=77B%274!):!(#0%21$6(!10%701($)*6!):!12($0*(6m!2<<$2*70?!'c1<)%$*D!(#0! &$Y0%D0*70!!
H2%(92**_!=>_!i))6_!=>_!N%<$*6M4_!O>'>_!p007M_!=>![+,-]^>!=77B%274!):!(#0%21$6(!10%701($)*6!):!12($0*(6Ä!2<<$2*70?! 'c1<)%$*D!(#0!&$Y0%D0*70>! '(A?-",-%#@:A&3%(%@#?-O& #((1?uu&c>&)$>)%Du-,>-,b,u-,.,PP,d>+,-]>\+dg,-!! >-001(3! The therapeutic alliance is a well-established predictor of psychotherapy outcome, yet much research has shown that therapists’ and patients’ views of the alliance can diverge substantially. Therapists systematically underestimate their patients’ perceived level of alliance, and the correlation between therapist and patient estimates of patient alliance is only moderate. The present study explored the divergence between therapists’ and patients’ perspectives on patients’ alliance experience, and its relations to therapists’ concurrent work involvement and session process experiences. >10%5&! The study sample includes 98 treatment cases, conducted by 26 psychodynamic psychotherapists of varying experience levels. Half of the sample consisted of individual outpatient treatments (private practice) and the other half were individual treatments in a day clinic setting (university hospital). Most of the 98 patients suffered from a major depressive disorder. ;&2-5.2! Therapist-patient divergence was significantly related to therapists’ case-wise work involvement, but not to therapist’s views of session process. The best predictor of therapist-patient divergence was therapists experiencing a “distressed practice” work involvement pattern. Although therapists’ work involvement experiences are not commonly investigated, they can be a relevant predictor of therapy processes. @)15-1.*$#! Although the sample comprised 98 therapies, the nesting of therapies in 26 therapists limited the statistical power of the investigation and its results. Yet the findings already appear to have interesting and potentially clinically relevant if tentative implications. G$#.1/.\!! Armin Hartmann, Department of Psychosomatic Medicine and Psychotherapy, University Clinic of Freiburg, Hauptstr.8, Freiburg 79104, Germany. Email: armin.hartmann@uniklinik-freiburg.de Website: http://www.uniklinik- freiburg.de/psychosomatik/patientenversorgung/ansprechpartner/ansprechpartner-direktion.html
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