Correlates of therapeutic alliance and treatment outcomes among israeli female methadone patients

Miriam Schiff*, Shabtay Levit

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Objectives: This study examines potential predictors (e.g., attachment style, frequency of therapeutic treatment sessions) of client-rated therapeutic alliance between the social worker and client. The relationship between therapeutic alliance and client's psychological outcomes (hope and posttraumatic stress symptoms [PTS's]) was also assessed. Methods: The study sample included 95 of 193 female clients (average age = 39.35, SD = 8.66) at four methadone clinics in Israel. Results: Clients reported a strong therapeutic alliance with their social workers. Stepwise hierarchical multiple regression analyses revealed that only the frequency of treatment sessions, the avoidance dimension of attachment, and less frequent opiate use were significant predictors of therapeutic alliance. Therapeutic alliance significantly predicted hope but did not predict reduced PTS. Conclusions: Implications for social work practice and future research are discussed.

Original languageAmerican English
Pages (from-to)380-390
Number of pages11
JournalResearch on Social Work Practice
Issue number4
StatePublished - 2010


  • Hope
  • Methadone
  • PTSD
  • Social work-client relationships
  • Substance use
  • Therapeutic alliance


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