Turkish Adaptation of the Alliance Negotiation Scale: Preliminary Study for Validity and Reliability

Year 2024, Volume: 14 Issue: 75, 472 - 486, 30.12.2024

İsmail Yazıcı , Nagihan Oğuz Duran

https://doi.org/10.17066/tpdrd.1481697

Abstract

It is suggested to expand Bordin's pan-theoretical therapeutic alliance concept, with the dimension of the negotiation. This study aimed to adapt the Alliance Negotiation Scale (ANS), which assesses the negotiation dimension in the therapeutic alliance, into Turkish. After translation processes, ANS Turkish Form was created. ANS, Working Alliance Scale Short Form (WAI-S) and the Personal Information Form created by the researchers, was applied to a sample (N = 172) of clients who are continuing psychotherapy. CFA results showed that the fit indices of the two-factor structure of ANS were acceptable (S-Bχ² = 103.582(52), p < .001, S-Bχ² /df = 1.991, CFI = .92, TLI = . 90, RMSEA = .084 (90% CI: 0.060 - 0.107), SRMR = .065). Significant correlations were observed between ANS and WAI-S scores (r = .676, p < .01). Internal consistency coefficients were good level for ANS Turkish Form (α = .84, ω = .89). These findings demonstrate the validity and reliability evidence of the ANS Turkish Form. ANS makes possible researchers in Türkiye to assess the degree of negotiation in therapy.

