Client as expert: A Delphi poll of clients' subjective experience of therapeutic alliance formation variables

This study extends prior research that identified client-derived variables believed to contribute to therapeutic alliance development. Forty-two clients participated in a three-round-modified Delphi poll in which the subjective importance of 74 client-derived, common alliance formation variables was...

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Bibliographic Details
Published in:Counselling psychology quarterly 2014-01, Vol.27 (1), p.1-18
Main Authors: Bedi, Robinder P., Duff , Carlton T.
Format: Article
Language:English
Subjects:
Biological and medical sciences
client's perspective
clients' subjective experience
Delphi method
Measurement
Medical sciences
Polls
Polls & surveys
Psychological tests
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
Subjective experiences
Theory
therapeutic alliance
Therapeutic alliances
Therapeutical relation and framework
Treatments
Validation
Variables
working alliance
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Description
Summary:This study extends prior research that identified client-derived variables believed to contribute to therapeutic alliance development. Forty-two clients participated in a three-round-modified Delphi poll in which the subjective importance of 74 client-derived, common alliance formation variables was rated using a six-point scale. Participants consensually identified 23 variables as highly important, five as moderately important and three as low in importance to the formation of a strong alliance. Variables related to validation and asking about parts of the client's life other than the presenting concern were considered as most important by at least one-third of the sample. Limitations of the study are presented and implications for theory, measurement, practice and future research are briefly discussed.
ISSN:0951-5070
1469-3674
DOI:10.1080/09515070.2013.857295