OBJECTIVE This study examined the temporal relation between therapeutic alliance and outcome in two treatments for bulimia nervosa (BN). METHOD Eighty adults with BN symptoms were randomized to 21 sessions of integrative cognitive-affective therapy (ICAT) or enhanced cognitive-behavioral therapy (CBT-E). Bulimic symptoms (i.e., frequency of binge eating and purging) were assessed at each sess...

strategic alliance is a cooperation contract between two or more organizations who want to improve their competitive situation and performance through resource sharing. one of the common types of strategic alliances is the alliance between two organizations working in the same industry. one of those industries which alliances occur most likely is the casting industry. in this regard, this resea...

The therapeutic alliance has been found to predict psychotherapy outcome in numerous studies. However, critics maintain that the therapeutic alliance is a by-product of prior symptomatic improvements. Moreover, almost all alliance research to date has used differences between patients in alliance as predictor of outcome, and results of such analyses do not necessarily mean that improving the al...

concerns the working alliance, commonly defined as the emotional bond established in the therapeutic dyad, and the agreement between client and therapist concerning the goals of therapy and the tasks required to achieve them (Bordin 1979; Hatcher and Barends 2006). The strength of the working alliance is a consistent predictor of outcome in psychotherapy, with stronger alliance predicting bette...

One year ago, JJ1 was Europe's most famous mammal. The male brown bear, also known by the more amiable name of 'Bruno', had wandered into Southern Germany from the Trentino in Italy. The appearance of this charismatic animal in a region where the last bear had been seen and killed 170 years ago seemed to fit a trend. Over the past ten years, wolves, elks, beavers and lynxes have been highly pub...

Islands and their problems have elicited a dominant place in maritime historiography. Whether vital stations along important shipping routes or marginal places often by-passed by civilizations and history, their role and condition, their subsistence, their centrality to the flow of goods and the diffusion of cultures and, most prominently, their supposed isolation have much intrigued scholars o...