The reciprocal relationship between alliance and early treatment symptoms: A two-stage individual participant data meta-analysis.
Christoph FlückigerJulian A RubelA C Del ReAdam O HorvathBruce E WampoldPaul Crits-ChristophDana Atzil-SlonimAngelo CompareFredrick FalkenströmAnnika EkebladPaula ErrázurizHadar FisherAsle HoffartJonathan D HuppertYogev KivityManasi KumarWolfgang LutzJohn Christopher MuranDaniel R StrunkGiorgio Angelo TascaAndreea VîslăUlrich VoderholzerChristian A WebbHui XuSigal Zilcha-ManoJacques P BarberPublished in: Journal of consulting and clinical psychology (2021)
The findings provide empirical evidence that in the early phase of therapy, symptoms and alliance were reciprocally related to one other, often resulting in a positive upward spiral of higher alliance/lower symptoms that predicted higher alliances/lower symptoms in the subsequent sessions. Two-stage individual participant data meta-analyses have the potential to move the field forward by generating and interlinking well-replicable process-based knowledge. (PsycInfo Database Record (c) 2020 APA, all rights reserved).