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Patients' and therapists' shared and unique views of the therapeutic alliance: An investigation using confirmatory factor analysis in a nested design.
Authors:Hatcher  Robert L; Barends  Alex; Hansell  James; Gutfreund  M Janice
Abstract:Analyzed large general factor found in measures of the therapeutic alliance by use of confirmatory factor analysis (CFA) in a nested design. Ratings by 38 therapists and their 144 patients on the California Psychotherapy Alliance Scales (CALPAS), the Revised Penn Helping Alliance Questionnaire (HAQ-R), and the Working Alliance Inventory (WAI) were adjusted for therapist effects. A set of models for S and therapist ratings was tested with CFA, and a 3-factor model was confirmed, x–2(4)?=? 7.19, p> .13; GFI?=?.98; RMSR?=?.02; CFI?=?1.0. A shared-view factor (best represented by HAQ-R) accounted for 44% of patients' and 27% of therapists' variance. Unique factors accounted for 56% of therapists' and 43% of Ss' variance. S views split between HAQ and WAI factors; The WAI factor was most expressive of therapist views. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
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