Abstract

To increase our understanding of the therapeutic alliance formation in clients with early psychosis by examining the predictive value of three major factors: symptoms; insight; and global functioning. One hundred fifty individuals with early psychosis were recruited from various clinical settings. The measures used were the Working Alliance Inventory, the Brief Psychiatric Rating Scale, the Insight Scale and the Client Assessment of Strengths Interests and Goals. Multiple linear regressions were performed and revealed a model including insight, friends, leisure, medication side effects and quality of life explaining 22% of the variance. The variables included in the model are coherent with the literature on alliance. However, other variables contributing to the establishment of the therapeutic alliance remain to be identified in future research on treatment of early psychosis.

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