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Handbook of Treating Variants and Complications in Anxiety Disorders pp 255–284Cite as

Limited Motivation, Patient-Therapist Mismatch, and the Therapeutic Alliance

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Abstract

While empirically supported treatments have made great headway for patients with anxiety disorders, many barriers continue to exist in order for patients to experience symptom remission. In this chapter, we consider the roles of patient motivation for change, patient-therapist mismatch, and the therapeutic alliance as understudied factors that can be used to enhance outcomes. While these factors are often portrayed as in conflict with or as obviating the use for structured interventions, we display how these approaches can be used in tandem to enhance the efficacy of existing interventions.

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  1. Department of Psychology, University of South Florida, 4202 East Fowler Avenue, PCD 4118E, Tampa, FL, 33626, USA

    Alessandro S. De Nadai M.A. & Marc S. Karver Ph.D.

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  1. Alessandro S. De Nadai M.A.
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  2. Marc S. Karver Ph.D.
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Correspondence to Alessandro S. De Nadai M.A. .

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  1. , Departments of Pediatrics, Psychiatry, a, University of South Florida, Tampa, 33612, Florida, USA

    Eric A. Storch

  2. , Department of Psychology, Fordham University, East Fordham Road 441, Bronx, 10458, New York, USA

    Dean McKay

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De Nadai, A.S., Karver, M.S. (2013). Limited Motivation, Patient-Therapist Mismatch, and the Therapeutic Alliance. In: Storch, E., McKay, D. (eds) Handbook of Treating Variants and Complications in Anxiety Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6458-7_17

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