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The Relationship Between Psychotherapy Satisfaction, Therapeutic Alliance and Individual Differences

Bahloul, M (2024). The Relationship Between Psychotherapy Satisfaction, Therapeutic Alliance and Individual Differences. (Unpublished Doctoral thesis, City St. George's, University of London)

Abstract

Research on psychotherapy outcomes has often focussed on standardized routine outcome measures as the dependent variable. The current study quantitatively investigated the relationship between various predictor variables and a psychotherapy satisfaction questionnaire as the dependent variable instead. The predictor variables under investigation were therapeutic alliance, modality and individual differences. Individual differences were personality traits according to the five-factor model and three attachment styles; secure, anxious, and avoidant. Several hypotheses were tested. The results of the moderation and mediation analyses found that therapeutic alliance moderated the relationship between secure attachment and outcome. Integrative therapy moderated the relationship between motivation to seek out therapy and outcome. Therapeutic alliance fully mediated the relationship between secure attachment and outcome. Therapeutic alliance also fully mediated the relationship between agreeableness and satisfaction and between conscientiousness and satisfaction. Based on these results, several recommendations were made, with an emphasis on integrative therapeutic interventions and pre-screening.

Publication Type: Thesis (Doctoral)
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine
Departments: School of Health & Psychological Sciences > Psychology
School of Health & Psychological Sciences > School of Health & Psychological Sciences Doctoral Theses
Doctoral Theses
[thumbnail of Bahloul Thesis 2025 Redacted PDF-A.pdf] Text - Accepted Version
This document is not freely accessible until 29 February 2028 due to copyright restrictions.

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