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! F0*j29$*_!A>!Q>![-\d]^>!Q(%B7(B%2! '(A?-"B"L)?@B&3%<)%=O&eI _!P\+E]+.>!! ! Q2:%2*_!i>!O>_!G!@B%2*_!i>!8>![+,,d^>! 1-%#@:)(,&3%B@,)"+@B&.+,%#<)%=^&/*$)+)(,#@,)"+&$@+>@B >!R*1B3<$6#0&! 92*B67%$1(>! ! ! Q2:%2*_!i>!O>_!@B%2*_!i>!8>_!O092%$2_!=>_!F)B(Z0<<_!8>_!'B32*M6E82%(0%_!8>!G!K$*6()*_!=>![+,-]^>!;*Y06($D2($*D! (#0!$9127(!):!2<<$2*70E:)7B60&!(%2$*$*D!)*!$*(0%10%6)*2! '(A?-",-%#@:A&3%(%@#?-O&Glpkm _!+g\E+b.>!! W(*&,!>-001(3! In this article we present preliminary findings from a research program designed to investigate the value of alliance-focused training (AFT), a supervision approach designed to enhance therapists v ability to work constructively with negative therapeutic process. In the context of a multiple baseline design, all therapists began treating their patients using cognitive therapy and then joined AFT supervision groups at either session 8 or 16 of a 30 session protocol. Study 1 investigated the impact of AFT on patient and therapist interpersonal process as assessed through the Structural Analysis of Social Behavior (SASB; Benjamin, 1974). Study 2 investigated the impact of AFT on therapists v tendency to reflect on their relationships with their patients in an experientially grounded fashion, as assessed via the Experiencing Scale (EXP). Since one of the goals of AFT is to train therapists to use their own emerging feelings as important clues regarding what may be taking place in the therapeutic relationship, we hypothesized that they would show increased levels of EXP after undergoing AFT. This dimension of therapists v reflective style was assessed with the use of a semi-structured interview designed to probe for therapists v tendency to reflect on their own internal experience when responding to questions about their relationships with the patients they were treating in the study. This interview, known as the Therapist Relationship Interview (TRI; Safran & Muran, 2007) was then coded with the Experiencing Scale (EXP). The results of both studies 1 and 2 were for the most part consistent with hypotheses. In Study 1, several significant shifts in both therapist and patient interpersonal process emerged after CBT was augmented with AFT. All significant differences in therapist inter-personal process (except for Disclosing & Expressing) emerged on the ͆ other” or ͆ transitive” surface of the SASB (Surface 2). All significant differences in patient interpersonal process emerged on the ͆ self-focused” or ͆ intransitive” surface of the SASB (Surface 1). Consistent with our hypotheses, the majority of significant differences between training modalities in both therapist and patient interpersonal processes emerged regardless of time of implementation of AFT (session 8 or session 16). In Study 2, results were consistent with the hypothesis that after receiving AFT, therapists would demonstrate a greater tendency during TRI interviews to reflect on their relationships with their patients in a personally involved, experientially grounded fashion than they did after receiving CBT training. @)15-1.*$#! Taken together, the findings of studies 1 and 2 provide intriguing preliminary evidence regarding the potential of alliance-focused training to have a positive impact on both in-session interpersonal process, and on therapists´ capacity to reflect on the therapeutic relationship in a fashion that incorporates their own felt experience. Further research will be essential to evaluate whether
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