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You have found 90 entries after clicking on a search link (usually the MORE information link) in a matrix cell. Sorted by the main topic addressed, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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REVIEW 2011 HTM file
Evidence-based psychotherapy relationships: Psychotherapy relationships that work II

Based on new meta-analytic reviews, a US task force has authoritatively assessed what makes for an effective therapeutic relationship. Though not specific to substance use, this work will be critical to the recovery agenda for addiction treatment.

STUDY 2006 PDF file 172Kb
Adjust therapist directiveness to client resistance

Persuasive evidence from the US Project MATCH alcohol treatment trial that a non-directive therapeutic style suits clients prone anger or defensiveness or who like to take control, and more structured and directive approaches suit those who welcome being given a lead.

REVIEW 2011 HTM file
Evidence-based psychotherapy relationships: Goal consensus and collaboration

This meta-analytic review commissioned by the American Psychological Association finds that outcomes improve the more clients and therapists agree on goals and methods and form collaborative working relationships to implement those agreements. The findings support deep patient involvement in deciding treatment goals and methods.

REVIEW 2011 HTM file
Evidence-based psychotherapy relationships: Cohesion in group therapy

This meta-analytic review commissioned by the American Psychological Association suggests that fostering cohesion between leaders and groups, and within groups, is often an important way to improve group therapy outcomes. Practice recommendations will help group leaders make the most of this common substance use treatment format.

STUDY 2011 HTM file
Therapist effectiveness: implications for accountability and patient care

1 in 6 US therapists (mainly not specialising in substance use) typically ended up with clients whose substance use problems were significantly worse than when they started therapy, an indication perhaps that social workers and mental health counsellors find these issues especially hard to deal with.

STUDY 2009 HTM file
Patient reactance as a moderator of the effect of therapist structure on posttreatment alcohol use

Confirmation from the US Project MATCH alcohol treatment trial that too explicitly imposing structure on therapy risks relatively poor outcomes among patients reluctant to relinquish control and who react against direction – and a further indication that this pattern is not universal, but depends on the context.

STUDY 2005 HTM file
How does motivational interviewing work? Therapist skill predicts client involvement within motivational interviewing sessions

Analysis of counselling session recordings from therapists trained in motivational interviewing suggests that the important quality of seeming 'genuine' can suffer if training mandates unnaturally withholding normal responses; however, departing from these tenets is risky unless done by a socially skilled therapist.

STUDY 2010 HTM file
Gender differences in client-provider relationship as active ingredient in substance abuse treatment

From the comprehensive treatment process data collected by a major national US study emerges the important lesson that retention in itself is not an active ingredient in post-treatment outcomes but reflects influences such having one's needs met (especially important for women) and developing a good relationship with the service and your key worker.

STUDY 1981 HTM file
Interpersonal functioning of alcoholism counselors and treatment outcome

Seminal US study which found that the therapy-related social skills of alcohol counsellors were strongly related to how many of their patients relapsed in the two years after leaving inpatient treatment.

STUDY 1993 HTM file
Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles

Seminal study that validated motivational interviewing’s empathic, client-centred style. It suggested that by not provoking resistance, the non-confrontational style mandated by motivational interviewing reduced drinking compared to the then more typical blunt and challenging approach.


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