The debate on whether therapies work through common or specific mechanisms has kept up for decades ( Cuijpers et al., 2019 Baier et al., 2020 Prochaska et al., 2020). Psychotherapy is a complex multifactorial process, and it is quite likely that both common and specific factors have a role in the process leading to recovery. The effects and outcomes of psychotherapy are well known, however, whether these effects are due to specific factors related to treatment protocols, or to factors all psychotherapy modalities have in common, continues to be under discussion. The therapeutic relationship is fundamental to any psychotherapeutic orientation and is one of the major factors contributing to the psychotherapy outcome ( Baldwin et al., 2007 Finsrud et al., 2022). Novel use of the STATIS method for analyzing measurements in the first five sessions, showed that beginning the therapeutic intervention with a strong alliance, produced the favorable, lasting effects necessary for development of the intervention. Moreover, the position of the vectors shows that the therapeutic alliance was forged in the first session and remained stable during the following sessions.Ĭonclusion: This exploratory study demonstrated the importance of the first session in establishing the therapeutic alliance, and for it to remain stable, regardless of whether the rest of the therapeutic process has variations or changes. The position of the vectors and the distribution of the position of the patients on the graph show that as their perception increased, therapeutic alliance remained stable. Results: The compromise matrix explained 77.36% of the variability. Data were analyzed by the Dual STATIS method. The patients filled out the Outcome Rating Scale and Session Rating Scale the week before each session. Methods: Thirty-four patients at a university psychological care service who had had at least five therapy sessions participated. Objectives: To analyze the relationship between the therapeutic alliance and patient’s perceived improvement during the first five sessions of therapy, and find out whether the therapeutic alliance is maintained or unstable within that timeframe. Furthermore, monitoring sessions has demonstrated that this alliance improves. At the present time, the contextual model grants heavy weight to the therapeutic alliance in the first sessions and seems to predict positive final results. The importance of common factors has been demonstrated, although it is also known that they alone are insufficient. 5Department of Personality, Evaluation and Psychological Treatment, University of Seville, Seville, Spainīackground: The controversy about whether psychotherapy outcome is the consequence of the techniques themselves, common factors or both is still current.
4University Institute of Research for Sustainable Social Development (NDESS), University of Cadiz, Cadiz, Spain.3Psychological Assistance Service, University of Cadiz, Cadiz, Spain.2Institute of Biomedical Research and Innovation of Cádiz (INIBICA), University of Cadiz, Cadiz, Spain.1Department of Psychology, University of Cadiz, Cadiz, Spain.Francisco Javier del Río Olvera 1,2,3, Álvaro Rodríguez-Mora 1,3,4 *, Cristina Senín-Calderón 1,2,3 and Juan F.
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