Jump to ContentJump to Main Navigation
Psychotherapy Relationships That WorkEvidence-Based Responsiveness$
Users without a subscription are not able to see the full content.

John C. Norcross

Print publication date: 2011

Print ISBN-13: 9780199737208

Published to Oxford Scholarship Online: May 2011

DOI: 10.1093/acprof:oso/9780199737208.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2019. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a monograph in OSO for personal use (for details see www.oxfordscholarship.com/page/privacy-policy).date: 17 June 2019

Alliance in Couple and Family Therapy

Alliance in Couple and Family Therapy

Chapter:
(p.92) Chapter 4 Alliance in Couple and Family Therapy
Source:
Psychotherapy Relationships That Work
Author(s):

Myrna L. Friedlander

Valentín Escudero

Laurie Heatherington

Gary M. Diamond

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199737208.003.0004

Couple and family therapy (CFT) is challenging because multiple interacting working alliances develop simultaneously and are heavily influenced by preexisting family dynamics. An original meta-analysis of twenty-four published CFT alliance-retention/outcome studies (k =17 family and 7 couple studies; N = 1,416 clients) showed a weighted aggregate r = .26. This medium effect size is almost identical to that reported for individual adult psychotherapy. In this chapter, we also summarize the most widely used alliance measures used in CFT research, provide an extended clinical example, and describe patient contributions to the developing alliance. Although few moderator or mediator studies have been conducted, the available literature points to three important alliance-related phenomena in CFT: the frequency of “split” or “unbalanced” alliances, the importance of ensuring safety, and the need to foster a strong within-family sense of purpose about the purpose, goals, and value of conjoint treatment. We conclude with a series of therapeutic practices predicated on the research evidence.

Keywords:   couple and family therapy, meta-analysis, alliance, therapy relationships

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .