I do not believe an alliance does anything - I did not have one with a therapist - but they were never able to explain what they meant by it or what it was supposed to do or how to gauge if it was being done other than nebulous fuzzy things like your life looks better or some such nonsense. My life was generally fine - I went for one thing and they only made that worse. Then they used a phrase - it's a process. Okay - what is the process - Oh we don't know. = total effing bs