Therapeutic alliance and treatment outcome in cognitive-behavioral and supportive psychotherapy for intermittent explosive disorder

Therapeutic alliance is widely considered one of the factors most associated with treatment success in psychotherapy across a variety of outcomes. However, these effects may differ based on treatment approach or who is rating alliance (client, therapist, or third-party observer). Notably, research on this relationship among individuals with primary aggression problems is limited, with no study to date investigating therapeutic alliance in psychotherapy among individuals with intermittent explosive disorder (IED), the only psychiatric disorder for which affective aggression is pathognomonic. The current study sought to fill this gap by exploring the role of therapeutic alliance on a range of outcomes among 51 adults with IED who participated in a randomized clinical trial comparing cognitive-behavioral and supportive psychotherapy. Therapeutic alliance was assessed by clients, therapists, and an observer at week four of treatment, and outcomes included time in treatment, anger, aggression, emotion dysregulation, and IED remission status. Results showed that alliance was positively associated with reduced anger and aggression at post-treatment. Although alliance was more highly rated in the cognitive-behavioral condition, the alliance-outcome relationship did not differ based on treatment condition. There were no differences found between raters of alliance. These findings support the importance of developing and maintaining a strong relationship in psychotherapy with individuals diagnosed with IED.Psycholog

The effects of molecular hydrogen supplements on acid-base status and skeletal muscle oxidative metabolism during exercise in humans

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石原秀男先生との思い出

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Indians upon the Oneida Reservation in Wisconsin

50-1Indian AffairsIndian Upon the Oneida Reservation. [2603] Allotment of lands in severalty in Wisconsin; U.S. trusteeship reduced from 25 to 5 years.1888-21

ユニテリアン・サービス・コミッティー・オブ・カナダ（USCC）の草創期（1945-1960）：超国境性と組織のカナダ化のはざまで

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The Difficulty of the Transition to Formal Knowledge in Mathematics

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Study on Regionally Recycling-Oriented Social System -Case of Study: TAKANEZAWA-Machi, TOCHIGI Pref.-

application/pdf論文(Article)Takanezawa-machi is located 12 km northeast from Utsunomiya-city, the seat of Tochigi prefectural government. Takanezawa-machi has flourishing agriculture and a few R&D companies are located in its area. In order to build a Regionally Sustainable Development Society, the concept of Recycling-Oriented Society should be carefully examined to see if such a society is truly able to realize its sustainable development. Taking the case of Takanezawa-machi, as a case of study, this paper discusses the Regionally Recycling-Oriented Social System from the viewpoint of regional characteristics. Takanezawa-machi attacks and forms a recycling-oriented agriculture by making effective use of Biomass, e.g., food waste, cow dung, and other waste pollutions produced in its area. Challenge of Takanezawa-machi looks promising; it should offer examples to other local governments that have similar socio-economical characteristics.02876620departmental bulletin pape

Proceedings of ASEAN-JAPAN Genome Medicine Research Promotion Conference

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Development of a Programming Learning Environment based on the Free-Energy Principle

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香港中文大学訪問記

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