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Therapeutic Alliance Mindfulness

Therapeutic Alliance


Therapeutic Alliance

Therapeutic Alliance

Oh! For a quiet moment. Do you have a routine to create a new therapeutic alliance between clients?

Therapeutic Alliance


Do you carry out a routine to prepare for a therapeutic alliance before greeting your next client, even do you have a routine? You could have just had a very demanding therapy session.

How do you re-focus so that your next client gets a fresh you? You give them your total attention as they nothing less.

Even on the busiest or emotion draining day, you can still channel your thoughts by this simple routine it only takes a moment. And it means that your next client gets the real you.

Place both feet on the floor, you can stand or sit and then feel your inhalation and exhalation. A simple intervention that only takes a moment but it can help you focus on the present moment and to connect with reality.

The above is for those times when you have no time but perhaps at the start of the day when on your own you could do this routine.



  • 1. Start by sitting comfortably, with your back straight and eyes either softly open or closed.
  • 2. Notice that you are breathing and feel the sensations of the breath.
  • 3. If your mind wanders, no problem; just gently bring your attention back to the breath. After following the breath for a few minutes, see if you can locate any discomfort, perhaps an itch or an ache.
  • 4. Instead of automatically shifting to relieve the ache, or scratching the itch, bring your full attention to the discomfort. Notice its texture, and how it changes moment to moment.
  • 5. Stay with the sensations of discomfort as long as you can. Experiment with staying with them for a while.
  • 6. After attending to the discomfort for several minutes, return your attention to the sensations of the breath.

Now to introduce the main paper to you

Simon B. Goldberg, B.A., Graduate Student, James M. Davis, M.D., Assistant Professor, and William T. Hoyt, Ph.D., Training Director, PhD. Program





Mindfulness-based interventions have enjoyed a marked increase in support within biomedical and psychological research and practice in the past two decades. Despite the widespread application of these treatments for a range of psychological and medical conditions, there remains a lack of consensus regarding mechanisms through which these interventions effect change. One plausible yet underexplored mechanism is the therapeutic alliance between participants and mindfulness instructors.



In this report, data are presented on therapeutic alliance from the mindfulness arm (n = 37) of a randomized controlled trial of a mindfulness-based smoking cessation treatment.



Results suggest that client-reported therapeutic alliance measured mid-treatment did not significantly predict primary smoking outcomes. Alliance did predict improvement in post-treatment scores on several outcome variables linked to mindfulness practice, including emotion regulation (β =−.24, p = .042), mindfulness (β = .33, p = .007), negative affect (β = −.33, p = .040), as well as treatment compliance (β = .39, p = .011).



Current studies suggest that in successful treatment therapeutic alliances, therapists are perceived as warm, understanding, and accepting, approaching their patients with an open, collaborative attitude. Mindfulness can help us develop these qualities with a simple routine carried out each day and between client sessions.

To read full paper please click on

MindfulnessTherapeutic Alliance 

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