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Journal of Psychotherapy Practice and Research 5: 260-271, 1996
Copyright © 1996 American Psychiatric Association, Inc.

The Revised Helping Alliance Questionnaire (HAq-II)

Psychometric Properties

LESTER LUBORSKY PH.D.1, JACQUES P. BARBER PH.D.1, LYNNE SIQUELAND PH.D.1, SUZANNE JOHNSON B.A.1, LISA M. NAJAVITS PH.D.1, ARLENE FRANK PH.D.1, and DENNIS DALEY M.S.W.1

1 Center for Psychotherapy Research, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; Harvard Medical School, Boston, Massachusetts; and Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania.

Dr biborsky, 514 Spruce Street, Philadelphia, PA 19106.

The concept of the therapeutic alliance and its operationalization have received much attention in recent years. One of the early self-report measures of the therapeutic alliance was the Helping Alliance questionnaire (HAq-I). This scale was recently revised to exclude the items that explicitly reflect improvement. Using the revised 19-item HAq-II on a sample of 246 patients diagnosed with DSM-III-R cocaine dependence, the authors found that the new scale had excellent internal consistency and test-retest reliability. Further, the HAq-II demonstrated good convergent validity with the California Psychotherapy Alliance Scale (CALPAS) total score. Alliance levels as measured by the CALPAS or the Helping Alliance questionnaire during early sessions were not associated with pretreatment psychiatric severity or level of depression.

Submitted on July 20, 1994
Revised on September 12, 1995
Accepted on September 20, 1995




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