HAQ-2 to Examine the Therapeutic Alliance

Paper Summary:

This paper discusses the importance of a therapeutic alliance for treatment. It explores the ability of clinical psychologists to improve the health of the therapeutic relationship between a therapist and patient. It then explores the appropriateness of the Helping Alliance Questionnaire-2 (HAQ-2) as an instrument for measuring psychologist ability to assess the therapeutic relationship.

Table of Contents:
Part 1: Therapeutic Relationship or Client-Therapist Attachment?
Understanding the Elements of the Therapeutic Relationship
Understanding Client-Therapist Attachment
Comparing and Contrasting the Therapeutic Relationship and Client-Therapist Attachment
Research Rationale
Part 2: Assessing Measurement Instruments
Relationship Measurement Instruments
The Helping Alliance Questionnaire (HAQ-2)
Reliability and Validity of the HAQ-2
Comparison with Other Instruments
Limitations of the HAQ-2
Appropriateness of the HAQ-2 for the Intended Study

From the Paper:

"When one considers all of the variables associated with selection of the research instrument and the desired outcomes of the intended research, the HAQ-2 stands out as the most obvious choice. The HAQ-2 has many advantages over other research instruments for this study. One of the key considerations is ease of administration. It is short and only takes a few minutes to complete. This is a key reason for ruling out other research instruments, such as the BLRI. The WAI is another possibility, but it does not allow the potential for direct comparison of client and patient results for the same session."

Sample of Sources Used:

• Barrett-Lennard, G. (1962) Dimensions of therapist response as causal factors in therapeutic change. Psychological Monographs, 76 (43): 1-36 .
• Butler Center for Research (BCR) (2006): Therapeutic Alliance: Improving Treatment Outcome. Butler Center for Research. October 2006. Retrieved September 22, 2008 from http://www.hazelden.org/web/public/document/bcrup_1006.pdf
• Cruz, M. & Pincus, A. (2002). Research on the Influence That Communication in Psychiatric Encounters Has on Treatment. Psychiatric Services. 53: 1253-1265.
• DeWeert-Van, O., Dejong, C., Jorg, F. & Schrijver, G. (1999). The Helping Alliance Questionnaire : Psychometric properties in patients with substance dependence. Substance Use and misuse. 34 (11): 1549-1569.
• Feller, C. & Cottone, R. (2003). The Importance of Empathy in the Therapeutic Alliance. Journal of Humanistic Counseling, Education, and Development. 42. Retrieved September 22, 2008 from http://www.questia.com/googleScholar.qst;jsessionid=LYWGsL7TYRRFMKZB29FCw RG2BtCSxS1yx1SQx1vMMWX8LDKQLt1Q!-1139221524?docId=5006987331

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