Abstract
Previous research on the role of therapeutic alliance in cognitive behavioral interventions has shown mixed results. Building on the suggestion that the trajectory of the therapeutic relationship may be more predictive of outcome than simple level of alliance, we examined therapeutic alliance, group cohesion, and homework compliance over the course of treatment for 53 socially phobic clients involved in cognitive-behavioral group therapy. Working alliance increased in a linear fashion over the course of treatment, particularly for clients with social fears limited to public speaking. Homework compliance declined linearly, while group cohesion remained static. Curvilinear models did not explain additional variance beyond the linear terms. Notably, treatment outcome was not significantly related to the development of alliance or decline in homework compliance.
Published Version
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