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Download - The Safran Lab

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Luborsky identifies two types of "helping alliance": Type 1 characterizes the early stages<br />

of therapy and is more evident in the beginning stages of treatment. Type 2 emerges later<br />

in treatment and essentially is more responsive to changes in the therapeutic process.<br />

In 1979, Edward Bordin proposed a broader definition of the working alliance, one<br />

that would lead to the development of a transtheoretical construct. Bordin suggests that<br />

the alliance is primarily a conscious "here-and-now" relationship that is generic to all<br />

helping processes. Bordin's transtheoretical definition of the alliance is made up of three<br />

interlocking components: bonds, tasks, and goals. <strong>The</strong>se components are theorized to<br />

facilitate therapy and are beneficial therapeutic agents in their own right.<br />

Briefly, "tasks" refer to the behaviors that inform the therapeutic process. In an<br />

effective treatment both patient and therapist must perceive these tasks as efficacious and<br />

important and both must agree to perform them. "Goals" refer to the patient and<br />

therapist's perception of outcome. A positive alliance is characterized by the therapist's<br />

and the patient's mutual agreement and valuing of the goals of the treatment. Finally, the<br />

concept of "bonds" includes issues of mutual trust, acceptance, positive personal<br />

attachment and confidence. <strong>The</strong> quality of the alliance is a function of the degree to<br />

which the patient and therapist are able to negotiate an agreement about the tasks and<br />

goals in the therapy and this, in turn, mediates the quality of the bond.<br />

Bordin's conceptualization of the alliance placed emphasis on the interdependent<br />

relationship between the specific technical aspects of therapy and the non-specific,<br />

therapeutic effects. Furthermore, Bordin suggested that the quality of the alliance is<br />

mediated by this complex, multidimensional, and interdependent relationship.<br />

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