title: An Investigation of the Relationship Between the Alliance Negotiation Scale and Psychotherapy Process and Outcome.
abstract: OBJECTIVE
  This study examines the validity of the Alliance Negotiation Scale (ANS) in a psychotherapy research program. Analyses were designed to evaluate the relationship between the ANS and psychotherapy process and outcome variables.
  
  
  METHODS
  Data were collected in a metropolitan psychotherapy research program. Participants completed 30 sessions of therapy, postsession assessments, and a battery of measures at intake and termination.
  
  
  RESULTS
  Relationships were found between the ANS and session outcome, working alliance, and the presence of ruptures and their resolution. Relationships emerged between the ANS and treatment outcome on measures of psychiatric distress and interpersonal problems.
  
  
  CONCLUSIONS
  The ANS demonstrated relationships with several psychotherapy process and outcome variables. The ANS was the most differentiated from the working alliance on measures of interpersonal functioning and in discriminating personality disorder pathology. These results extend previous findings on the ANS' psychometric integrity, and offer new data on the relationship between negotiation and treatment outcome.
authors.affiliation: The New School for Social Research.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Doran
authors.affiliation: The New School for Social Research.
authors.forename: Jeremy D
authors.initials: JD
authors.lastname: Safran
authors.affiliation: Derner Institute of Adelphi University.
authors.forename: J Christopher
authors.initials: JC
authors.lastname: Muran
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D017008:Negotiating; D010043:Outcome and Process Assessment, Health Care; D011369:Professional-Patient Relations; D013811:Psychotherapeutic Processes; D011614:Psychotherapy, Brief / Q000379:methods*; D055815:Young Adult
keywords: Alliance Negotiation Scale; predictive validity; psychometric validation; psychotherapy process