurement, August 1, 2002; 62(4): 659 - 673. [Abstract] [PDF]