An important point emphasized by many theorists was that it was essential for the therapeutic alliance to be flexible in order to accommodate the patient or client's perceptions. Another cardinal aspect that was emphasizes by clinicians and theorists was that the therapeutic alliance had the ability to create and promote change in the client. In other words, the therapeutic alliance should be varied enough to deal with the various levels of functioning of the patient. At the same time, it should be flexible enough to accommodate the interventions of the therapist. (Gaston, 1990)

These theories were reinforced by further studies and statistical measurement. Researchers found that there was a significant statistical correlation between therapeutic alliance and positive outcomes in therapy. In this regard, a study by Horvath and Symonds, (1991) established that alliance accounted for almost fifty percent of the variance in the measurable outcome of therapy. In the words,...
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