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A Preliminary Study of Therapeutic Alliance and Dually Diagnosed Inpatients
Author(s) -
Westreich Laurence M.,
Rosenthal Richard N.,
Muran J. Christopher
Publication year - 1996
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/j.1521-0391.1996.tb00288.x
Subject(s) - alliance , substance abuse , medicine , psychiatry , population , substance abuse treatment , clinical psychology , psychotherapist , psychology , environmental health , political science , law
The therapeutic alliance between the therapist and the inpatient dually diagnosed with major mental illness and substance abuse disorder has rarely been studied. These dually diagnosed patients constitute a “nontraditional” population for psychotherapy research. The authors used a modified version of the California Psychotherapy Alliance Scale (CALPAS) in this preliminary study to measure the therapeutic alliance between a cohort of 10 inpatient schizophrenic substance abusers and their therapists and examined its relationship with outpatient follow‐up. Six patients followed up with outpatient treatment and four did not. Paradoxically, the patients who did not follow up reported a stronger alliance with their inpatient therapists than the patients who did follow up.