Research Article
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Year 2024, , 1 - 14, 25.07.2024
https://doi.org/10.32568/jfce.1446693

Abstract

References

  • Ainsworth, M. D. S. (1978). Patterns of attachment: A psychological study of the strange situation. Lawrence Erlbaum Associates.
  • An, M., Kivlighan, D. M., Jr., & Hill, C. E. (2023). Working alliance after transferring from one therapist to another in a training clinic: Influence of therapist attachment style. Journal of Counseling Psychology, 70(1), 67–80. https://doi.org/10.1037/cou0000642
  • Aponte, H. J., & Carol Carlsen, J. (2009). An instrument for person-of-the-therapist supervision. Journal of Marital and Family Therapy, 35(4), 395–405. https://doi.org/10.1111/j.1752-0606.2009.00127.x
  • Areas, M., Babl, A. M., Fernandez-Alvarez, J., Roussos, A., Botella, C., García-Palacios, A., ... & Penedo, J. M. G. (2023). Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia. Cognitive therapy and research, 47(2), 222-231. https://doi.org/10.1007/s10608-022-10343-8
  • Arnow, B. A., Steidtmann, D., Blasey, C., Manber, R., Constantino, M. J., Klein, D. N., Markowitz, J. C., Rothbaum, B. O., Thase, M. E., Fisher, A. J., & Kocsis, J. H. (2013). The relationship between the therapeutic alliance and treatment outcome in two distinct psychotherapies for chronic depression. Journal of Consulting and Clinical Psychology, 81(4), 627–638. https://doi.org/10.1037/a0031530
  • Bahrick, A. S. (1989). Role induction for counselor trainees: Effects on the supervisory working alliance [Doctoral dissertation] The Ohio State University.
  • Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61(2), 226–244. https://doi.org/10.1037/0022-3514.61.2.226
  • Balkin, R. S., & Kleist, D. M. (2017). Counseling research: A practitioner-scholar approach. American Counseling Association.
  • Berant, E. ve Obegi, J. H. (2009). Attachment-informed psychotherapy research with adults. Attachment theory and research in clinical work with adults. Guilford Press.
  • Bernard, J. M., & Goodyear, R. K. (2014). Fundamentals of clinical supervision (5th ed.). Pearson Education.
  • Bernecker, S. L., Levy, K. N., & Ellison, W. D. (2014). A meta-analysis of the relation between patient adult attachment style and the working alliance. Psychotherapy Research, 24(1), 12–24. https://doi.org/10.1080/10503307.2013.809561
  • Black, S., Hardy, G., Turpin, G., & Parry, G. (2005). Self-reported attachment styles and therapeutic orientation of therapists and their relationship with reported general alliance quality and problems in therapy. Psychology and Psychotherapy: Theory, Research and Practice, 78(3), 363–377. https://doi.org/10.1348/147608305X43784
  • Bordin, E.S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice,16, 252–260. http://dx.doi.org/10.1037/h0085885
  • Bordin, E. S. (1983). A working alliance based model of supervision. The Counseling Psychologist, 11, 35–42. http://dx.doi.org/10.1177/00110 00083111007
  • Bourke, E., Barker, C., & Fornells‐Ambrojo, M. (2021). Systematic review and meta‐analysis of therapeutic alliance, engagement, and outcome in psychological therapies for psychosis. Psychology and Psychotherapy: Theory, Research and Practice, 94(3), 822–853. https://doi.org/10.1111/papt.12330
  • Bowlby, J. (1969). Attachment and Loss: Attachment. -1969.-(RUidnr.: M102591232). Basic books.
  • Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. Routledge.
  • Bruck, E., Winston, A., Aderholt, S., & Muran, J. C. (2006). Predictive Validity of Patient and Therapist Attachment and Introject Styles. American Journal of Psychotherapy, 60(4), 393–406. https://doi.org/10.1176/appi.psychotherapy.2006.60.4.393
  • Burke, W. R. (1991). Weakenings and repairs of the working alliance in counselor supervision (Order No. 9136316). Available from ProQuest Dissertations & Theses Global. (304010169). https://www.proquest.com/dissertations-theses/weakenings-repairs-working-alliance-counselor/docview/304010169/se-2
  • Cohen, L., Manion, L., & Morrison, K. (2007). Research methods in education (6th ed.). Routledge/Taylor & Francis Group
  • Collins, N. L., & Read, S. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58(4), 644–663. https://doi.org/10.1037/0022-3514.58.4.644
  • Cooper, M. L., Shaver, P. R., & Collins, N. L. (1998). Attachment styles, emotion regulation, and adjustment in adolescence. Journal of Personality and Social Psychology, 74(5), 1380–1397. https://doi.org/10.1037/0022-3514.74.5.1380
  • Daly, J. S. (2003). A qualitative analysis of the supervisory working alliance as perceived by the supervisee (Order No. 3100727). Available from ProQuest Dissertations & Theses Global. (305213576). https://www.proquest.com/dissertations-theses/qualitative-analysis-supervisory-working-alliance/docview/305213576/se-2
  • DePue, M. K., Lambie, G. W., Liu, R., & Gonzalez, J. (2016). Investigat-ing supervisory relationships and therapeutic alliances using structural equation modeling. Counselor Education & Supervision, 55(4), 263–277. https://doi.org/10.1002/ceas.12053
  • Del Re, A. C., Flückiger, C., Horvath, A. O., & Wampold, B. E. (2021). Examining therapist effects in the alliance–outcome relationship: A multilevel meta-analysis. Journal of Consulting and Clinical Psychology, 89(5), 371–378. https://doi.org/10.1037/ccp0000637
  • Dunkle, J. H., & Friedlander, M. L. (1996). Contribution of therapist experience and personal characteristics to the working alliance. Journal of Counseling Psychology, 43(4), 456–460. https://doi.org/10.1037/0022-0167.43.4.456
  • Dykeman, C. (1995). An Introduction to Working Alliance Theory for Professional Counselors. ERIC veri tabanından ulaşılmıştır (Number: ED387755).
  • Eames, V., & Roth, A. (2000). Patient attachment orientation and the early working alliance: A study of patient and therapist reports of alliance quality and ruptures. Psychotherapy Research, 10(4), 421–434. https://doi.org/10.1093/ptr/10.4.421
  • Efstation, J. F., Patton, M. J., & Kardash, C. M. (1990). Measuring the working alliance in counselor supervision. Journal of Counseling Psychology, 37(3), 322–329. https://doi.org/10.1037/0022-0167.37.3.322
  • Elvins, R. ve Green, J. (2008). The conceptualization and measurement of therapeutic alliance: An empirical review. Clinical Psychology Review, 28, 1167-1187. https://doi.org/10.1016/j.cpr.2008.04.002
  • Enlow, P. T., McWhorter, L. G., Genuario, K., & Davis, A. (2019). Supervisor–supervisee interactions: The importance of the supervisory working alliance. Training and Education in Professional Psychology, 13(3), 206. http://dx.doi.org/10.1037/tep0000243
  • Ertl, M. M., Ellis, M. V., & Peterson, L. P. (2023). Supervisor Cultural Humility and Supervisee Nondisclosure: The Supervisory Working Alliance Matters. The Counseling Psychologist. https://doi.org/10.1177/001100002311593
  • Farber, B. A., & Metzger, J. A. (2009). The therapist as secure base. In J. H. Obegi & E. Berant (Eds.), Attachment theory and research in clinical work with adults (pp. 46–70). The Guilford Press.
  • Flückiger, C., Del Re, A. C., Wlodasch, D., Horvath, A. O., Solomonov, N., & Wampold, B. E. (2020). Assessing the alliance–outcome association adjusted for patient characteristics and treatment processes: A meta-analytic summary of direct comparisons. Journal of Counseling Psychology, 67(6), 706–711. https://doi.org/10.1037/cou0000424
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  • Goldfried, M. R., & Davila, J. (2005). The role of relationship and technique in therapeutic change. Psychotherapy: Theory, Research, Practice, Training, 42(4), 421–430. https://doi.org/10.1037/0033-3204.42.4.421
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Predicting Therapeutic Alliance: Supervisory Alliance and Supervisee’s Attachment Style

