

So, what constitutes a therapeutic alliance? In 2001, a comprehensive research summary published in the journal Psychotherapy found that a strong therapeutic alliance was more closely correlated with positive client outcomes than any specific treatment interventions. In the decades since Rogers’ article was published, many other studies have explored the therapeutic alliance. Have unconditional positive regard for the client.Be genuinely engaged in the therapeutic relationship.Four of the six items directly addressed the client-therapist relationship. In 1957, Carl Rogers wrote an article in the Journal of Consulting Psychology outlining the factors he considered necessary for achieving constructive personality change through therapy.

The crucial nature of the therapeutic alliance is not a new idea. Yet all of these approaches and techniques have at least one thing in common - their potential effectiveness is likely to be squelched unless the counselor is successful in building a strong therapeutic alliance with the client. Most counselors have a particular theory, method or school of thought that they embrace, whether it is cognitive behavior therapy, solution-focused therapy, strength-based, holistic health, person-centered, Adlerian or other.

Modern counseling models and techniques are as varied and diverse as the counselors and clients who use them.
