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Zachary C. Merz, Joanne E. Perry, and Michael J. Ross

rationale for Trent’s decision to communicate this with his teammates and coaching staff without the knowledge of the clinician is unknown. There are many reasons why he may have acted in this manner. The most concerning, from a psychological therapeutic alliance perspective, is the potential belief that

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Krista Van Slingerland, Natalie Durand-Bush, Poppy DesClouds, and Göran Kenttä

layer of expertise that affects the “fit” and therapeutic alliance a client is able to form with CCMHS practitioners. Thus, the center assigns a minimum of two practitioners (i.e., a lead and a support) to each collaborative-care team (CCT) to maximize the specialization of support available to clients

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Roy David Samuel

support, with the second-season referees experiencing a significantly longer process than the other 2 referees (see Table  1 ). With all 4 referees, I had a strong therapeutic alliance (see Samuel & Tenenbaum, 2011b ), as we had previously met in various professional settings. Still, the ability to reach

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Jenny H. Conviser, Amanda Schlitzer Tierney, and Riley Nickols

the MDTT, and choosing activities that are positively engaging ( Plateau, Arcelus, McDermott, & Meyer, 2015 ). Identify agreed upon parameters for treatment and return to play and avoid rushing to complete treatment or re-establish full training and competition. Prioritize the therapeutic alliance

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Graig M. Chow, Lindsay M. Garinger, Jaison Freeman, Savanna K. Ward, and Matthew D. Bird

essential. Clinical and counseling research indicates that the therapeutic alliance, client expectations and preferences, and collaboration impact dropout rates by increasing the perceived benefits of services ( Tryon & Winograd, 2011 ). Interestingly, none of the practitioners discussed allowing the

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Nicole T. Gabana, Aaron D’Addario, Matteo Luzzeri, Stinne Soendergaard, and Y. Joel Wong

related to the athlete’s disposition and worldview (e.g., having a propensity toward gratitude; attributing success to a Creator; directing appreciation toward God). Paying due attention to these associations may enhance the therapeutic alliance and provide clinicians with starting points for discussion

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Pablo Núñez-Martínez and David Hernández-Guillen

belief on the part of the patient that there is a rapid resolution of the pathology and thus detract from the educational message that tendinopathy is a long-term pathology. So through therapeutic alliance and education on how to monitor pain, a greater adherence to treatment could thus be achieved. 6

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Carol R. Glass, Claire A. Spears, Rokas Perskaudas, and Keith A. Kaufman

skill, we encourage future research to include a measure of the therapeutic alliance or group cohesion, especially when comparing MSPE to other intervention programs. Finally, outcomes might be enhanced by increasing coach involvement, so that coaches could participate in MSPE with their athletes and

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Shelby J. Martin and Timothy Anderson

therapeutic alliance, which has been shown to increase patient self-disclosure and engagement in therapy ( Norcross & Wampold, 2011 ), may help facilitate this conversation and decrease treatment dropout among athletes. By working to destigmatize eating disorders and help-seeking for EP on an individual, team

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Joe R. Davis and Paul J. McCarthy

clients on the nature of the therapeutic work and the means by which it can be of greatest help to clients. Empathy, counseling skills and communication, and the therapeutic alliance are fundamental principles of PCE. Therapists demonstrate these skills within the six core conditions suggested by Rogers