The role of oxytocin as an indicator of outcome and therapeutic alliance

Oxytocin is a neuropeptide produced by the hypothalamus and involved in numerous functions, such as labor and breastfeeding. The literature has highlighted the critical role of this hormone in interpersonal relationships – particularly in mother-child and sentimental relationships – implicating it...

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Main Authors: Chiara Durante, Giulia Di Vincenzo, Alessandra Minutoli, Giampaolo Nicolais, Valeria Carola
Format: Article
Language:English
Published: PAGEPress Publications 2025-06-01
Series:Research in Psychotherapy
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Online Access:https://www.researchinpsychotherapy.org/rpsy/article/view/842
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author Chiara Durante
Giulia Di Vincenzo
Alessandra Minutoli
Giampaolo Nicolais
Valeria Carola
author_facet Chiara Durante
Giulia Di Vincenzo
Alessandra Minutoli
Giampaolo Nicolais
Valeria Carola
author_sort Chiara Durante
collection DOAJ
description Oxytocin is a neuropeptide produced by the hypothalamus and involved in numerous functions, such as labor and breastfeeding. The literature has highlighted the critical role of this hormone in interpersonal relationships – particularly in mother-child and sentimental relationships – implicating it in attachment bonds. Several recent studies have examined the activation of oxytocin in the psychotherapeutic relationship. This narrative review article describes the modulation of the oxytocinergic axis in patients and therapists, based on a review of papers identified through searches of PsycINFO, PubMed, and RivistaWeb, from January 2015 to May 2024. The results of this literature review support the hypothesis that changes in oxytocin levels during interactions between therapist and patient are associated with the therapeutic process by activating the attachment system. Furthermore, this mechanism does not appear to be influenced by the therapist’s theoretical model of reference but rather by their ability to empathize with the patient. In conclusion, this mini-review highlights the significant function of oxytocin as a potential biomarker for assessing the patient-therapist relationship, identifying a biological substrate of the therapeutic alliance.
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spelling doaj-art-9dd8bd42f1d04613a9040a1acbe1cb162025-07-25T10:36:10ZengPAGEPress PublicationsResearch in Psychotherapy2499-75522239-80312025-06-0110.4081/ripppo.2025.842The role of oxytocin as an indicator of outcome and therapeutic allianceChiara Durante0https://orcid.org/0009-0005-4327-9640Giulia Di Vincenzo1https://orcid.org/0009-0005-0979-7508Alessandra Minutoli2https://orcid.org/0009-0003-2222-2229Giampaolo Nicolais3Valeria Carola4School of Specialization in Clinical Psychology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of RomeSchool of Specialization in Clinical Psychology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of RomeSchool of Specialization in Clinical Psychology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of RomeSchool of Specialization in Clinical Psychology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of RomeSchool of Specialization in Clinical Psychology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome Oxytocin is a neuropeptide produced by the hypothalamus and involved in numerous functions, such as labor and breastfeeding. The literature has highlighted the critical role of this hormone in interpersonal relationships – particularly in mother-child and sentimental relationships – implicating it in attachment bonds. Several recent studies have examined the activation of oxytocin in the psychotherapeutic relationship. This narrative review article describes the modulation of the oxytocinergic axis in patients and therapists, based on a review of papers identified through searches of PsycINFO, PubMed, and RivistaWeb, from January 2015 to May 2024. The results of this literature review support the hypothesis that changes in oxytocin levels during interactions between therapist and patient are associated with the therapeutic process by activating the attachment system. Furthermore, this mechanism does not appear to be influenced by the therapist’s theoretical model of reference but rather by their ability to empathize with the patient. In conclusion, this mini-review highlights the significant function of oxytocin as a potential biomarker for assessing the patient-therapist relationship, identifying a biological substrate of the therapeutic alliance. https://www.researchinpsychotherapy.org/rpsy/article/view/842Oxytocintherapeutic alliancedepressionpsychotherapyattachmentneurobiology
spellingShingle Chiara Durante
Giulia Di Vincenzo
Alessandra Minutoli
Giampaolo Nicolais
Valeria Carola
The role of oxytocin as an indicator of outcome and therapeutic alliance
Research in Psychotherapy
Oxytocin
therapeutic alliance
depression
psychotherapy
attachment
neurobiology
title The role of oxytocin as an indicator of outcome and therapeutic alliance
title_full The role of oxytocin as an indicator of outcome and therapeutic alliance
title_fullStr The role of oxytocin as an indicator of outcome and therapeutic alliance
title_full_unstemmed The role of oxytocin as an indicator of outcome and therapeutic alliance
title_short The role of oxytocin as an indicator of outcome and therapeutic alliance
title_sort role of oxytocin as an indicator of outcome and therapeutic alliance
topic Oxytocin
therapeutic alliance
depression
psychotherapy
attachment
neurobiology
url https://www.researchinpsychotherapy.org/rpsy/article/view/842
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