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It takes two to tango: The therapeutic alliance in community brain injury rehabilitation

Published online by Cambridge University Press:  10 December 2021

Liz M. Williams Open the ORCID record for Liz M. Williams [Opens in a new window]  and
Jacinta M. Douglas Open the ORCID record for Jacinta M. Douglas [Opens in a new window]
Liz M. Williams*
Affiliation:
Living with Disability Research Centre, School of Allied Health, La Trobe University, Melbourne, Victoria, Australia Brain Injury Rehabilitation Community and Home BIRCH, South Australian Brain Injury Rehabilitation Service, Hampstead Rehabilitation Centre, Adelaide, South Australia, Australia
Jacinta M. Douglas
Affiliation:
Living with Disability Research Centre, School of Allied Health, La Trobe University, Melbourne, Victoria, Australia Summer Foundation, Box Hill, Victoria, Australia
*
*Corresponding author. Email: liz.williams@sa.gov.au
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Abstract

Objective:

A positive therapeutic (or working) alliance has been associated with better outcomes for clients in the psychotherapeutic and traumatic brain injury (TBI) rehabilitation literature. The aim of this pilot study was to gain an understanding of the therapeutic alliance in community rehabilitation from the perspectives of adults with TBI and their close others who have completed a community rehabilitation programme.

Method:

This study used a constructivist, qualitative methodology which applied grounded theory analysis techniques. Using purposeful sampling, three pairs of participants (adults with TBI and close others) who had finished a community rehabilitation programme completed separate in-depth interviews which were transcribed verbatim and progressively analysed using a process of constant comparison.

Results:

A preliminary framework illustrating participants’ experience of a therapeutic alliance was generated, comprising three interconnected themes: being recognised as an individual, working together and feeling personally connected. All participants viewed being able to work together as important in their experience of community rehabilitation and described features that helped and hindered the alliance.

Conclusion:

These pilot study results demonstrate the importance of the therapeutic alliance to the rehabilitation experience of individuals with TBI and those close to them.

Keywords

Traumatic brain injurycommunity rehabilitationtherapeutic allianceworking alliancetherapeutic relationship
Type
Original Article
Information
Brain Impairment , Volume 23 , Special Issue 1: Humanising Connections: Bringing people together in rehabilitation , March 2022 , pp. 24 - 41
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Australasian Society for the Study of Brain Impairment

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