Keywords

Negotiation, Psychotherapy, Reliability, Therapeutic Alliance, Validity

References

• Avunduk, S. D. (2020). Evaluation of the Relationship Between the Therapeutic Alliance Perceived by the Counselor and Therapy Motivation (Order No. 31220483) [Maltepe University, Master Dissertation]. ProQuest Dissertations & Theses Global.
• Bentler, P. M. (1995). EQS structural equations program manual. Multivariate Software.
• Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88(3), 588–606. https://doi.org/10.1037/0033-2909.88.3.588
• Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252–260. https://doi.org/10.1037/h0085885
• Bordin, E. S. (1983). A Working Alliance Based Model of Supervision. The Counseling Psychologist, 11(1), 35–42. https://doi.org/10.1177/0011000083111007
• Bordin, E. S. (1994). Theory and research on the therapeutic working alliance: New directions. In A. O. Horvath & L. S. Greenberg (Eds.), The working alliance: Theory, research and practice (pp. 13-37). New York: Wiley.
• Browne, M. W., & Cudek, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136 –162). Sage.
• Cushman, P., & Gilford, P. (2000). Will managed care change our way of being? American Psychologist, 55(9), 985–996. https://doi.org/10.1037/0003-066X.55.9.985
• Çebi, E., & Demir, A. (2020). Help-seeking attitudes of university students in Turkey. International Journal for the Advancement of Counselling, 42(1), 37–47. https://doi.org/10.1007/s10447-019-09385-7
• Doran, J. M. (2016). The working alliance: Where have we been, where are we going? Psychotherapy Research, 26(2), 146–163. https://doi.org/10.1080/10503307.2014.954153
• Doran, J. M., Gómez-Penedo, J. M., Safran, J. D., & Roussos, A. (2018). A therapist version of the Alliance Negotiation Scale. Clinical psychology & psychotherapy, 25(6), 745–753. https://doi.org/10.1002/cpp.2197
• Doran, J. M., Safran, J. D., & Muran, J. C. (2016). The Alliance Negotiation Scale: A psychometric investigation. Psychological Assessment, 28(8), 885–897. https://doi.org/10.1037/pas0000222
• Doran, J. M., Safran, J. D., & Muran, J. C. (2017). An investigation of the relationship between the alliance negotiation scale and psychotherapy process and outcome. Journal of Clinical Psychology, 73(4), 449–465. https://doi.org/10.1002/jclp.22340
• Doran, J. M., Safran, J. D., Waizmann, V., Bolger, K., & Muran, J. C. (2012). The alliance negotiation scale: psychometric construction and preliminary reliability and validity analysis. Psychotherapy research : journal of the Society for Psychotherapy Research, 22(6), 710–719. https://doi.org/10.1080/10503307.2012.709326
• Erus, Ü. S. M., & Zeren, Ş. G. (2020). Danışan ve Psikolojik Danışmanın Penceresinden Terapötik İşbirliği: Çevrimiçi, Yüz Yüze ve Plasebo Gruplarının Karşılaştırılması. Journal of Academic Social Science Studies, 13(81), 139-152. http://dx.doi.org/10.29228/JASSS.40292
• Eubanks, C. F., Muran, J. C., & Safran, J. D. (2019). Repairing alliance ruptures. In J. C. Norcross & M. J. Lambert (Eds.), Psychotherapy relationships that work: Evidence-based therapist contributions (3rd ed., pp. 549–579). Oxford University Press. https://doi.org/10.1093/med-psych/9780190843953.003.0016
• Eubanks, C. F., Samstag, L. W., & Muran, J. C. (Eds.). (2023). Rupture and repair in psychotherapy: A critical process for change. American Psychological Association. https://doi.org/10.1037/0000306-000
• Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2018). The alliance in adult psychotherapy: A meta-analytic synthesis.Psychotherapy, 55(4), 316–340. https://doi.org/10.1037/pst0000172
• Galdas, P. M., Cheater, F., & Marshall, P. (2005). Men and health help-seeking behaviour: literature review. Journal of advanced nursing, 49(6), 616–623. https://doi.org/10.1111/j.1365-2648.2004.03331.x
• Galvão, M. I., da Silva, A. N., & Vasco, A. B. (2019). The Alliance Negotiation Scale: Portuguese adaptation. Research in Psychotherapy: Psychopathology, Process and Outcome, 22(2), 224–232. https://doi.org/10.4081/ripppo.2019.349
• Goodboy, A. K., & Martin, M. M. (2020). Omega over alpha for reliability estimation of unidimensional communication measures. Annals of the International Communication Association, 44(4), 422–439. https://doi.org/10.1080/23808985.2020.1846135
• Gravetter, F. J., & Forzano, L. A. B. (2018). Research methods for the behavioral sciences (Edition 6). Cengage.
