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Journal of Consulting and Clinical Psychology Copyright 2005 by the American Psychological Association
2005, Vol. 73, No. 6, 1097–1107 0022-006X/05/$12.00 DOI: 10.1037/0022-006X.73.6.1097
Therapeutic Alliance and Treatment Adherence in Two Interventions for
Bulimia Nervosa: A Study of Process and Outcome
Katharine L. Loeb G. Terence Wilson and Erich Labouvie
Mount Sinai School of Medicine Rutgers, The State University of New Jersey
Elizabeth M. Pratt Jumi Hayaki
Boston University St. Olaf College
B. Timothy Walsh W. Stewart Agras
Columbia University Stanford University
Christopher G. Fairburn
Oxford University
The relationship between therapeutic alliance, therapist adherence to treatment protocol, and outcome
was analyzed in a randomized trial of cognitive–behavioral therapy (CBT) and interpersonal psycho-
therapy for bulimia nervosa. Independent observers rated audiotapes of full-length therapy sessions.
Purging frequency was the primary outcome variable. There were no significant the
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