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Alliance ruptures and repairs in psychotherapy in primary care

Overview of attention for article published in Psychotherapy Research, May 2016
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Title
Alliance ruptures and repairs in psychotherapy in primary care
Published in
Psychotherapy Research, May 2016
DOI 10.1080/10503307.2016.1174345
Pubmed ID
Authors

Mattias Holmqvist Larsson, Fredrik Falkenström, Gerhard Andersson, Rolf Holmqvist

Abstract

The association between alliance level and outcome in psychotherapy has been extensively studied. One way to expand this knowledge is to study alliance patterns. The main aims of this study were to examine how frequent alliance patterns with ruptures or rupture-repair episodes were in a naturalistic sample of psychotherapies in primary care, and if three alliance patterns (a Rupture pattern, a Repair pattern, and a No Rupture pattern) were differentially associated with treatment outcome. The psychotherapies (N = 605) included a wide range of different treatment orientations and patient diagnoses. Alliance patterns were studied at session-to-session level, using patient-rated alliance scores. Outcome data were analyzed using longitudinal multilevel modeling with a slopes-as-outcomes model. The Repair pattern accounted for 14.7% (n = 89) of the treatments, 10.7% (n = 65) exhibited a Rupture pattern, and 74.5% (n = 451) contained no ruptures. The Rupture pattern was associated with inferior treatment outcomes. The Repair pattern was, in longer treatments, associated with better outcomes than the No Rupture pattern. The results support theory about the importance of ruptures in the therapeutic alliance and suggest that identification of alliance ruptures is important in alliance-outcome research, for feedback purposes in clinical practice, and in training of therapists.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 95 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 1%
Unknown 94 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 11 12%
Student > Master 11 12%
Student > Bachelor 11 12%
Student > Ph. D. Student 9 9%
Student > Doctoral Student 8 8%
Other 21 22%
Unknown 24 25%
Readers by discipline Count As %
Psychology 53 56%
Medicine and Dentistry 5 5%
Unspecified 2 2%
Social Sciences 2 2%
Economics, Econometrics and Finance 1 1%
Other 3 3%
Unknown 29 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 November 2017.
All research outputs
#15,483,707
of 23,008,860 outputs
Outputs from Psychotherapy Research
#441
of 670 outputs
Outputs of similar age
#179,909
of 299,236 outputs
Outputs of similar age from Psychotherapy Research
#10
of 14 outputs
Altmetric has tracked 23,008,860 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 670 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.1. This one is in the 22nd percentile – i.e., 22% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 299,236 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 14 others from the same source and published within six weeks on either side of this one. This one is in the 21st percentile – i.e., 21% of its contemporaries scored the same or lower than it.