The client–therapist relationship
 The client–therapist relationship

Couple in therapyEffectiveness bank home page. Opens new window Collection
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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STUDY 2008 HTM file
Benefits of residential care preserved by systematic, persistent and welcoming aftercare prompts

Systematically applying simple prompts and motivators can improve aftercare attendance and help sustain progress made during initial residential treatment, offering a way to preserve the benefits of the investment made by patients, services and funders.

STUDY 2015 HTM file
Navigating the alcohol treatment pathway: A qualitative study from the service users’ perspective

Patient interviews provide insight into low levels of engagement and retention in alcohol treatment services, hindering the effective provision of treatment for dependent drinkers. Findings suggest that treatment pathways should better reflect the capacity and capabilities of people with alcohol dependence.

HOT TOPIC 2016 HTM file
Treatment staff matter

One of our hot topics offering background and analysis on important issues which sometimes generate heated debate. By focusing on the intervention as if it were a mechanical lever, research has not just ignored but sought to eliminate what now seems a more important factor – the influence of the practitioner and how they relate to the patient.

COLLECTION 2016 HTM file
The common core of therapy

‘Collections’ are customised Effectiveness Bank searches not available via the standard options in the search pages. Lists entries relating to ‘Dodo bird’ findings that all bona fide therapies tend to have similar effects. Across mental health and behavioural problems, such findings have turned attention to the ‘common factors’ shared by therapies rather than how they differ.

DOCUMENT 1991 HTM file
Persuasion and Healing: a Comparative Study of Psychotherapy

First published in 1961, Jerome D. Frank’s book Persuasion and Healing was a pioneering insight into the important components shared by effective therapies in mental health including the addictions, components now widely acknowledged as more influential than the specific theories and methods of different approaches.

STUDY 2010 HTM file
“Everyone deserves services no matter what”: Defining success in harm-reduction-based substance user treatment

A study exploring the challenges of defining and measuring ‘outcomes’ and ‘success’ in substance use treatment environments, from the perspective of staff and participants in two different US harm-reduction counselling programmes.

REVIEW 2014 HTM file
Peer recovery support for individuals with substance use disorders: assessing the evidence

For such a widely implemented and widely supported adjunct to formal treatment, the revelation from this review is how little evidence there is for involving former problem substance users in promoting recovery from similar problems – a lack which may simply reflect the paucity of adequate research.

STUDY 2012 HTM file
Motivational interviewing: a pilot test of active ingredients and mechanisms of change

Motivational interviewing’s originator has stressed how unexpected findings can force fruitful rethinking. This study may prove an example; designed to forefront the approach’s distinct active ingredients, other than fleetingly and non-significantly, these did not seem active at all among the stable, moderately dependent drinkers recruited to the trial.

STUDY 2010 HTM file
Computer-assisted cognitive rehabilitation for the treatment of patients with substance use disorders: a randomized clinical trial

Researchers have long suspected that pre-existing or drug/alcohol-induced cognitive deficits prevent patients making the most of treatments which rely on complex verbal communications and understandings. For the first time this US study has shown that psychological exercises to remedy these deficits do improve outcomes by helping patients get to grips with treatment.

STUDY 2009 HTM file
The alliance in motivational enhancement therapy and counseling as usual for substance use problems

Rarely has counselling been so deeply analysed as in this US study of mainly alcohol and cocaine dependent patients. The far-reaching implications are that some counsellors generate relationships with clients which feed through to better outcomes – but also that the 'best' relationship builders are not on average the most effective.


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