Therapist mindfulness, alliance and treatment outcome

Anjanette Ryan, Jeremy D. Safran, Jennifer M. Doran, J. Christopher Muran

Research output: Contribution to journalArticlepeer-review

64 Scopus citations


The present study investigated the association between therapist dispositional mindfulness and therapist self-affiliation, the therapeutic alliance, and treatment outcome. Total therapist mindfulness was associated with therapist self-affiliation, r=.413, p<.05. Therapist mindfulness was positively correlated with therapist ratings of the working alliance, r=.456, p<.05, though only the Act with Awareness subscale showed a relationship with patient rated alliance, r=.379. Therapist mindfulness was not associated with patient rated decreases in global symptomatology, but was associated with patient rated improvements in interpersonal functioning, r=.481, p<.05. All correlations correspond to a medium effect size. The results indicate that therapist dispositional mindfulness may be an important pre-treatment variable in psychotherapy outcome.

Original languageEnglish
Pages (from-to)289-297
Number of pages9
JournalPsychotherapy Research
Issue number3
StatePublished - May 2012
Externally publishedYes


  • mindfulness
  • therapist characteristics
  • treatment outcome
  • working alliance


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