Year 2024, , 1 - 14, 25.07.2024
https://doi.org/10.32568/jfce.1446693

Abstract

The aim of this study was to investigate how attachment styles and supervisory alliance predict the therapeutic alliance. Data was collected using The Therapeutic Alliance Scale, the Working Alliance Inventory: Trainee Form, and Attachment Styles in Interpersonal Relationships Scale. The study administered measuring instruments to 361 undergraduate counseling students (i.e., supervisees) from seven different state universities who had completed at least three counseling and supervision sessions. The data was analyzed using Pearson Product Moment Correlation Coefficient and Multiple Linear Regression analysis methods. The findings revealed that supervisees’ secure attachment styles positively and significantly predicted the therapeutic alliance. While the anxious-preoccupied attachment style did not significantly predict the goal and task sub-dimensions of the therapeutic alliance, it did significantly predict the bond sub-dimension and the total score of the therapeutic alliance. In contrast, the avoidant attachment style only significantly predicted the bond sub-dimension of the therapeutic alliance. Furthermore, the supervisory alliance was significantly predictor for all dimensions of the therapeutic alliance, as well as the total score.

Ethical Statement

Compliance with Ethical Standards Ethics Approval “All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.” Consent to participate “Informed consent was obtained from all individual participants included in the study.”

Thanks

This study is based on the master's thesis completed by the first author in 2019 under the supervision of the second and third authors.

