A positive therapeutic (or working) alliance has been associated with better outcomes for clients in the psychotherapeutic and traumatic brain injury (TBI) rehabilitation literature. The aim of this pilot study was to gain an understanding of the therapeutic alliance in community rehabilitation from the perspectives of adults with TBI and their close others who have completed a community rehabilitation programme.

This study used a constructivist, qualitative methodology which applied grounded theory analysis techniques. Using purposeful sampling, three pairs of participants (adults with TBI and close others) who had finished a community rehabilitation programme completed separate in-depth interviews which were transcribed verbatim and progressively analysed using a process of constant comparison.

A preliminary framework illustrating participants’ experience of a therapeutic alliance was generated, comprising three interconnected themes: being recognised as an individual, working together and feeling personally connected. All participants viewed being able to work together as important in their experience of community rehabilitation and described features that helped and hindered the alliance.

These pilot study results demonstrate the importance of the therapeutic alliance to the rehabilitation experience of individuals with TBI and those close to them.

在心理治疗和创伤性脑损伤 (TBI) 康复文献中，积极的治疗（或工作）联盟与客户获得更好的结果有关。这项试点研究的目的是从患有 TBI 的成年人及其已完成社区康复计划的亲密其他人的角度了解社区康复中的治疗联盟。

这项研究使用了一种建构主义的定性方法，该方法应用了扎根的理论分析技术。使用有目的的抽样，完成社区康复计划的三对参与者（患有 TBI 的成年人和其他亲密的人）完成了单独的深入访谈，这些访谈被逐字转录，并使用不断比较的过程逐步分析。

产生了一个初步框架，说明参与者对治疗联盟的体验，包括三个相互关联的主题：被认可为个人、一起工作和感觉个人联系。所有参与者都认为能够一起工作在他们的社区康复经验中很重要，并描述了帮助和阻碍联盟的特点。

这些试点研究结果证明了治疗联盟对 TBI 患者及其亲近者的康复体验的重要性。