Do baseline client characteristics predict the therapeutic alliance in the treatment of schizophrenia?

Shannon M. Couture, David L. Roberts, David L. Penn, Corinne Cather, Michael W. Otto, Donald Goff

Research output: Contribution to journalArticlepeer-review

65 Scopus citations


This study examined clinical predictors of client and therapist alliance ratings early in therapy, the relationship between client and therapist alliance ratings, and the psychometric properties of the Working Alliance Inventory in individuals with schizophrenia receiving manual-based treatment. Assessment of clinical symptoms and social functioning were conducted at baseline, and alliance ratings were obtained at 5 weeks. The Working Alliance Inventory had high internal consistency, but there were low correlations between client and therapist ratings. Results also indicated that social functioning and the activation and autistic preoccupation factors on the Positive and Negative Syndrome Scale were significant predictors of therapists' alliance ratings. There were no significant relationships between clinical predictors and clients' therapeutic alliance ratings. The findings indicate that client interpersonal factors are significant predictors of the therapist-rated alliance in the treatment of schizophrenia. Low correlations between clients' and therapists' ratings of the alliance should be examined in future research.

Original languageEnglish (US)
Pages (from-to)10-14
Number of pages5
JournalJournal of Nervous and Mental Disease
Issue number1
StatePublished - Jan 1 2006
Externally publishedYes


  • Alliance
  • Psychosocial treatment
  • Schizophrenia

ASJC Scopus subject areas

  • Psychiatry and Mental health


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