The client–therapist relationship
 The client–therapist relationship

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The client–therapist relationship

At the heart of addiction treatment lies client–therapist relationships, across psychosocial therapies a stronger influence on how well clients do than the type of therapy. A collection starting with the analyses most recently added or updated, totalling today 81 documents.

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MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell B4: Practitioners; Psychosocial therapies

Key studies on the impact of the practitioner in psychosocial therapies for alcohol dependence. Structured around Carl Rogers’ classic account of the prerequisites of effective psychotherapy.

STUDY 2020 HTM file
Improving access to care for people who inject drugs: qualitative evaluation of Project ITTREAT – an integrated community hepatitis C service

A UK-based project placed a dedicated full-time hepatitis C nurse into a drug and alcohol treatment service. The experiences of people who inject drugs and attended the service reveal the degree to which this strategy can remove barriers to the infection treatment so crucial to containing the virus.

MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell B3: Practitioners; Medical treatment

The most important seminal and key studies and reviews shedding light on the impact of the practitioner in medical interventions and treatment for alcohol problems in medical settings.

MATRIX CELL 2019 HTM file
Alcohol Treatment Matrix cell B2: Practitioners; Generic and cross-cutting issues

At the front line the practitioner is to the patient the face of treatment. They can matter enormously – not so much in their formal credentials, but their manner with patients. Tour seminal and key studies which probe the heart of addiction treatment: relationships. See the remaining four cells in row 2 of the matrix for more on generic features of medical and psychosocial therapies.

DOCUMENT 2017 HTM file
Better care for people with co-occurring mental health and alcohol/drug use conditions: a guide for commissioners and service providers

People with co-occurring mental health and substance use problems are often unable to access the care they need. This 2017 guide from Public Health England describes what better care would look like, underpinned by the principles that there is ‘no wrong door’ for accessing support, and it is ‘everyone’s job’ the other side of the door to help.

REVIEW 2018 HTM file
Psychotherapy relationships that work III

Research findings amalgamated in 16 reviews for an American Psychological Association task force led them to authoritatively assess many dimensions of the client–psychotherapist relationship as important determinants of patients’ progress. “The relationship can heal,” is the overall conclusion – one likely to be highly relevant to recovery from addiction.

REVIEW 2018 HTM file
The real relationship and its role in psychotherapy outcome: a meta-analysis

Findings amalgamated for the American Psychological Association indicate that patient progress and treatment quality are strongly related to the strength of the personal (‘real’) relationship between client and therapist – more strongly than the working relationship focused on the therapy. Showing that you like, value and care for someone may be therapeutic in itself.

REVIEW 2018 HTM file
The alliance in adult psychotherapy: a meta-analytic synthesis

Comprehensive review for the American Psychological Association concludes that the working relationship between clients and their counsellors or therapists is one of the largest and most consistent determinants of outcomes. Practice recommendations aim to help practitioners foster strong relationships.

REVIEW 2018 HTM file
Meta-analysis of the alliance–outcome relation in couple and family therapy

Amalgamation and review of research findings commissioned by the American Psychological Association reveals that working relationships in couple and family therapies are at least as important as in individual therapies. Practice recommendations will help therapists develop these relationships, augmenting the impacts of some of the most effective ways to treat substance use problems.

REVIEW 2018 HTM file
Countertransference management and effective psychotherapy: meta-analytic findings

‘Therapist know thyself’ is the Socratic injunction strongly suggested by findings amalgamated for the American Psychological Association. Across all relevant studies, counsellors and therapists with the self-awareness and abilities to recognise, understand and use their reactions to clients – even when these are driven by the practitioner’s own internal conflicts – conduct better therapy and have more satisfied clients.


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