For some time now, the therapeutic alliance has served as a clinically significant "common factor" in positive outcomes for adult clients in most all types of psychotherapy. Yet among adolescents, the alliance has garnered interest among clinicians and researchers only relatively recently, particularly in cases of "high-risk" adolescents--teens who need mental health treatment services for a variety of disorders peculiar to this age group (e.g., anxiety disorders, depression, externalizing/disruptive behavioral disorders, etc.) but do not have access to these services or drop out of treatment prematurely. The more recent interest in the alliance with adolescents appears to be driven by myriad forces: interested researchers, frustrated clinicians, concerned parents, and policymakers engaged in healthcare reform. Elusive Alliance examines the conceptual, theoretical, and empirical bases of these myriad forces, presenting some of the highly promising work that has been accomplished over...

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