References

  • Ainsworth, M. D. S. (1978). Patterns of attachment: A psychological study of the strange situation. Lawrence Erlbaum Associates.
  • An, M., Kivlighan, D. M., Jr., & Hill, C. E. (2023). Working alliance after transferring from one therapist to another in a training clinic: Influence of therapist attachment style. Journal of Counseling Psychology, 70(1), 67–80. https://doi.org/10.1037/cou0000642
  • Aponte, H. J., & Carol Carlsen, J. (2009). An instrument for person-of-the-therapist supervision. Journal of Marital and Family Therapy, 35(4), 395–405. https://doi.org/10.1111/j.1752-0606.2009.00127.x
  • Areas, M., Babl, A. M., Fernandez-Alvarez, J., Roussos, A., Botella, C., García-Palacios, A., ... & Penedo, J. M. G. (2023). Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia. Cognitive therapy and research, 47(2), 222-231. https://doi.org/10.1007/s10608-022-10343-8
  • Arnow, B. A., Steidtmann, D., Blasey, C., Manber, R., Constantino, M. J., Klein, D. N., Markowitz, J. C., Rothbaum, B. O., Thase, M. E., Fisher, A. J., & Kocsis, J. H. (2013). The relationship between the therapeutic alliance and treatment outcome in two distinct psychotherapies for chronic depression. Journal of Consulting and Clinical Psychology, 81(4), 627–638. https://doi.org/10.1037/a0031530
  • Bahrick, A. S. (1989). Role induction for counselor trainees: Effects on the supervisory working alliance [Doctoral dissertation] The Ohio State University.
  • Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61(2), 226–244. https://doi.org/10.1037/0022-3514.61.2.226
  • Balkin, R. S., & Kleist, D. M. (2017). Counseling research: A practitioner-scholar approach. American Counseling Association.
  • Berant, E. ve Obegi, J. H. (2009). Attachment-informed psychotherapy research with adults. Attachment theory and research in clinical work with adults. Guilford Press.
  • Bernard, J. M., & Goodyear, R. K. (2014). Fundamentals of clinical supervision (5th ed.). Pearson Education.
  • Bernecker, S. L., Levy, K. N., & Ellison, W. D. (2014). A meta-analysis of the relation between patient adult attachment style and the working alliance. Psychotherapy Research, 24(1), 12–24. https://doi.org/10.1080/10503307.2013.809561
  • Black, S., Hardy, G., Turpin, G., & Parry, G. (2005). Self-reported attachment styles and therapeutic orientation of therapists and their relationship with reported general alliance quality and problems in therapy. Psychology and Psychotherapy: Theory, Research and Practice, 78(3), 363–377. https://doi.org/10.1348/147608305X43784
  • Bordin, E.S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice,16, 252–260. http://dx.doi.org/10.1037/h0085885
  • Bordin, E. S. (1983). A working alliance based model of supervision. The Counseling Psychologist, 11, 35–42. http://dx.doi.org/10.1177/00110 00083111007
  • Bourke, E., Barker, C., & Fornells‐Ambrojo, M. (2021). Systematic review and meta‐analysis of therapeutic alliance, engagement, and outcome in psychological therapies for psychosis. Psychology and Psychotherapy: Theory, Research and Practice, 94(3), 822–853. https://doi.org/10.1111/papt.12330
  • Bowlby, J. (1969). Attachment and Loss: Attachment. -1969.-(RUidnr.: M102591232). Basic books.
  • Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. Routledge.
  • Bruck, E., Winston, A., Aderholt, S., & Muran, J. C. (2006). Predictive Validity of Patient and Therapist Attachment and Introject Styles. American Journal of Psychotherapy, 60(4), 393–406. https://doi.org/10.1176/appi.psychotherapy.2006.60.4.393
  • Burke, W. R. (1991). Weakenings and repairs of the working alliance in counselor supervision (Order No. 9136316). Available from ProQuest Dissertations & Theses Global. (304010169). https://www.proquest.com/dissertations-theses/weakenings-repairs-working-alliance-counselor/docview/304010169/se-2
  • Cohen, L., Manion, L., & Morrison, K. (2007). Research methods in education (6th ed.). Routledge/Taylor & Francis Group
  • Collins, N. L., & Read, S. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58(4), 644–663. https://doi.org/10.1037/0022-3514.58.4.644
