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Attachment and therapeutic alliance in psychological therapy for people with recent onset psychosis who use cannabis
Author(s) -
Berry Katherine,
Palmer Tom,
Gregg Lynsey,
Barrowclough Christine,
Lobban Fiona
Publication year - 2018
Publication title -
clinical psychology and psychotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.315
H-Index - 76
eISSN - 1099-0879
pISSN - 1063-3995
DOI - 10.1002/cpp.2178
Subject(s) - alliance , motivational interviewing , psychology , attachment theory , clinical psychology , psychotherapist , randomized controlled trial , psychosis , cognitive behavioral therapy , cognition , psychiatry , medicine , intervention (counseling) , surgery , political science , law
We examine associations between client attachment style and therapeutic alliance in a 3‐arm randomized controlled trial of brief motivational interviewing and cognitive–behavioural therapy compared with longer term motivational interviewing and cognitive–behavioural therapy or standard care alone. Client self‐report measures of attachment style were completed at baseline, and both clients and therapists in the treatment arms of the trial completed alliance measures 1 month into therapy. We found that insecure–anxious attachment was positively associated with therapist‐rated alliance, whereas clients with insecure–avoidant attachment were more likely to report poorer bond with therapist. There was no evidence that client attachment significantly predicted clinical or substance misuse outcomes either directly or indirectly via alliance. Nor evidence that the length of therapy offered interacted with attachment to predict alliance.