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Date of Award


Degree Type

Dissertation (On-Campus Access Only)

Degree Name

Doctor of Psychology (PsyD)

Committee Chair

Paula Truax

Second Advisor

Jay Thomas

Third Advisor

Michel Hersen


The increased popularity of psychotherapy treatment manuals has both aided the study of the therapy process and spurred a whole new field of research. One question that often arises in the literature regarding manualized treatment is whether the therapists' adherence to the protocol andlor theoretical foundation has been measured and how. The measurement of adherence is important in that researchers must know if the treatment is delivered in a standardized fashion. Additionally, it informs the training of therapists in that the results of adherence measures can further elucidate Clinical strengths and weaknesses. There are several types of adherence as well as a variety of measures. Research indicates that adherence impacts the outcome of therapy. It has also been argued that strict adherence negatively affects the therapeutic alliance. The primary goal of this study is to examine the relationship between therapists' level of theoretical adherence and the therapeutic alliance. A second goal is to assess the effect of both adherence and alliance on the outcome of therapy.