Human technologies in rehabilitation: ‘Who’ and ‘How’ we are with our clients

Nicola Maree Kayes · Kathryn M McPherson

72 citations0/0 files storedDisability and Rehabilitation

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Psychotherapy Techniques and Applications Musculoskeletal pain and rehabilitation Medical Practices and Rehabilitation

Abstract

Purpose: It is often observed that different rehabilitation practitioners carrying out the same intervention can have a quite different impact on outcome. The relationship or connection between the practitioner and patient, referred to here as the therapeutic alliance (TA), is receiving growing attention as potentially contributing to the disparate response to treatment observed. In this paper, we discuss what we currently know about the TA in rehabilitation and its impact on engagement (and what do we not know) and consider the ramifications of not knowing. Key Messages: The TA is increasingly identified as an important determinant of engagement in, and health outcome following, rehabilitation. However, research identifying its core components is limited, with very little exploring howpractitioners might develop a more positive TA with patients. Further, what we do know/understand is limited by inadequate measurement tools. Research aiming to better understand the key ingredients of the TA that contribute to outcome and its role in rehabilitation is urgently required. Conclusions: Arguably, if we fail to advance knowledge in this field and seek answers to some of the questions we have raised, we may fail to tap into the true potential of the TA as a covariate of rehabilitation outcome.Implications for RehabilitationWhile what we do is important, aspects of who we are, and how we work with our clients may be crucial.Aspects of the therapeutic alliance (TA) have been linked to perceptions of quality care, treatment adherence, patient satisfaction, and improvements in a range of outcomes.Further research developing a sound conceptual framework of TA specific to rehabilitation, a robust measure of TA in rehabilitation, and further exploration of the role of TA in rehabilitation is urgently required.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 72 citations exist upstream.

References

1979The generalizability of the psychoanalytic concept of the working alliance.1989Development and validation of the Working Alliance Inventory.2000Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review.1991Relation between working alliance and outcome in psychotherapy: A meta-analysis.2001Research summary on the therapeutic relationship and psychotherapy outcome.2010The Influence of the Therapist-Patient Relationship on Treatment Outcome in Physical Rehabilitation: A Systematic Review 2008The conceptualization and measurement of therapeutic alliance: An empirical review 2012A Case Series

Cited by

2020Conceptualisation of the therapeutic alliance in physiotherapy: is it adequate?2019Understanding the therapeutic alliance in stroke rehabilitation 2018Speech and language therapists’ perspectives of therapeutic alliance construction and maintenance in aphasia rehabilitation post‐stroke 2017Development of an observational measure of therapy engagement for pediatric rehabilitation 2014Taking It Into Account: Caring for Disabled Mothers During Pregnancy and Birth

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.