  • Cooper, M. L., Shaver, P. R., & Collins, N. L. (1998). Attachment styles, emotion regulation, and adjustment in adolescence. Journal of Personality and Social Psychology, 74(5), 1380–1397. https://doi.org/10.1037/0022-3514.74.5.1380
  • Daly, J. S. (2003). A qualitative analysis of the supervisory working alliance as perceived by the supervisee (Order No. 3100727). Available from ProQuest Dissertations & Theses Global. (305213576). https://www.proquest.com/dissertations-theses/qualitative-analysis-supervisory-working-alliance/docview/305213576/se-2
  • DePue, M. K., Lambie, G. W., Liu, R., & Gonzalez, J. (2016). Investigat-ing supervisory relationships and therapeutic alliances using structural equation modeling. Counselor Education & Supervision, 55(4), 263–277. https://doi.org/10.1002/ceas.12053
  • Del Re, A. C., Flückiger, C., Horvath, A. O., & Wampold, B. E. (2021). Examining therapist effects in the alliance–outcome relationship: A multilevel meta-analysis. Journal of Consulting and Clinical Psychology, 89(5), 371–378. https://doi.org/10.1037/ccp0000637
  • Dunkle, J. H., & Friedlander, M. L. (1996). Contribution of therapist experience and personal characteristics to the working alliance. Journal of Counseling Psychology, 43(4), 456–460. https://doi.org/10.1037/0022-0167.43.4.456
  • Dykeman, C. (1995). An Introduction to Working Alliance Theory for Professional Counselors. ERIC veri tabanından ulaşılmıştır (Number: ED387755).
  • Eames, V., & Roth, A. (2000). Patient attachment orientation and the early working alliance: A study of patient and therapist reports of alliance quality and ruptures. Psychotherapy Research, 10(4), 421–434. https://doi.org/10.1093/ptr/10.4.421
  • Efstation, J. F., Patton, M. J., & Kardash, C. M. (1990). Measuring the working alliance in counselor supervision. Journal of Counseling Psychology, 37(3), 322–329. https://doi.org/10.1037/0022-0167.37.3.322
  • Elvins, R. ve Green, J. (2008). The conceptualization and measurement of therapeutic alliance: An empirical review. Clinical Psychology Review, 28, 1167-1187. https://doi.org/10.1016/j.cpr.2008.04.002
  • Enlow, P. T., McWhorter, L. G., Genuario, K., & Davis, A. (2019). Supervisor–supervisee interactions: The importance of the supervisory working alliance. Training and Education in Professional Psychology, 13(3), 206. http://dx.doi.org/10.1037/tep0000243
  • Ertl, M. M., Ellis, M. V., & Peterson, L. P. (2023). Supervisor Cultural Humility and Supervisee Nondisclosure: The Supervisory Working Alliance Matters. The Counseling Psychologist. https://doi.org/10.1177/001100002311593
  • Farber, B. A., & Metzger, J. A. (2009). The therapist as secure base. In J. H. Obegi & E. Berant (Eds.), Attachment theory and research in clinical work with adults (pp. 46–70). The Guilford Press.
  • Flückiger, C., Del Re, A. C., Wlodasch, D., Horvath, A. O., Solomonov, N., & Wampold, B. E. (2020). Assessing the alliance–outcome association adjusted for patient characteristics and treatment processes: A meta-analytic summary of direct comparisons. Journal of Counseling Psychology, 67(6), 706–711. https://doi.org/10.1037/cou0000424
  • George, D. & Mallery, M. (2010). SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 update (10a ed.) Pearson.
  • Goldfried, M. R., & Davila, J. (2005). The role of relationship and technique in therapeutic change. Psychotherapy: Theory, Research, Practice, Training, 42(4), 421–430. https://doi.org/10.1037/0033-3204.42.4.421
  • Hair, J., Black, W. C., Babin, B. J. & Anderson, R. E. (2010) Multivariate data analysis (7th ed.). Upper Saddle River, Pearson Educational International.
  • Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52(3), 511–524. https://doi.org/10.1037/0022-3514.52.3.511
  • Hedegaard, A. E. (2020). The supervisory alliance in group supervision. British Journal of Psychotherapy, 36(1), 45–60. https://doi.org/10.1111/bjp.12495
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There are 69 citations in total.

