Dolan, Sara Lynn.Giardina, Anthony N.2012-11-292012-11-292012-082012-11-29http://hdl.handle.net/2104/8544The therapeutic alliance has been shown to significantly affect outcomes in both general psychotherapy research and substance-use-disorder specific research. The proposed study is an attempt to improve our understanding of how therapeutic alliance factors influence outcomes when treating substance-use-disordered clients. Two factors of the therapeutic alliance and outcome interaction were investigated: social support and timing of measurement of the therapeutic alliance. High levels of social support at baseline did not predict better outcomes when a strong alliance was not formed with the therapist. Alliance at termination was the most predictive of short and long-term outcomes.en-USBaylor University theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. Contact librarywebmaster@baylor.edu for inquiries about permission.Therapeutic alliance.Substance use disorder.ThesisWorldwide access.Access changed 2/25/15.