Building the Bond: Predictors of the Alliance in Neurorehabilitation.

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Neurorehabilitation services are often delivered through group psycho-education
programmes. However, little is known about the therapeutic process at work during such sessions. The present study is the first to gain insight into the therapeutic alliance, during a seven session group programme. In addition, cognitive, emotional, and demographic predictors of the alliance, and participants’ feelings towards their group members, were investigated, together with predictors of patient engagement. Forty-five participants with an
acquired brain injury completed a series of questionnaires, and neuropsychological assessment, following group psycho-education. The group Facilitator completed a parallel therapeutic alliance questionnaire, and rated participants’ engagement. Results demonstrated that a strong alliance can be formed in seven group sessions. Notably, no demographic or cognitive factors appear to pose a barrier to developing a therapeutic alliance, nor to group
attraction. High levels of depression, however, may be a challenge, and clinicians may need to tailor their clinical skills to ensure a good therapeutic relationship with such patients. To promote engagement, clinicians may also need to provide additional support to patients with lower levels of education, working memory, and episodic memory impairment.

Keywords

  • Therapeutic alliance, working alliance, cognitive predictors, neurorehabilitation, group psycho-education, group interventions, Acquired Brain Injury
Original languageEnglish
Pages (from-to)271-285
JournalNeuroRehabilitation
Volume46
Issue number3
Early online date15 Apr 2020
DOIs
Publication statusPublished - 21 May 2020

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