Therapeutic alliance

Free Resource Reveals the True Path to Better Results


Turns out it’s more than just a common quality of highly effective therapists, humility is actually a prerequisite!

Studies confirm “professional self-doubt” is not only a strong predictor of both alliance and outcome but actually a prerequisite for acquiring therapeutic expertise. Speaking specifically to the field of psychotherapy in, Humility: The paradoxical foundation for psychotherapy expertise, the authors, Hook, Watkins, Davis, and Owen , define humility as “valuing input from the other (or client) … and [a] willingness to engage in self-scrutiny.”

Does this sound like you?

We all profess humility and I know as an ethics bound professional that you already ask for feedback and have likely already encountered some negative feedback from a client. When you have received negative feedback about treatment progress or experienced a rupture in the therapeutic alliance, ask your self how ofter you were able to:

1: Fix the problem?

2: Learn from the feedback and apply it in future encounters?

Did you confidently answer yes, all the time to both questions, because this is the path your colleagues are taking to go from average to excellent. Only you know how far down this journey you have gone, or are willing to go, but what I do know is that both MyOutcomes® and The International Center for Clinical Excellence (ICCE) are dedicated to providing you with the tools and training you need to see noticeable improvements in treatment results.

Take the Path to Better Results

On January 15, 2021 MyOutcomes is releasing a new series of Better Results with Scott Miller Interviews. The series is full of stories and free practical advice and resources to help you develop a more feedback informed practice. This four-part Netflix style series can be binge watched in under two hours.

If you have participated in the past, then you know that besides free giveaways, MyOutcomes will also be including a great bonus package. The Get FIT Now bonus package will be available for the first 100 Mental Health Professionals who sign up between January 15th and 31st, 2021.

Without giving to much away, I have to tell you that the first 10 participants to sign up online for MyOutcomes or FIT eLearning will be receiving a free paperback copy of Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness! This step-by-step guide demonstrates how to collect and use client outcome data to create an individualized professional development plan and measure improvements in the quality of the service you provide.

Sign up now

To make sure you don’t miss out, get on the wait list now: This free Feedback-Informed Treatment Webinar Series will only be available for download from Jan 15-31. More free resources and exclusive content will be revealed on the release date!

Share with your colleagues so they don’t miss out on advanced notice.

Get on the waitlist for premier access, Friday, January 15th

Within The Therapist Lies The Key

Therapeutic alliance

“The establishment of a therapeutic alliance can be a daunting task, even for those therapists who are generally successful…”

For some time now, it has been well-established that the alliance between the therapist and the client plays a significant role in predicting successful therapeutic outcomes. A strong alliance is predictive of successfully achieving therapeutic goals, whereas a poor alliance is seen as resulting in increased dropouts and missed sessions. It should be obvious to everyone that missing therapeutic sessions and dropping out of therapy are not optimal strategies for obtaining successful outcomes.

Although therapist characteristics are seen as essential for establishing a strong therapeutic alliance, attempts to understand the alliance are generally focused on the client and the client's perception. Of course, this only makes sense given that the perception of a therapeutic alliance or lack thereof begins and ends with the client. It is the role of the therapist to reach out to the client and engage in activities that will create and strengthen a bond between the therapist and the client. However, It is only the client who knows whether that outreach has been successful or not. A smiling client does not necessarily translate into a trusting client. And without the trust resulting from a strong therapeutic alliance, work toward achieving the client's therapeutic goals will be compromised.

The establishment of a therapeutic alliance can be a daunting task, even for those therapists who are generally successful in creating rapport with their clients. After all, each client is unique and, thus, all clients won't respond equally to all therapist alliance-building behaviors. Most therapists would adjust their strategies for creating a therapeutic alliance if needed. The trick is knowing if such adjustments are necessary. Although the key to building therapeutic alliances lies within the therapist, the therapist needs some insight into the client's perceptions of their relationship in order to determine if they are using the right key. In an ideal universe, the therapist could simply ask the client. Unfortunately, “seeing” the client's perceptions is more complex. Luckily, it isn't necessary to use complex tools to solve the problem of the client communicating their perceptions.

The Session Rating Scale (SRS) is a conceptually simple, easy-to-use tool that measures the client's perception of the therapeutic alliance. One of two powerful tools offered by MyOutcomes, the web-based application of the Partners for Change Outcome Management System (PCOMS), the SRS takes seconds to administer at the end of each session and informs the therapist of the strength of the therapeutic alliance and whether the alliance is deteriorating. The insight provided by the SRS enables the therapist to identify any challenges and to make adjustments accordingly. The key to strong therapeutic alliances may lie within the therapist, but it is MyOutcomes that has the power in assisting the therapist to unlock that key.

For more information, please watch our on demand demo video or speak with someone now call us toll-free 1-877-763-4775

Measuring the Therapeutic Alliance

improve outcomes softwareIt is a proven fact that one of the major reasons that clients drop out of therapy is a reported problem with the therapeutic alliance. It is for this reason that alliance is termed  â€œthe soul of therapy” and a “therapist's best friend”. Clearly measuring alliance should be a therapeutic imperative.

MyOutcomes® can help with this, in the form of its web-based tool called the Session Rating Scale or SRS in short. SRS is a four-item scale that enables the therapist to get a quantitative measure of the client's assessment of the therapist-client relationship. Specifically, the SRS asks the client to use a sliding analog scale to assess their relationship with the therapist, whether the goals and topics covers what the client feels they need, how well the therapist's approach fits for the client, and an overall general assessment of the most recent session. Based upon the composite score of these measures, the therapist can determine whether the alliance is weak or strong. If weak or seemly at risk, the therapist can devote time to explore issues that will strengthen the relationship e.g. shifting goals, changing approach, etc.

Multiple RCT's studies conducted over the years also show that this measure is reliable, valid and feasible.

Watch this video by Dr Barry Duncan and learn about the usefulness of the Session Rating Scale and how to measure the therapeutic alliance.