title: Meta-analysis of therapeutic relationship variables in youth and family therapy: the evidence for different relationship variables in the child and adolescent treatment outcome literature.
abstract: This meta-analysis examines associations between therapeutic relationship variables, and the extent to which they account for variability in treatment outcomes, in 49 youth treatment studies. Correlations between therapeutic relationship variables ranged from modest to strong. Among the best predictors of youth outcomes were counselor interpersonal skills, therapist direct influence skills, youth willingness to participate in treatment, parent willingness to participate in treatment, youth participation in treatment, and parent participation in treatment. Adequacy of current approaches to conceptualizing and measuring therapeutic relationship variables, such as the therapeutic alliance, in youth and family therapy is discussed. This paper represents the most comprehensive analysis of therapeutic relationship constructs in the youth treatment literature.
authors.affiliation: University of South Florida, Department of Psychology, 4202 East Fowler Avenue, PCD 4118G Tampa, FL 33620, USA. mkarver@chuma1@cas.usf.edu
authors.forename: Marc S
authors.initials: MS
authors.lastname: Karver
authors.forename: Jessica B
authors.initials: JB
authors.lastname: Handelsman
authors.forename: Sherecce
authors.initials: S
authors.lastname: Fields
authors.forename: Len
authors.initials: L
authors.lastname: Bickman
mesh_terms: D000293:Adolescent; D002648:Child; D005196:Family Therapy / Q000379:methods*; D006801:Humans; D007398:Interpersonal Relations; D001523:Mental Disorders / Q000628:therapy*; D010348:Patient Care Team; D016896:Treatment Outcome