Psychoanalytic concepts are relevant for a broad range of problems in everyday life including educational and vocational indecision - these psychoanalytic concepts have been slow to influence both the career and personal counseling literature for reasons that have more to do with the diverse origins of psychoanalysis and counseling than with their usefulness in helping clients (Horvath and Simonds, 2000).
Robbins (1992) presented a historical perspective on the working alliance as part of a larger goal of demonstrating its centrality in psychoanalytic counseling. Seeds of the idea of alliance can be traced to Freud's (1923/1961) writings which he recognized the importance of the patient's "positive conscious transference." Greenson (1967) identified the three-part distinction when referring to the relationship of the analysts and the patient: (a) the transference relationship, (b) the real relationship, and - the working alliance. In psychoanalytic counseling, the transference reactions are unrealistic and inappropriate and always take precedence if they intrude. In classical psychoanalysis, the transference is deliberately developed and analyzed in the treatment situation and is the major vehicle for bringing about change in the client. On one hand real relationship refers to what is authentic and genuine to the relationship between the client and counselor - the working alliance here is realistic and appropriate, but it is a phenomenon created by them and is particular to the situation of counseling. It consists of that sector of the overall experience of the counseling participants characterized by their collaboration, mutuality and cooperation with regard to the work of counseling. The working alliance provides the motivation to work in the session with the counselor as well as the ability to the work required in the counseling.
Horvath and Greenberg (1994) explain that in the current notion of working alliance, "collaboration" between therapist and client is the key element. At its best, the working alliance provides a safe environment for clients to explore themselves and a relationship in which clients' "key relational issues" are defined. Bordin (1979) defined the working alliance as being based on three components: the agreement on overall goals, the agreement on tasks that lead towards achieving these goals, and the emotional bond between the therapist and client. The Working Alliance Inventory developed by Horvath and Greenberg (1994) includes sub-scales patterned after these three components.
Studies conducted by Horvath and Greenberg (1989) indicated that both therapist and client ratings of their working alliance are correlated with therapy outcome, especially ratings on the task and goal sub-scales. Similarly, Horvath and Symonds (1991) used meta-analysis to synthesize the results of 24 studies examining the relationship between working alliance and psychotherapy outcome, and found "moderate but reliable" relationships between good working alliance and successful therapy outcome [the overall effect size (ES) was 0.26]. The client's perception was the best predictor of treatment outcomes followed by therapist's and observer's, respectively.
What is known about the variables that contribute to a good working alliance? The working alliance has been examined in relation to several client and therapist variables. Mallinckrodt and Nelson (1991) reported positive relationships between therapist training level and the goal and task sub-scales of the working alliance. However, Dunkle and Friedlander (1996) failed to find a relationship between therapist experience level and client's perception of the goal and task components of working alliance. Dunkle and Friedlander (1996) did report positive relationships between the bond scale and client perceptions of some therapist characteristics such as hostility, social support, and degree of comfort with closeness in interpersonal relationships.
The quality of overall working alliance was found to be related to characteristics of clients, such as the quality of a client's current and past relationships, type of presenting problems, levels of adjustment (Horvath & Greenberg, 1989), and social support and psychological symptoms (Mallinckrodt, 1996). Tyron and Kane (1993) investigated whether working alliance predicted Ethnicity, Working Alliance, and Outcome - 5 mutual vs. unilateral termination. They reported a relationship between therapist perception of strong working alliance and mutual termination.
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