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The therapeutic relationship in secondary mental health care: a conceptual review of measures
Author(s) -
Catty J.,
Winfield H.,
Clement S.
Publication year - 2007
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.2007.01070.x
Subject(s) - mental health , construct (python library) , face validity , construct validity , alliance , psychology , content validity , conceptual model , clinical psychology , conceptual framework , medline , applied psychology , psychometrics , psychiatry , computer science , philosophy , epistemology , database , political science , law , programming language
Objective: The study aimed to determine the conceptual basis of measures of the patient–professional relationship used in routine mental health services research by reviewing their face, content and construct validity. Method: A comprehensive literature search identified measures of the relationship used in mental health services research. The conceptual basis of each identified measure was identified by a review of measures’ authors assessments of face, content and construct validity plus item analysis of the measures themselves. Results: The search identified 15 measures. The seven developed in psychotherapy were likely to be better validated conceptually; most were based on therapeutic alliance models. Measures developed specifically for mental health services were based on a wider range of models including global assessments of the relationship. Conclusion: Most of the better validated measures originate in psychotherapy, but there is limited evidence for their validity in general mental health services. Four measures are recommended.