Balancing clinical risk with countertransference management protects alliance

Submitted: May 17, 2017
Accepted: August 22, 2017
Published: October 27, 2017
Abstract Views: 1694
PDF: 1076
HTML: 452
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.


The working alliance has been recognized as a predictor of psychotherapy outcome across therapeutic orientations. Despite mixed findings regarding the effect of problem severity on the alliance formation, there is evidence suggesting that therapist factors may interfere in this association. This study examined how clients baseline clinical features affected the early alliance and the possible role of therapists countertransference management as a mediator. Thirteen therapeutic dyads were assessed at 2 different time points. Clients clinical dimensions were assessed prior to the 2nd session, and therapists countertransference management and clients ratings of the alliance were measured after the 2nd session. Positive associations were found between clients subjective wellbeing, social functioning, risk, and global psychological distress and countertransference management dimensions and total score. Empathy-based countertransference management suppressed the negative impact of clinical risk on alliance. Our findings suggest that clinical problems activate countertransference management, which in turn may buffer their negative effect on alliance.



PlumX Metrics


Download data is not yet available.


How to Cite

Barreto, J. F., & Matos, P. M. (2017). Balancing clinical risk with countertransference management protects alliance. Research in Psychotherapy: Psychopathology, Process and Outcome, 20(3).

List of Cited By :

Crossref logo