Therapeutic Alliance: Evolution and Relationship with Attachment in Psychotherapy

Maria Lucila Rossetti, Luis Botella

Research output: Indexed journal article Articlepeer-review

3 Citations (Web of Science)


We studied the evolution of therapeutic alliance and its relationship with attachment for 20 weeks, considering symptom improvement/worsening as a confounding variable.A sample of 30 adults completed the Working Alliance Inventory-Short Form eight times, the Experiences in Close Relationships Scale once, and the Clinical Outcomes in Routine Evaluation Outcome Measure at baseline and in week 20. We found a slightly growing linear evolution of therapeutic alliance. When associated with attachment, avoidance dimension did not reveal correlation. When associated with anxiety, it did show a stronger negative relationship at advanced phases of the therapy. No adjustment was necessary. Practical implications of these findings are discussed.
Original languageEnglish
Pages (from-to)19-30
Number of pages12
JournalRevista Argentina de Clinica Psicologica
Issue number1
Publication statusPublished - Apr 2017


  • Therapeutic alliance
  • Attachment
  • Psychotherapy


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