Processes Involved in Changing the Therapeutic Attitudes of Clinicians Toward Working with Drinking Clients Academic Article uri icon


  • Over recent years, researchers, drawing on the work of the Maudsley Alcohol Pilot Project (MAPP), have argued that a commonly found attitude profile, called low therapeutic commitment, related to the therapists’ capacity to form an alliance, is partly determined by feelings of role insecurity, which are dependent on basic role requirements. Data collected during a community-based training program were used to test hypotheses, based on the MAPP studies, that this program led to greater role security and higher levels of therapeutic commitment in experimental, but not in comparison groups. The hypotheses were mainly supported. It was also shown that the main effect of the program was to enhance one role requirement, role support. The education was most effective in changing the therapeutic commitment of workers who were more role secure and knowledgable before they took part. It is concluded that further investigations of the part played by role security in determining the therapists’ capacity to form an alliance should be undertaken with other client groups. © 1993 Taylor and Francis Group, LLC.

author list (cited authors)

  • Cartwright, A., & Gorman, D. M.

citation count

  • 29

publication date

  • January 1993