Prior meta-analyses have found a moderate but robust relationship between alliance and outcome across a broad spectrum of treatments, presenting concerns, contexts, and measurements. However, there continues to be a lively debate about the therapeutic role of the alliance, particularly in treatments that are tested using randomized clinical trial…

Objective: Some critics of treatment manuals have argued that their use may undermine the quality of the client-therapist alliance. This notion was tested in the context of youth psychotherapy delivered by therapists in community clinics. Method: Seventy-six clinically referred youths (57% female, age 8-15 years, 34% Caucasian) were randomly…

This paper sets out the case for the manualization of sex offender treatment. The movement towards evidence-based practice in psychotherapy has led to strongly voiced opposing views on the value of manualization. However, "what works" evidence, i.e. the meta-analytical research behind the Risk-Needs-Responsivity model of offender rehabilitation,…

Clinical professionals are offered practical guidelines for organizing psychological counseling services that will be acceptable and available to large numbers of students without being exorbitantly expensive. Detailed accounts are given on therapeutic and administrative procedures that have proven highly effective at Brandeis University's…