Bedeutung der Arbeitsallianz in der Psychotherapie

Flückiger, Christoph; Horvath, Adam O.; Del Re, A.C.; Symonds, Dianne; Holzer, Corinne (2015). Bedeutung der Arbeitsallianz in der Psychotherapie. Psychotherapeut, 60(3), pp. 187-192. Springer 10.1007/s00278-015-0020-0

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The pan-theoretical concept of the working alliance highlights the confident collaborative quality between patients and therapists. The alliance is one of the most investigated concepts in psychotherapy process research. This article presents an overview of recent meta-analyses. The relationship between the alliance and therapeutic outcomes was investigated based on 200 primary studies that included 14,000 therapies. The alliance predicts a moderate portion of the total therapy outcome (approximately 8 % explained variance). This positive relationship is robust across the various psychotherapy traditions as well as across a variety of research designs, such as randomized controlled and manualized study conditions as well as disorder-specific outcomes. Moderate therapist effects, which have been observed in primary studies, were replicated based on a meta-analytic approach. Substance use disorders and ethnic minorities are highly confounded in the investigated research samples. This suggests that sociocultural issues impact the quality of the alliance development and its relationship to outcomes. Researcher allegiance to the alliance concept was a significant but not substantial moderator of the relationship between the early alliance and outcome.

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