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01-10-2011 | Original Article

Therapeutic Alliance in Cognitive Behavior Therapy for Schizophrenia: Association with History of Sexual Assault

Auteurs: Paul H. Lysaker, Louanne Davis, Samantha D. Outcalt, Marc Gelkopf, David Roe

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2011

Abstract

History of sexual assault in schizophrenia has been suggested as a risk factor for psychosis and a graver course of illness. One possibility is that a history of this type of trauma affects responses to treatment by forming a barrier to a therapeutic alliance. To explore this possibility, we compared monthly ratings of therapeutic alliance for clients with schizophrenia with (n = 9) and without (n = 31) a history of sexual assault across 6 months of cognitive behavior therapy. Ratings were collected from clients and therapists and compared using a repeated measures analysis of variance controlling for level of positive symptoms. Results revealed that clients with a sexual trauma history produced lower overall rating of therapeutic alliance than clients without such a history. Therapist ratings of therapeutic alliance between both groups were not significantly different. Results suggest treatment may need to consider trauma histories as a barrier to therapeutic alliance.

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Titel: Therapeutic Alliance in Cognitive Behavior Therapy for Schizophrenia: Association with History of Sexual Assault
Auteurs: Paul H. Lysaker
Louanne Davis
Samantha D. Outcalt
Marc Gelkopf
David Roe
Publicatiedatum: 01-10-2011
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 5/2011
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-010-9328-9

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