The correlations from summarizing the 23 studies were .20 and .24 depending how the data were weighted and combined from the individual studies.
Child–therapist and parent–therapist alliance and therapeutic change in the treatment of children referred for oppositional, aggressive, and antisocial behavior
Article first published online: 9 JUN 2005
Journal of Child Psychology and Psychiatry
Volume 47, Issue 5, pages 436–445, May 2006
How to Cite
Kazdin, A. E., Whitley, M. and Marciano, P. L. (2006), Child–therapist and parent–therapist alliance and therapeutic change in the treatment of children referred for oppositional, aggressive, and antisocial behavior. Journal of Child Psychology and Psychiatry, 47: 436–445. doi: 10.1111/j.1469-7610.2005.01475.x
- Issue published online: 9 JUN 2005
- Article first published online: 9 JUN 2005
- Manuscript accepted 21 February 2005
- Therapeutic alliance;
- child therapy;
- treatment outcome
Background: We examined the therapeutic alliance in evidence-based treatment for children (N = 77, 19 girls, 58 boys, ages 6–14) referred clinically for oppositional, aggressive, and antisocial behavior.
Method: Different alliances (child–therapist, parent–therapist) were assessed from each participant's perspective at two points over the course of treatment. Both the quality of the child–therapist and the parent–therapist alliance predicted therapeutic changes in the children; the parent–therapist alliance also predicted improvements in parenting practices in the home.
Results: The findings could not easily be attributed to the influence of other domains (socioeconomic disadvantage, parent psychopathology and stress, and severity of child dysfunction) known to predict therapeutic change or to rater effects (common rater variance) in the predictors and criteria.
Conclusion: The therapeutic alliance warrants increased attention to understand the precise role in treatment and whether or how the alliance can be mobilized to enhance change.