Few studies have examined the practice wisdom of expert supervisors. This study addresses this gap by exploring how experienced supervisors manage difficulties in supervision in the context of the supervisory relationship. The supervisors were a purposive sample of 16 senior members of the profession with considerable expertise in supervision. In-depth interviews were first conducted with the s...

The (so-called) pharmaceutical safety system is struggling. Part of the problem is failure to define the complexity of the system and design processes which are evidenced based and both adaptable and flexible for those who work in them. The size of the challenge is huge and global. This is why ACRES (Alliance Clinical Research Excellence and Safety) was established as a not-for-profit internati...

OBJECTIVE Some critics of treatment manuals have argued that their use may undermine the quality of the client-therapist alliance. This notion was tested in the context of youth psychotherapy delivered by therapists in community clinics. METHOD Seventy-six clinically referred youths (57% female, age 8-15 years, 34% Caucasian) were randomly assigned to receive nonmanualized usual care or manua...

We used West and Kenny's (2011) Truth-and-Bias (T&B) model to examine how accurately group therapists' judge their group members' alliances, and the effects of therapist-patient congruence in alliance ratings on patient outcomes. Were considered: (a) directional bias - therapists' tendency to over- or underrate their clients' alliances, (b) truth strength - clients' alliance ratings, and (c) bi...

In this paper we obtain several tight bounds on different types of alliance numbers of a graph, namely (global) defensive alliance number, global offensive alliance number and global dual alliance number. In particular, we investigate the relationship between the alliance numbers of a graph and its algebraic connectivity, its spectral radius, and its Laplacian spectral radius.

BACKGROUND In individual cognitive behavioral therapy (ICBT) for youth anxiety disorders, it is unclear whether, and from whose perspective, the alliance predicts outcome. We examined whether youth- and therapist-rated alliance, including level of youth-therapist alliance agreement, predicted outcome in a randomized controlled trial. METHODS Youth (N = 91, M age = 11.4 years (SD = 2.1), 49.5%...

This research in progress piece adds two interesting theoretical insights to traditional models of adoption. First, it introduces the Eureka effect, which suggests that some types of usage challenges can actually increase satisfaction with the system--even if they decrease the user's perceived ease of use. Second, it expands on expectationdisconfirmation adoption models to carefully problematiz...

Recovery from an eating disorder encompasses a complex matrix of mental, physical, and social factors. Although methodological differences affect rates of reported recovery (from 24 to 76%), many women are not experiencing full recoveries from eating disorders. This trend is apparent in persons who discontinue severely destructive behaviors but continue to exhibit psychiatric problems and impai...

The study examined the shape of therapeutic alliance using latent growth curve modeling and data from multiple informants (therapist, child, mother, father). Children (n = 86) with anxiety disorders were randomized to family-based cognitive-behavioral treatment (FCBT; N = 47) with exposure tasks or to family education, support, and attention (FESA; N = 39). Children in FCBT engaged in exposure ...