{"id":{"repo_id":"york","oai_identifier":"oai:yorkspace.library.yorku.ca:10315/32213"},"canonical_url":"https://search.dev.ndltd.org/etd/york/oai:yorkspace.library.yorku.ca:10315/32213","repository":{"repo_id":"york","name":"York University","base_url":"https://yorkspace.library.yorku.ca/oai/request"},"display":{"title":"Therapeutic Alliance and Treatment Outcome From Three Different Perspectives in Child Trauma Therapy","abstract":"The current study looked at the therapeutic alliance in child trauma therapy in a multi-site, controlled study with follow up. Parent, child, and therapist ratings were used to examine how therapeutic alliance changes over the course of Trauma Focused Cognitive Behavior Therapy (TF-CBT) that uses an exposure based method called a trauma narrative. Additionally, treatment response was examined in relation to therapeutic alliance. Participants were 65 children and their caregivers in a community based trauma therapy program in Canada. Children in treatment underwent TF-CBT, including the trauma narrative asking them to write out and process their trauma story in detail. Results for research question one indicated that despite how hard it was for children to participate in this intensive treatment method, children, therapists and parents reported positive ratings of the therapeutic alliance throughout treatment. Overall the childrens ratings of alliance became significantly more positive from therapy start to finish. Results for research question two indicated that analyses did not find any relationship between ratings of therapeutic alliance and treatment response. Results were consistent across all three raters.","abstract_html":"The current study looked at the therapeutic alliance in child trauma therapy in a multi-site, controlled study with follow up. Parent, child, and therapist ratings were used to examine how therapeutic alliance changes over the course of Trauma Focused Cognitive Behavior Therapy (TF-CBT) that uses an exposure based method called a trauma narrative. Additionally, treatment response was examined in relation to therapeutic alliance. Participants were 65 children and their caregivers in a community based trauma therapy program in Canada. Children in treatment underwent TF-CBT, including the trauma narrative asking them to write out and process their trauma story in detail. Results for research question one indicated that despite how hard it was for children to participate in this intensive treatment method, children, therapists and parents reported positive ratings of the therapeutic alliance throughout treatment. Overall the childrens ratings of alliance became significantly more positive from therapy start to finish. Results for research question two indicated that analyses did not find any relationship between ratings of therapeutic alliance and treatment response. Results were consistent across all three raters.","abstract_has_math":false,"creators":["Rependa, Sara Lynn"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Muller, Robert Tom"],"committee_chairs":[],"committee_members":[],"year":2016,"date_issued":"2016-09-20","date_published":"2016-09-20","updated_at":"2026-07-24T06:33:45Z","subjects":["Clinical psychology"],"languages":["en"],"rights":["Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests."],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/10315/32213","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Muller, Robert Tom"]},{"key":"dc:creator","label":"Author","values":["Rependa, Sara Lynn"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2016-09-20T16:44:53Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2016-09-20T16:44:53Z"]},{"key":"dc:date.issued","label":"Date","values":["2016-09-20"]},{"key":"dc:type","label":"Dc Type","values":["Electronic Thesis or Dissertation"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Clinical psychology"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/10315/32213"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The current study looked at the therapeutic alliance in child trauma therapy in a multi-site, controlled study with follow up. Parent, child, and therapist ratings were used to examine how therapeutic alliance changes over the course of Trauma Focused Cognitive Behavior Therapy (TF-CBT) that uses an exposure based method called a trauma narrative. Additionally, treatment response was examined in relation to therapeutic alliance. Participants were 65 children and their caregivers in a community based trauma therapy program in Canada. Children in treatment underwent TF-CBT, including the trauma narrative asking them to write out and process their trauma story in detail. Results for research question one indicated that despite how hard it was for children to participate in this intensive treatment method, children, therapists and parents reported positive ratings of the therapeutic alliance throughout treatment. Overall the childrens ratings of alliance became significantly more positive from therapy start to finish. Results for research question two indicated that analyses did not find any relationship between ratings of therapeutic alliance and treatment response. Results were consistent across all three raters."]},{"key":"dc:title","label":"Title","values":["Therapeutic Alliance and Treatment Outcome From Three Different Perspectives in Child Trauma Therapy"]}]}],"canonical_facts":{"dc:contributor.advisor":["Muller, Robert Tom"],"dc:creator":["Rependa, Sara Lynn"],"dc:date.accessioned":["2016-09-20T16:44:53Z"],"dc:date.available":["2016-09-20T16:44:53Z"],"dc:date.issued":["2016-09-20"],"dc:description.abstract":["The current study looked at the therapeutic alliance in child trauma therapy in a multi-site, controlled study with follow up. Parent, child, and therapist ratings were used to examine how therapeutic alliance changes over the course of Trauma Focused Cognitive Behavior Therapy (TF-CBT) that uses an exposure based method called a trauma narrative. Additionally, treatment response was examined in relation to therapeutic alliance. Participants were 65 children and their caregivers in a community based trauma therapy program in Canada. Children in treatment underwent TF-CBT, including the trauma narrative asking them to write out and process their trauma story in detail. Results for research question one indicated that despite how hard it was for children to participate in this intensive treatment method, children, therapists and parents reported positive ratings of the therapeutic alliance throughout treatment. Overall the childrens ratings of alliance became significantly more positive from therapy start to finish. Results for research question two indicated that analyses did not find any relationship between ratings of therapeutic alliance and treatment response. Results were consistent across all three raters."],"dc:identifier.uri":["http://hdl.handle.net/10315/32213"],"dc:language.iso":["en"],"dc:rights":["Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests."],"dc:subject":["Clinical psychology"],"dc:title":["Therapeutic Alliance and Treatment Outcome From Three Different Perspectives in Child Trauma Therapy"],"dc:type":["Electronic Thesis or Dissertation"]},"updated_at":"2026-07-24T06:33:45Z"}