Case study reveals differences in therapeutic alliance ratings in youth therapy, indicating complexities of rupture and repair during cognitive behavioral therapy.
Objective The therapeutic alliance is a complex, relational construct that cannot be fully understood from a single perspective. Few studies have explored alliance dynamics from both therapist and client viewpoints in youth therapy. This case study investigates discrepancies in alliance ratings—alongside rupture and repair processes—in cognitive behavioral therapy for adolescent depression, where the adolescent consistently reported a stronger alliance than the therapist.
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REN et al. (2025) studied this question.
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