• Gülüm, I. V., Soygüt, G., & Safran, J. D. (2018). A comparison of pre-dropout and temporary rupture sessions in psychotherapy. Psychotherapy research: journal of the Society for Psychotherapy Research, 28(5), 685–707. https://doi.org/10.1080/10503307.2016.1246765
• Gülüm, I. V., Uluç, S., & Soygüt, G. (2018). Psychometric Properties of the Turkish Working Alliance Inventory-Short Form. Turkish journal of psychiatry, 29(1), 47–53.
• Hatcher, R. L., & Barends, A. W. (1996). Patients' view of the alliance of psychotherapy: exploratory factor analysis of three alliance measures. Journal of consulting and clinical psychology, 64(6), 1326–1336. https://doi.org/10.1037//0022-006x.64.6.1326
• Hoe, S. L. (2008). Issues and Procedures in Adopting Structural Equation Modeling Technique. Journal of Applied Quantitative Methods, 3, 76-83.
• Horvath, A. O., & Bedi, R. P. (2002). The alliance. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness to patients (pp. 37–69). Oxford University Press.
• Horvath, A. O., & Greenberg, L. S. (1986). The development of the Working Alliance Inventory. In L. S. Greenberg & W. M. Pinsof (Eds.), The psychotherapeutic process: A research handbook (pp. 529–556). Guilford Press.
• Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36(2), 223–233. https://doi.org/10.1037/0022-0167.36.2.223
• Horvath, A. O., Del Re, A. C., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48(1), 9–16. https://doi.org/10.1037/a0022186
• Hu, L.-T., & Bentler, P. M. (1995). Evaluating model fit. In R. H. Hoyle (Ed.), Structural equation modeling: Concepts, issues and applications (pp. 76 –99). Sage.
• Kim, K. H. (2005). The relation among fit indexes, power, and sample size in structural equation modeling. Structural Equation Modeling, 12(3), 368-390.
• Kline, R. B. (2023). Principles and practice of structural equation modeling. (Fifth Edition). Guilford publications.
• Kyriazos, T. A. (2018). Applied psychometrics: sample size and sample power considerations in factor analysis (EFA, CFA) and SEM in general. Psychology, 9(08), 2207.
• Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy: Theory, Research, Practice, Training, 38(4), 357–361. https://doi.org/10.1037/0033-3204.38.4.357
• Lambert, M. J., & Simon, W. (2008). The therapeutic relationship: Central and essential in psychotherapy outcome. Mindfulness and the therapeutic relationship, 19-33.
• Luborsky, L., Singer, B., & Luborsky, L. (1975). Comparative studies of psychotherapies. Is it true that "everywon has one and all must have prizes"?. Archives of general psychiatry, 32(8), 995–1008. https://doi.org/10.1001/archpsyc.1975.01760260059004
• Manubens, R. T., Babl, A., Doran, J., Roussos, A., Alalu, N., & Gómez Penedo, J. M. (2023). Alliance negotiation as a predictor of early treatment outcome. Journal of clinical psychology, 79(8), 1740-1751.
• Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68(3), 438–450. https://doi.org/10.1037/0022-006X.68.3.438
• Norcross, J. C. (Ed.). (2002). Psychotherapy relationships that work: Therapist contributions and responsiveness to patients. Oxford University Press.
• Norcross, J. C., & Wampold, B. E. (2011). Evidence-based therapy relationships: Research conclusions and clinical practices. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (pp. 423–430). Oxford University Press.
• Nunnally, J. C., & Bernstein, I. H. (1967). Psychometric Theory (Vol. 226). New York, NY: McGraw-Hill.
• Ogrodniczuk, J. S., Joyce, A. S., & Piper, W. E. (2005). Strategies for reducing patient-initiated premature termination of psychotherapy. Harvard review of psychiatry, 13(2), 57–70. https://doi.org/10.1080/10673220590956429
• Oliver, M. I., Pearson, N., Coe, N., & Gunnell, D. (2005). Help-seeking behaviour in men and women with common mental health problems: cross-sectional study. The British journal of psychiatry : the journal of mental science, 186, 297–301. https://doi.org/10.1192/bjp.186.4.297
• Öztürk, F., & Duran, N. O. (2024). The Mediating Role of the Evaluation Process Within Supervision on the Relationship Between Counseling Self-efficacy and Working Alliance. International Journal for the Advancement of Counselling, 46(1), 20-39.
• Presseau, C., Doran, J. M., Marks, L. R., & Luu, L. P. (2021). Psychometric properties of the Alliance and Negotiation Scale-Supervision Version. Journal of clinical psychology, 77(6), 1499–1513. https://doi.org/10.1002/jclp.23089
