“Almost There”...Why Clients Fail to Engage in Family Therapy: An Exploratory Study

Wang, Meng_ning; Sandberg, Jonathan G.; Zavada, Amy; Mittal, Mona; Gosling, A. Sophia; Rosenberg, Tziporah; Jeffrey, Aaron J.; McPheters, Justin

doi:10.1007/s10591-006-9001-3

Cited by 20 publications

(13 citation statements)

References 25 publications

(27 reference statements)

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“…Couple and family treatment also requires engagement of more clients with different priorities or goals. Unfortunately, unwillingness of family members to attend therapy sessions contributes to non-engagement in therapy (Wang et al, 2006). …”

Section: Importance Of Technology For Family and Couple Interventionsmentioning

confidence: 99%

Using technology to enhance and expand interventions for couples and families: Conceptual and methodological considerations.

Doss¹,

Feinberg²,

Rothman³

et al. 2017

Journal of Family Psychology

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Technological advances provide tremendous opportunities for couple and family interventions to overcome logistical, financial, and stigma-related barriers to treatment access. Given technology’s ability to facilitate, augment, or at times even substitute face-to-face interventions, it is important to consider the appropriate role of different technologies in treatment and how that may vary across specific instances of technology use. To that end, this article reviews the potential contributions of telemental health (aka telehealth; e.g., videoconferencing to remotely deliver real-time services) and asynchronous behavioral intervention technologies (BITs; e.g., apps, web-based programs) for couple and family interventions. Design considerations – such as software and hardware requirements and recommendations, characteristics of intended users, ways to maximize engagement, and tips for integrating therapists/coaches – are included for both types of technology-based intervention. We also present suggestions for the most effective recruitment and evaluation strategies for technology-based couple and family interventions. Finally, we present legal and ethical issues that are especially pertinent when integrating technology into couple and family interventions.

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Section: Importance Of Technology For Family and Couple Interventionsmentioning

confidence: 99%

Using technology to enhance and expand interventions for couples and families: Conceptual and methodological considerations.

Doss¹,

Feinberg²,

Rothman³

et al. 2017

Journal of Family Psychology

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“…One of the key components of success in family therapy is attributed to the therapist's capacity to engage and retain the family in treatment (Stanton & Shadish, 1997;Wang et al, 2006). Research on clients' perceptions of family therapy suggests that therapists' rapport, warmth, optimism, humor, and commitment are crucial aspects of effective treatment (Beck, Friedlander, & Escudero, 2006).…”

Section: Introductionmentioning

confidence: 99%

Treatment Engagement: Building Therapeutic Alliance in Home-Based Treatment with Adolescents and their Families

et al. 2007

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Client engagement is an essential yet challenging ingredient in effective therapy. Engaged clients are more likely to bond with therapists and counselors, endorse treatment goals, participate to a greater degree, remain in treatment longer, and report higher levels of satisfaction. This study explored the process of engaging high-risk youth and their parents in a unique home-based family therapy intervention. Qualitative interviews were conducted with 19 families who completed family therapy sessions that included a core component aimed at increasing treatment engagement. Parents' and youths' perceptions of engagement suggest the importance of developing therapeutic alliance with therapists, who facilitated building a shared alliance among family members. Implications for improving client engagement are discussed within the context of alliance building with the therapist and among family members.

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“…The presented analysis shows the connection between the drop-out phenomenon with elements of the therapeutic process, such as alliance or the therapeutic bond and with the conflict present in the couple. The categories and processes which were distinguished can be referred to research studies associating drop-out with a failure to conceptualize the problem [33,34] and a failure to define mutual expectations about the method of solving this problem [13,35,36] as well as to studies which emphasize the importance of establishing a therapeutic alliance with at least two persons [28]. It should also be underlined that split alliances mostly appear at the beginning of therapeutic processes [21].…”

Section: Discussionmentioning

confidence: 99%

“…The lack of cooperation in the therapy of one person is a significant factor decreasing the involvement in the therapy [26]. As a larger number of patients/clients are involved in family therapy or couple therapy than during individual therapy, it can be concluded that the lack of involvement in the therapy on the part of one person also contributes to a larger number of drop-outs in family and couple therapy [27][28]. However, the involvement and motivation for therapy should not be treated as the same factor for the therapy, as research shows [24] it is important to understand internal alliances and splitting which occur between the individual persons in a family and a couple.…”

Section: Split Working Alliancementioning

confidence: 99%

Premature termination in couple therapy as a part of therapeutic process.

Jurek¹,

Janusz²,

Chwal³

et al. 2014

Arch Psych Psych

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SummaryAim of the study: The paper presents the qualitative study of premature termination in couple therapy. The aim of the research was to answer why couples drop-out from couple therapy at the early stage of treatment. Subject: To understand the complexity of this event the researchers decided to examine the phenomenon of early drop-out from three different perspectives, that is: from therapists and both spouses point of view. methods:The therapists and couples that ended the therapy prematurely were interviewed. Among examined drop-out cases, there were selected three which fulfilled the criteria for early drop-out. Data were analyzed according to the method of cross-case analysis. Results. As a result common categories were singled out which were characteristic for those three cases of drop-out. Discussion: The distinguished categories of 'the split of the working alliance' and 'the split of the therapeutic bond' show that the conflict which the couple brought to the therapy was reflected in their experience of the therapy and the therapist. Conclusions: Premature termination in couple therapy is a part of therapeutic process.couple therapy / drop-out / qualitative research / therapeutic process

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“Almost There”...Why Clients Fail to Engage in Family Therapy: An Exploratory Study

Cited by 20 publications

References 25 publications

Using technology to enhance and expand interventions for couples and families: Conceptual and methodological considerations.

Using technology to enhance and expand interventions for couples and families: Conceptual and methodological considerations.

Treatment Engagement: Building Therapeutic Alliance in Home-Based Treatment with Adolescents and their Families

Premature termination in couple therapy as a part of therapeutic process.

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