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This is a Quantitative Study study.

September 23, 2025

Effects of perceived working alliance quality and congruence on naturalistic psychotherapy outcome: A response surface analysis

FDFanny Alexandra DietelOsnabrück University IGIvo GeorgievUniversity of Münster JMJulia MüllerUniversity of Freiburg

Key Points

Higher congruence in working alliance between patient and therapist correlates with improved psychotherapy outcomes, indicating importance in treatment.
Patient and therapist evaluations of the working alliance serve as significant predictors of therapy success, emphasizing quality assessments.
Dyadic alliance judgments demonstrate strong relationships with multidimensional outcomes in psychotherapy, particularly when considering treatment duration.
Findings highlight the significance of congruence in patient-therapist relationships, aiming to enhance therapeutic effectiveness and client satisfaction.

Abstract

Objective Patient- and therapist-reported (i.e., dyadic) working alliance evaluations have been identified as robust predictors of psychotherapy outcome. However, it remains unclear how their congruence relates to outcome and how treatment duration, a variable factor in naturalistic psychotherapy, influences this relationship. This study examined the effects of dyadic alliance judgments and their congruence on multidimensional outcomes, further assessing the role of treatment duration.

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