• R Core Team, (2021) R: A language and environment for statistical computing. Foundation for Statistical Computing, Vienna, Austria. URL https://www.R-project.org/ .
• Reis, B. F., & Brown, L. G. (1999). Reducing psychotherapy dropouts: Maximizing perspective convergence in the psychotherapy dyad. Psychotherapy: Theory, Research, Practice, Training, 36(2), 123–136. https://doi.org/10.1037/h0087822
• Rosseel, Y., (2012) “lavaan: An R Package for Structural Equation Modeling.” Journal of Statistical Software, 48 (2): 1–36. https://www.jstatsoft.org/v48/i02/ .
• Safran, J. D. (1993). Breaches in the therapeutic alliance: An arena for negotiating authentic relatedness. Psychotherapy: Theory, Research, Practice, Training, 30(1), 11–24. https://doi.org/10.1037/0033-3204.30.1.11
• Safran, J. D., & Muran, J. C. (2000). Negotiating the therapeutic alliance: A relational treatment guide. Guilford Press.
• Safran, J. D., & Muran, J. C. (2006). Has the concept of the therapeutic alliance outlived its usefulness? Psychotherapy: Theory, Research, Practice, Training, 43(3), 286–291. https://doi.org/10.1037/0033-3204.43.3.286
• Safran, J. D., Crocker, P., McMain, S., & Murray, P. (1990). Therapeutic alliance rupture as a therapy event for empirical investigation. Psychotherapy: Theory, Research, Practice, Training, 27(2), 154–165. https://doi.org/10.1037/0033-3204.27.2.154
• Safran, J. D., Muran, J. C., & Eubanks-Carter, C. (2011). Repairing alliance ruptures. Psychotherapy, 48(1), 80–87. https://doi.org/10.1037/a0022140
• Safran, J. D., Muran, J. C., & Proskurov, B. (2009). Alliance, negotiation, and rupture resolution. In R. A. Levy & J. S. Ablon (Eds.), Handbook of evidence-based psychodynamic psychotherapy: Bridging the gap between science and practice (pp. 201–225). Humana Press. https://doi.org/10.1007/978-1-59745-444-5_9
• Satorra, A., & Bentler, P. M. (1994). Corrections to test statistics and standard errors in covariance structure analysis. In A. von Eye, & C. C. Clogg (Eds.), Latent variables analysis: Applications for developmental research (pp. 399-419). Sage.
• Singh, K., Junnarkar, M., & Kaur, J. (2016). Measures of Positive Psychology, Development and Validation. Berlin: Springer.
• Smith, M. L., & Glass, G. V. (1977). Meta-analysis of psychotherapy outcome studies. American Psychologist, 32(9), 752–760. https://doi.org/10.1037/0003-066X.32.9.752
• Soygüt, G. (1999). Bilişsel Psikoterapide Kişilerarasi Süreçler: Terapötik İttifak ve Terapötik İttifakta Bozulma Olgulari [Interpersonal Processes in Cognitive Psychotherapy: Therapeutic Alliance and Therapeutic Alliance Rupture]. Türk Psikoloji Yazilari, 2(4), 1–14.
• Soygüt, G., & Işikli, S. (2008). Terapötik İttifakın Değerlendirilmesi: Terapötik İttifak Ölçeği'nin Güvenilirlik ve Geçerlik Çalışması. Turk Psikiyatri Dergisi, 19(4).
• Stiles, W. B., Shapiro, D. A., & Elliott, R. (1986). "Are all psychotherapies equivalent?" American Psychologist, 41(2), 165–180. https://doi.org/10.1037/0003-066X.41.2.165
• Strauss, J. L., Hayes, A. M., Johnson, S. L., Newman, C. F., Brown, G. K., Barber, J. P., Laurenceau, J. P., & Beck, A. T. (2006). Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive-compulsive personality disorders. Journal of consulting and clinical psychology, 74(2), 337–345. https://doi.org/10.1037/0022-006X.74.2.337
• Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the Working Alliance Inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1(3), 207–210. https://doi.org/10.1037/1040-3590.1.3.207
• Türk Dil Kurumu. (2023). Türkçe Sözlük. (12th edition). Türk Dil Kurumu Yayınları.
• Waizmann, V., Doran, J., Bolger, K., Penedo, J. M. G., Safran, J., & Roussos, A. (2015). Escala de negociación de alianza terapéutica (ANS-A): evidencias de su validez y confiabilidad. Revista Argentina de Clínica Psicológica, 24(3), 243-254.
• Wampold, B. E., Mondin, G. W., Moody, M., Stich, F., Benson, K., & Ahn, H. N. (1997). A meta-analysis of outcome studies comparing bona fide psychotherapies: Empiricially," all must have prizes.". Psychological bulletin, 122(3), 203.
• Wang, J., & Wang, X. (2012). Structural Equation Modeling: Applications Using Mplus. Wiley Higher Education Press. https://doi.org/10.1002/9781118356258
• Zuroff, D. C., & Blatt, S. J. (2006). The therapeutic relationship in the brief treatment of depression: Contributions to clinical improvement and enhanced adaptive capacities. Journal of Consulting and Clinical Psychology, 74(1), 130–140. https://doi.org/10.1037/0022-006X.74.1.130