Canadian Journal of Speech-Language Pathology and Audiology

The Therapeutic Alliance: A Must for Clinical Practice

Author(s) Audette Sylvestre
Suzie Gobeil
Volume 44
Number 3
Year 2020
Page(s) 125-136
Language English
Category Clinical Focus
Keywords Therapeutic Alliance
Therapeutic Relationship
Shared Decision Making
Abstract The role of the therapeutic alliance in the success of interventions has been well demonstrated in
areas related to speech-language pathology and audiology. Based on this knowledge, this article
presents the theoretical foundations of the therapeutic alliance, distinguishing it from the therapeutic
relationship. The central concept of shared decision making is presented, followed by factors that may
influence the establishment and quality of the therapeutic alliance. A low-quality therapeutic alliance is
associated with the possibility that the client will discontinue the intervention, hence the importance of
paying special attention to this dimension. In situations where clinicians have difficulty establishing an
alliance, it is their responsibility to identify how they may be contributing to this situation and reflect on
their own actions in order to make the necessary corrections.

Le rôle de l'alliance thérapeutique dans le succès des interventions est bien établi dans les domaines
connexes de l'orthophonie et de l'audiologie. En s’appuyant sur ces connaissances, le présent article
présente les fondements théoriques de l'alliance thérapeutique, en la distinguant notamment de la
relation thérapeutique. Le concept central de la prise de décision partagée est présenté, suivi des
facteurs susceptibles d’influencer l'établissement et la qualité de l'alliance thérapeutique. Une alliance
thérapeutique de faible qualité est associée à la possibilité que le patient mette fin à l'intervention lui étant
offerte, d'où l'importance d'accorder une attention particulière à cette dimension. Dans les situations
où les cliniciens ont de la difficulté à établir une alliance, il est de leur responsabilité d’identifier de quelle
façon ils contribuent à cette situation et de réfléchir sur leurs propres actions afin d'apporter les correctifs
Record ID 1265

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