The Therapeutic Alliance in Home‐based Family Therapy: Is It Predictive of Outcome?

Abstract

This study examined the association between the therapeutic alliance in family therapy and changes in symptom distress, interpersonal relationships, and family coping. The participants (N = 81) were members of low socioeconomic status families referred to a university clinic for in-home family therapy. Participants completed the Outcome Questionnaire, Family Crisis Oriented Personal Evaluation, and the Family Therapy Alliance questionnaires. Regression analyses revealed that the therapeutic alliance explained 19% of the variance in symptom distress changes for mother, 55% for fathers, and 39% for adolescents. The implications of these findings for practicing and researching family therapy are presented.

Prediction of treatment outcome from relationship variables in child and adolescent therapy: A meta-analytic review.

“…There was no most common measure used, showing the lack of uniformity in the child-adolescent treatment process literature. Some studies measured the family therapeutic alliance (L. N. Johnson, 1998;Van Orman, 1996); others used modified adult measures such as the Working Alliance Inventory (Florsheim, Shotorbani, Guest-Warnick, Barratt, & Hwang, 2000), others used general relationship measures such as the Barrett-Lennard Relationship Inventory (McNally & Drummond, 1973) or the Network of Relationships Inventory (Cavell & Hughes, 2000), and in several studies researchers developed their own measures of therapeutic relationship (Green, 1996;.…”

Counseling People Living in Poverty: The CARE Model

“…In the literature on therapeutic alliance, mutual goal setting is exemplified as a practical way to foster the empowerment of clients in racially marginalized and devalued groups (Johnson et al, 2002). Working with these clients to identify realistic and achievable goals increases the client's investment in and benefit derived from a collaborative counseling process.…”

Sistema de observação da aliança em terapia familiar versão auto‑resposta (SOFTA‑s)

“…Neste sentido, tem sido defendida a existência de um conjunto de fatores ou mecanismos de mudança transversais a todas as terapias, os quais, de um modo geral, remetem para a relação terapêutica, as características do cliente, as características do terapeuta e as expectativas em relação ao processo terapêutico (Davis & Piercy, 2007;Hubble, Duncan, & Miller, 2006;Lambert, 1992;Sprenkle, Davis, & Lebow, 2009 2004; Sexton et al, 2004), sendo esta evidência corroborada por vários estudos (Escudero, Friedlander, Varela, & Abascal, 2008;Johnson, Wright, & Ketring, 2002;Knobloch -Fedders et al, 2004;Quinn, Dotson, & Jordan, 1997).…”