THE EFFECT OF TECHNOLOGY ON THERAPY ALLIANCE i
Chapter 1
THE EFFECT OF TECHNOLOGY ON THERAPY ALLIANCE 1
Introduction
The working alliance between therapist and patient is a consistent and robust predictor
for therapy outcomes and patient prognosis (Del Re, Fluckiger, Horvath, Symonds, & Wamp...
Digital Commons @ George Fox University
Doctor of Psychology (PsyD) Theses and Dissertations
3-1-2016
The Effect of T echnology on Therapy Alliance
Ryan F . Birch
George Fox University , rbirch11@georgefox.edu
This research is a product of the Doctor of Psychology (PsyD) program at George Fox University. Find out
more about the program.
This Dissertation is brought to you for free and open access by the Theses and Dissertations at Digital Commons @ George Fox U niversity. It has been
accepted for inclusion in Doctor of Psychology (PsyD) by an authorized administrator of Digital Commons @ George Fox University. For more
information, please contact arolfe@georgefox.edu .Recommended Citation
Birch, Ryan F., "The Effect of T echnology on Therapy Alliance" (2016). Doctor of Psychology (PsyD). Paper 197.
http://digitalcommons.georgefox.edu/psyd/197 The Effect of Technology on Therapy Alliance by Ryan F. Birch Presented to the Faculty of the Graduate Department of Clinical Psychology George Fox University in partial fulfillment of the requirements for the degree of Doctor of Psychology in Clinical Psychology Newberg, Oregon March 2016 THE EFFECT OF TECHNOLOGY ON THERAPY ALLIANCE 2 The Effect of Technology on Therapy Alliance by Ryan F. Birch Has been approved at the Graduate School of Clinical Psychology George Fox University Mark R. McMinn, PhD, Chair Members: ~l1~~&-J Date: ------------------------- THE EFFECT OF TECHNOLOGY ON THERAPY ALLIANCE ! iii
The Effect of Technology on Therapy Alliance Ryan F. Birch Graduate Department of Clinical Psychology at George Fox University Newberg, Oregon Abstract The therapeutic alliance is considered a demonstrably effective variable for therapy outcomes independent of treatment type, yet the extent to which it may be affected by technology is vague. Similarly, studies examining how technology alters the therapeutic relationship in a traditional face-to-face context are sparse and inconclusive. The robust association between psychotherapy alliance and therapy outcomes combined with the lack of conclusive evidence concerning how technology influences this calls for more research on the relationship between alliance and technology. The current study examines how clients’ perceptions of therapy alliance over the course of 10 sessions change with the administration of alliance and outcome measures via smartphone or pen and paper technologies. First-year graduate trainees ( n = 24) of an APA-accredited doctoral program in clinical psychology served as beginning therapists to a non-clinical, volunteer population of undergraduate students ( n = 47). Beginning therapists were randomly assigned to a control condition that administered paper-and-pen versions of the Session Rating Scale and Outcome Rating Scale or an
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