Solieri, Danika;
(2025)
Literature Review Empirical Research Project Reflective Commentary.
Doctoral thesis (Ph.D), UCL (University College London).
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Abstract
The therapeutic alliance refers to the collaborative relationship between therapist and patient, yet how therapists build this construct is less well understood. This review draws on a wide range of theoretical literature and empirical studies to explore therapists' roles in forming and negotiating therapeutic alliances in work with adolescents. It also identifies fragile alliance indicators and/or ruptures in the relationship and notes the relationship between alliance and outcome in this population. Consideration of therapist factors is discussed, which may support alliance building. Findings highlight variabilities in therapists’ attributes and characteristics as discrete factors that may influence alliance-establishing and fostering mechanisms. Findings suggest that therapists identify areas of challenge in their practice through self-reflection and self-development to support modifications of their clinical competencies. Additionally, the review suggests therapists take a thoughtful, robust approach to evaluating safeguarding issues that require mandatory reporting, which may compromise alliances, noting adolescents’ responses to interventions alongside sensitive management of competing partnerships to establish and maintain therapeutic alliances. Research gaps are identified with distinct populations: ethnically diverse communities, sexualised minorities, and young people with disabilities, indicating the need for further research in alliance establishment with these populations. Further research illustrating closer interactions between participants and tracking therapist factors may support understanding regarding the dynamics involved in alliance establishment phenomena to positively impact adolescent retention in therapy and their treatment outcomes.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | Ph.D |
| Title: | Literature Review Empirical Research Project Reflective Commentary |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2025. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10212302 |
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