Impact of the therapeutic relationship in the treatment effectiveness: What do meta-analyses say?
Autor(a) principal: | |
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Data de Publicação: | 2017 |
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Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Contextos Clínicos |
Texto Completo: | https://revistas.unisinos.br/index.php/contextosclinicos/article/view/ctc.2017.101.10 |
Resumo: | This article analyses meta-analyses on the therapeutic alliance, focusing on its importance to the success of the treatment. First, it characterizes the concept of alliance, defined as expressive mutuality of feelings and attitudes between therapist and patient, to differentiate it from transference (repetition of previous communication patterns) and real relationship (assertiveness and authenticity in the relationship), and discusses alliance measures. Second, it reviews meta-analyses in alliances and outcomes, highlighting the elements that predict good quality of therapeutic relationship. The meta-analyses point to a new level in research and psychotherapeutic practice, focused on the nature of the demand, the patient profile, and the effectiveness of treatment, and are little interested in the differences between the traditional approaches. It is emphasized that psychological services should be offered on high ethical standards and supported by evidence.Keywords: aliance, psychotherapy, outcomes. |
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Impact of the therapeutic relationship in the treatment effectiveness: What do meta-analyses say?Impacto da relação terapêutica na efetividade do tratamento: o que dizem as metanálises?This article analyses meta-analyses on the therapeutic alliance, focusing on its importance to the success of the treatment. First, it characterizes the concept of alliance, defined as expressive mutuality of feelings and attitudes between therapist and patient, to differentiate it from transference (repetition of previous communication patterns) and real relationship (assertiveness and authenticity in the relationship), and discusses alliance measures. Second, it reviews meta-analyses in alliances and outcomes, highlighting the elements that predict good quality of therapeutic relationship. The meta-analyses point to a new level in research and psychotherapeutic practice, focused on the nature of the demand, the patient profile, and the effectiveness of treatment, and are little interested in the differences between the traditional approaches. It is emphasized that psychological services should be offered on high ethical standards and supported by evidence.Keywords: aliance, psychotherapy, outcomes.O presente artigo traz um exame das metanálises em aliança terapêutica, com atenção à sua pertinência para o sucesso do tratamento. Primeiro, caracteriza o conceito de aliança, definida como a mutualidade expressiva de sentimentos e atitudes entre terapeuta e paciente, para diferenciá-la de transferência (repetição de padrões comunicacionais anteriores) e de relação real (autenticidade ou assertividade na relação), e, após, discorre sobre medidas de aliança. Segundo, revisa metanálises em aliança e resultados, destacando os elementos preditores de uma relação terapêutica de boa qualidade. As metanálises apontam para um novo patamar na pesquisa e na prática psicoterapêutica, focalizada na efetividade do tratamento, e pouco interessada nas tradicionais divergências entre abordagens. Enfatiza-se que os serviços psicológicos sejam oferecidos em padrões éticos elevados e sustentados por evidências.Palavras-chave: aliança, psicoterapia, resultados.Unisinos2017-07-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistas.unisinos.br/index.php/contextosclinicos/article/view/ctc.2017.101.1010.4013/ctc.2017.101.10Contextos Clínicos; v. 10 n. 1 (2017): Jan-Jun; 130-1431983-3482reponame:Contextos Clínicosinstname:Universidade do Vale do Rio dos Sinos (UNISINOS)instacron:Unisinosporhttps://revistas.unisinos.br/index.php/contextosclinicos/article/view/ctc.2017.101.10/6047Pieta, Maria Adélia MinghelliGomes, William Barbosainfo:eu-repo/semantics/openAccess2017-07-13T18:42:18Zoai:ojs2.revistas.unisinos.br:article/12599Revistahttps://revistas.unisinos.br/index.php/contextosclinicosPUBhttps://revistas.unisinos.br/index.php/contextosclinicos/oaidfalcke@unisinos.br||periodicos@unisinos.br1983-34821983-3482opendoar:2017-07-13T18:42:18Contextos Clínicos - Universidade do Vale do Rio dos Sinos (UNISINOS)false |
dc.title.none.fl_str_mv |
Impact of the therapeutic relationship in the treatment effectiveness: What do meta-analyses say? Impacto da relação terapêutica na efetividade do tratamento: o que dizem as metanálises? |
title |
Impact of the therapeutic relationship in the treatment effectiveness: What do meta-analyses say? |
spellingShingle |
Impact of the therapeutic relationship in the treatment effectiveness: What do meta-analyses say? Pieta, Maria Adélia Minghelli |
title_short |
Impact of the therapeutic relationship in the treatment effectiveness: What do meta-analyses say? |
title_full |
Impact of the therapeutic relationship in the treatment effectiveness: What do meta-analyses say? |
title_fullStr |
Impact of the therapeutic relationship in the treatment effectiveness: What do meta-analyses say? |
title_full_unstemmed |
Impact of the therapeutic relationship in the treatment effectiveness: What do meta-analyses say? |
title_sort |
Impact of the therapeutic relationship in the treatment effectiveness: What do meta-analyses say? |
author |
Pieta, Maria Adélia Minghelli |
author_facet |
Pieta, Maria Adélia Minghelli Gomes, William Barbosa |
author_role |
author |
author2 |
Gomes, William Barbosa |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Pieta, Maria Adélia Minghelli Gomes, William Barbosa |
description |
This article analyses meta-analyses on the therapeutic alliance, focusing on its importance to the success of the treatment. First, it characterizes the concept of alliance, defined as expressive mutuality of feelings and attitudes between therapist and patient, to differentiate it from transference (repetition of previous communication patterns) and real relationship (assertiveness and authenticity in the relationship), and discusses alliance measures. Second, it reviews meta-analyses in alliances and outcomes, highlighting the elements that predict good quality of therapeutic relationship. The meta-analyses point to a new level in research and psychotherapeutic practice, focused on the nature of the demand, the patient profile, and the effectiveness of treatment, and are little interested in the differences between the traditional approaches. It is emphasized that psychological services should be offered on high ethical standards and supported by evidence.Keywords: aliance, psychotherapy, outcomes. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-07-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistas.unisinos.br/index.php/contextosclinicos/article/view/ctc.2017.101.10 10.4013/ctc.2017.101.10 |
url |
https://revistas.unisinos.br/index.php/contextosclinicos/article/view/ctc.2017.101.10 |
identifier_str_mv |
10.4013/ctc.2017.101.10 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistas.unisinos.br/index.php/contextosclinicos/article/view/ctc.2017.101.10/6047 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Unisinos |
publisher.none.fl_str_mv |
Unisinos |
dc.source.none.fl_str_mv |
Contextos Clínicos; v. 10 n. 1 (2017): Jan-Jun; 130-143 1983-3482 reponame:Contextos Clínicos instname:Universidade do Vale do Rio dos Sinos (UNISINOS) instacron:Unisinos |
instname_str |
Universidade do Vale do Rio dos Sinos (UNISINOS) |
instacron_str |
Unisinos |
institution |
Unisinos |
reponame_str |
Contextos Clínicos |
collection |
Contextos Clínicos |
repository.name.fl_str_mv |
Contextos Clínicos - Universidade do Vale do Rio dos Sinos (UNISINOS) |
repository.mail.fl_str_mv |
dfalcke@unisinos.br||periodicos@unisinos.br |
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1797240151595810816 |