A preliminary study of therapeutic alliance and dually diagnosed inpatients

Laurence M. Westreich, Richard N. Rosenthal, J. Christopher Muran

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


The therapeutic alliance between the therapist and the inpatient dually diagnosed with major mental illness and substance abuse disorder has rarely been studied. These dually diagnosed patients constitute a 'nontraditional' population for psychotherapy research. The authors used a modified version of the California Psychotherapy Alliance Scale (CALPAS) in this preliminary study to measure the therapeutic alliance between a cohort of 10 inpatient schizophrenic substance abusers and their therapists and examined its relationship with outpatient follow-up. Six patients followed up with outpatient treatment and four did not. Paradoxically, the patients who did not follow up reported a stronger alliance with their inpatient therapists than the patients who did follow up.

Original languageEnglish
Pages (from-to)81-86
Number of pages6
JournalAmerican Journal on Addictions
Issue number1
StatePublished - 1996
Externally publishedYes


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