The therapeutic alliance in couples and family therapy

Rait, Douglas S.

doi:10.1002/(sici)1097-4679(200002)56:2<211::aid-jclp7>3.0.co;2-h

Cited by 59 publications

(56 citation statements)

References 19 publications

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“…With the presence of multiple clients in the room and the need for therapists to simultaneously maintain multiple alliances, therapy with couples and families presents unique challenges (Friedlander et al ., ; Rait, ). These unique challenges can contribute to premature termination of therapy.…”

Section: Problems In the Field Of Psychotherapymentioning

confidence: 98%

The importance of adoption of formal client feedback in therapy: a narrative review

Lappan

Shamoon

Blow

2017

Journal of Family Therapy

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Couple and family therapy has well-established benefits. Although the majority of clients benefit, some worsen, some show no positive change, and some drop out early. This suggests that existing treatment modalities require further advancement. One promising avenue to achieve advancement involves instituting, as the standard of care, formalized client feedback, which has been shown to improve outcomes. This paper is a non-systematic review that outlines several formalized feedback systems currently available and highlights each system's utility with application to couple and family therapy. While couple and family therapists have unique obstacles in therapy due to multiple therapeutic alliances, the use of formalized feedback has potential to strengthen alliances and improve outcomes for all clients who participate. We advocate for the use of formalized feedback in the training of new therapists and to augment the supervision process.Practitioner points • Encourage the couple and family therapy field to implement the use of formalized client feedback systems both clinically and in research • Demonstrate the importance of implementing formalized client feedback systems to decrease premature termination and improve client outcomes • Provide information about existing client feedback systems to give practitioners the opportunity to choose a method that most benefits their clients

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Section: Problems In the Field Of Psychotherapymentioning

confidence: 98%

The importance of adoption of formal client feedback in therapy: a narrative review

Lappan

Shamoon

Blow

2017

Journal of Family Therapy

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“…Therapeutic rapport needs to be built with all family members. This can be achieved by providing each family member with a supportive environment in which to explore their presenting problems while remaining neutral to each family member's views about these issues (Rait, ). Therapy should offer sessions with family members together as well as sessions with individual family members so that both individual and systemic concerns can be addressed (Lebow and Rekart, ).…”

Section: Practice Recommendationsmentioning

confidence: 99%

Recommendations for best practice in response to parental alienation: findings from a systematic review

Templer

Matthewson

Haines³

et al. 2016

Journal of Family Therapy

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This study aimed to systematically review the literature pertaining to parental alienation to determine best practice for therapists and legal practitioners. Medline, Embase, and PsycINFO academic databases, the Cochrane Central Register of Controlled Trials and conference abstracts were searched. Included articles were peer reviewed journal articles or books published in English pertaining to a psychological or legal intervention for parental alienation. Ten articles were included in the review. It was found that changes in custodial or residential arrangements in favour of the targeted parent are effective in ameliorating parental alienation. Specialized family therapy addressing the alienation is effective in restoring family relationships and family functioning. A coordinated approach from therapists and legal practitioners is important in resolving parental alienation. Practitioner points Parental alienation requires legal and therapeutic management to enhance family functioning Awarding primary parental responsibility to the targeted parent and providing specialized family therapy is effective in ameliorating parental alienation A specialized form of systemic family therapy for parental alienation can improve family functioning and prevent further parental alienation

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“…That not all family members are equally motivated for therapy (Rait, 2000) is commonplace. The shift from Mother and FSW as the only customers for therapy at the outset, to the children wanting to continue therapy at a later stage, parallels a shift to a lighter mood within the therapy.…”

Section: Reflections On What I Could Have Done Differentlymentioning

confidence: 99%

Therapeutic Process as a Means to Navigate Impasse? Reflections on a Complex Case of Crosscultural Adolescent Family Therapy

Segal¹

2010

ANZ J of Family Therapy

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This article explores the process of family therapy with a Turkish-speaking singleparent family with four children in which suicidal behaviour and family violence have become the norm. The following example describes a pivotal experience early within my career as a family therapist. The universality of first, being a beginner family therapist, and second, receiving a referral of a daunting, difficult case has led me to share my experience here. Central to this article is the focus on therapeutic process as a means to navigate beyond impasse. It is my hope that those who read this article will consider taking the risk to prioritise the therapeutic relationship, even when anxiety about 'doing something' to fix the problems is high.

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The therapeutic alliance in couples and family therapy

Cited by 59 publications

References 19 publications

The importance of adoption of formal client feedback in therapy: a narrative review

The importance of adoption of formal client feedback in therapy: a narrative review

Recommendations for best practice in response to parental alienation: findings from a systematic review

Therapeutic Process as a Means to Navigate Impasse? Reflections on a Complex Case of Crosscultural Adolescent Family Therapy

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