Relation of Therapeutic Alliance and Perfectionism to Outcome in Brief Outpatient Treatment of Depression

Prior analyses of the National Institute of Mental Health Treatment of Depression Collaborative Research Program demonstrated that perfectionism was negatively related to outcome, whereas both the patient's perception of the quality of the therapeutic relationship and the patient contribution t...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2000-02, Vol.68 (1), p.114-124
Main Authors: Zuroff, David C, Blatt, Sidney J, Sotsky, Stuart M, Krupnick, Janice L, Martin, Daniel J, Sanislow, Charles A, Simmens, Sam
Format: Article
Language:English
Subjects:
Adult
Ambulatory Care
Antidepressive Agents, Tricyclic - therapeutic use
Biological and medical sciences
Brief Psychotherapy
Client Attitudes
Client Participation
Cognitive Behavioral Therapy
Defense Mechanisms
Depression
Depressive Disorder - psychology
Depressive Disorder - therapy
Factors
Female
Human
Humans
Imipramine - therapeutic use
Major Depression
Male
Medical sciences
Mental depression
Middle Aged
Outcome and Process Assessment (Health Care)
Outpatient
Outpatients
Perfectionism
Personality
Professional-Patient Relations
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy, Brief - methods
Therapeutic Alliance
Therapeutic alliances
Therapeutic Processes
Therapeutical relation and framework
Treatment methods
Treatment Outcome
Treatment Outcomes
Treatments
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Summary:Prior analyses of the National Institute of Mental Health Treatment of Depression Collaborative Research Program demonstrated that perfectionism was negatively related to outcome, whereas both the patient's perception of the quality of the therapeutic relationship and the patient contribution to the therapeutic alliance were positively related to outcome across treatment conditions ( S. J. Blatt, D. C. Zuroff, D. M. Quinlan, & P. A. Pilkonis, 1996 ; J. L. Krupnick et al., 1996 ). New analyses examining the relations among perfectionism, perceived relationship quality, and the therapeutic alliance demonstrated that (a) the patient contribution to the alliance and the perceived quality of the therapeutic relationship were independent predictors of outcome, (b) perfectionistic patients showed smaller increases in the Patient Alliance factor over the course of treatment, and (c) the negative relation between perfectionism and outcome was explained (mediated) by perfectionistic patients' failure to develop stronger therapeutic alliances.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.68.1.114