Therapeutic alliance in cognitive behavior therapy for schizophrenia: Association with history of sexual assault

Paul H. Lysaker, Louanne Davis, Samantha D. Outcalt, Marc Gelkopf, David Roe

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

History of sexual assault in schizophrenia has been suggested as a risk factor for psychosis and a graver course of illness. One possibility is that a history of this type of trauma affects responses to treatment by forming a barrier to a therapeutic alliance. To explore this possibility, we compared monthly ratings of therapeutic alliance for clients with schizophrenia with (n = 9) and without (n = 31) a history of sexual assault across 6 months of cognitive behavior therapy. Ratings were collected from clients and therapists and compared using a repeated measures analysis of variance controlling for level of positive symptoms. Results revealed that clients with a sexual trauma history produced lower overall rating of therapeutic alliance than clients without such a history. Therapist ratings of therapeutic alliance between both groups were not significantly different. Results suggest treatment may need to consider trauma histories as a barrier to therapeutic alliance.

Original languageEnglish
Pages (from-to)456-462
Number of pages7
JournalCognitive Therapy and Research
Volume35
Issue number5
DOIs
StatePublished - Oct 2011

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Cognitive Therapy
Schizophrenia
Wounds and Injuries
Therapeutics
Psychotic Disorders
Analysis of Variance
History

Keywords

  • Cognitive behavior therapy
  • Recovery
  • Schizophrenia
  • Sexual assault
  • Therapeutic alliance
  • Trauma

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology

Cite this

Therapeutic alliance in cognitive behavior therapy for schizophrenia : Association with history of sexual assault. / Lysaker, Paul H.; Davis, Louanne; Outcalt, Samantha D.; Gelkopf, Marc; Roe, David.

In: Cognitive Therapy and Research, Vol. 35, No. 5, 10.2011, p. 456-462.

Research output: Contribution to journalArticle

Lysaker, Paul H. ; Davis, Louanne ; Outcalt, Samantha D. ; Gelkopf, Marc ; Roe, David. / Therapeutic alliance in cognitive behavior therapy for schizophrenia : Association with history of sexual assault. In: Cognitive Therapy and Research. 2011 ; Vol. 35, No. 5. pp. 456-462.
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