A secondary aim was to examine baseline demographic and clinical predictors of greater alliance and different alliance trajectories over time.
The most common definition of therapeutic alliance makes reference to the development of an affective bond, agreement on tasks, and agreement on goals (Bordin, 1979). In child psychotherapy, therapeutic alliance has been strongly associated with improved parenting, reductions in the child’s symptomatology and improved family functioning. However, the relation between alliance and outcome appears to be less clear when patients are treated with non-specific treatments more characteristic of usual care, compared with empirically supported treatments.
Therapeutic alliance in child psychotherapy is complicated by multiple relationships – the child-therapist relationship (referred to as child alliance) and the caregiver-therapist relationship (referred to as caregiver alliance) – and multiple perspectives on those relationships.
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