Details

Primary Language English
Subjects Psychological Counseling Education
Journal Section Makaleler
Authors

İsmail Kuşci 0000-0002-2178-8429

Tahsin İlhan 0000-0002-5007-5022

Yusuf Sarıkaya 0000-0003-3057-3718

Early Pub Date March 21, 2024
Publication Date July 25, 2024
Submission Date March 4, 2024
Acceptance Date March 20, 2024
Published in Issue Year 2024

Cite

APA Kuşci, İ., İlhan, T., & Sarıkaya, Y. (2024). Predicting Therapeutic Alliance: Supervisory Alliance and Supervisee’s Attachment Style. Journal of Family Counseling and Education, 9(1), 1-14. https://doi.org/10.32568/jfce.1446693
AMA Kuşci İ, İlhan T, Sarıkaya Y. Predicting Therapeutic Alliance: Supervisory Alliance and Supervisee’s Attachment Style. JFCE. July 2024;9(1):1-14. doi:10.32568/jfce.1446693
Chicago Kuşci, İsmail, Tahsin İlhan, and Yusuf Sarıkaya. “Predicting Therapeutic Alliance: Supervisory Alliance and Supervisee’s Attachment Style”. Journal of Family Counseling and Education 9, no. 1 (July 2024): 1-14. https://doi.org/10.32568/jfce.1446693.
EndNote Kuşci İ, İlhan T, Sarıkaya Y (July 1, 2024) Predicting Therapeutic Alliance: Supervisory Alliance and Supervisee’s Attachment Style. Journal of Family Counseling and Education 9 1 1–14.
IEEE İ. Kuşci, T. İlhan, and Y. Sarıkaya, “Predicting Therapeutic Alliance: Supervisory Alliance and Supervisee’s Attachment Style”, JFCE, vol. 9, no. 1, pp. 1–14, 2024, doi: 10.32568/jfce.1446693.
ISNAD Kuşci, İsmail et al. “Predicting Therapeutic Alliance: Supervisory Alliance and Supervisee’s Attachment Style”. Journal of Family Counseling and Education 9/1 (July 2024), 1-14. https://doi.org/10.32568/jfce.1446693.
JAMA Kuşci İ, İlhan T, Sarıkaya Y. Predicting Therapeutic Alliance: Supervisory Alliance and Supervisee’s Attachment Style. JFCE. 2024;9:1–14.
MLA Kuşci, İsmail et al. “Predicting Therapeutic Alliance: Supervisory Alliance and Supervisee’s Attachment Style”. Journal of Family Counseling and Education, vol. 9, no. 1, 2024, pp. 1-14, doi:10.32568/jfce.1446693.
Vancouver Kuşci İ, İlhan T, Sarıkaya Y. Predicting Therapeutic Alliance: Supervisory Alliance and Supervisee’s Attachment Style. JFCE. 2024;9(1):1-14.