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The Impact of Client Motivational Language on the Therapeutic Alliance in Cognitive-Behavioural Therapy

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dc.contributor.advisorWestra, Henny Alice
dc.creatorNorouzian, Nikoo
dc.date.accessioned2018-11-21T13:49:20Z
dc.date.available2018-11-21T13:49:20Z
dc.date.copyright2018-08-03
dc.date.issued2018-11-21
dc.date.updated2018-11-21T13:49:20Z
dc.degree.disciplinePsychology(Functional Area: Clinical Psychology)
dc.degree.levelMaster's
dc.degree.nameMA - Master of Arts
dc.description.abstractBuilding on past research demonstrating a link between client motivation and the alliance, this study examined whether motivational interviewing (MI) can alter the impact of motivation on the alliance. Using data from a recent trial of cognitive behavioural therapy (CBT) for 85 individuals with generalized anxiety disorder, this study tested whether observed motivational language against change (counter-change talk; CCT) and in support of change (change talk; CT) in session 1 affects alliance quality over time and whether this relationship varies between two treatments: MI integrated with CBT (MI-CBT) or CBT alone. CCT, but not CT, predicted lower client alliance ratings at the early, middle, and late stages of therapy. At the late stage only, treatment group moderated this relationship such that CCT was associated with poorer alliances for CBT alone, relative to MI-CBT. Thus, without strategies for managing ambivalence (such as in MI), ambivalence can predict subsequent alliance problems.
dc.identifier.urihttp://hdl.handle.net/10315/35540
dc.language.isoen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectClinical psychology
dc.subject.keywordsAnxiety
dc.subject.keywordsGeneralized anxiety disorder
dc.subject.keywordsMotivation
dc.subject.keywordsClient motivation
dc.subject.keywordsAlliance
dc.subject.keywordsWorking alliance
dc.subject.keywordsTherapeutic alliance motivational language
dc.subject.keywordsChange talk
dc.subject.keywordsCounter-change talk
dc.subject.keywordsTherapy
dc.subject.keywordsPsychotherapy
dc.subject.keywordsMotivational interviewing
dc.subject.keywordsCognitive behavioral therapy
dc.subject.keywordsCognitive behavioural therapy
dc.subject.keywordsCBT
dc.subject.keywordsMI-CBT
dc.subject.keywordsProcess research
dc.subject.keywordsAmbivalence
dc.titleThe Impact of Client Motivational Language on the Therapeutic Alliance in Cognitive-Behavioural Therapy
dc.typeElectronic Thesis or Dissertation

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