The therapist–parent alliance in family-based therapy for adolescents

Diamond, Gary M.; Diamond, Guy; Liddle, Howard A.

doi:10.1002/1097-4679(200008)56:8<1037::aid-jclp4>3.0.co;2-4

Cited by 43 publications

(43 citation statements)

References 9 publications

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“…Some studies (Diamond, Diamond, & Liddle, 2000) indicate that the therapist's alliance with the parents is also related to therapeutic outcomes. Finally, Karver et al (2008) pose that it is fundamental for studies to simultaneously consider the perspectives of the patient, the therapist, and an observer of the therapeutic interaction in order to compare them.…”

Section: Perspectives and Moments Of Evaluation In The Relation Of Thmentioning

confidence: 99%

Therapeutic alliance in the initial phase of psychotherapy with adolescents: different perspectives and their association with therapeutic outcomes

Fernandez

Krause

Pérez

2016

ResPsy

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Psychotherapy research focusing on adults as well as on children and adolescents has revealed a positive association between the quality of the therapeutic alliance (TA) in the first sessions and therapeutic outcomes. Nevertheless, there is controversy regarding which perspective (of the adolescents, therapists, or parents) and what moment of evaluation (first, second, or third session) is most strongly associated with outcome. This study aims to describe the TA during the initial phase of psychotherapy with adolescents, from several perspectives, and relate it to the intermediate and final outcomes of the therapy. The study is descriptive-correlational and was conducted in naturalistic settings. The sample comprised 20 individual psychotherapeutic processes (15 females, 5 males; average age: 15.8 years; standard deviation=1.04). The variables studied were: TA, measured with the Working Alliance Inventory, applied to adolescents, therapists, and parents, and therapeutic outcomes, measured using Lambert's Outcome Questionnaire (OQ-45.2). The results show that the TA improved from session one to session three, both in the adolescents and the therapists. The TA, as perceived by the adolescents in the third session, is positively correlated with final outcomes (r=-.732*, P=.025). The TA evaluated from the therapists' perspective in the third session, specifically the bond component of the TA, predicts the final success of psychotherapy with adolescent patients [beta=0.426, Exp. (B)=1.531, degree of freedom=1, P=0.034]. The importance of the initial construction of the working alliance by both participants is discussed

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Section: Perspectives and Moments Of Evaluation In The Relation Of Thmentioning

confidence: 99%

Therapeutic alliance in the initial phase of psychotherapy with adolescents: different perspectives and their association with therapeutic outcomes

Fernandez

Krause

Pérez

2016

ResPsy

View full text Add to dashboard Cite

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“…In separate studies, we have established a connection between specific MDFT behaviors and particular proximal outcomes of interest-including the reduction of insession conflict (Diamond & Liddle, 1996), positive changes in parenting practices (Schmidt et al, 1996), and increases in the engagement of therapy-reluctant teens (Diamond et al, 2000)-sometimes by using culturally specific interventions (Jackson-Gilfort, .…”

Section: Alliances In Family Therapymentioning

confidence: 99%

Adolescent and parent therapeutic alliances as predictors of dropout in multidimensional family therapy.

Robbins¹,

Liddle²,

Turner³

et al. 2006

Journal of Family Psychology

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147

115

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The authors examined the relations between adolescent-therapist and mother-therapist therapeutic alliances and dropout in multidimensional family therapy for adolescents who abuse drugs. The authors rated videotapes of family therapy sessions using observational methods to identify therapist-adolescent and therapist-mother alliances in the first 2 therapy sessions. Differences in adolescent and mother alliances in families that dropped out of therapy and families that completed therapy were compared. Results indicate that both adolescent and mother alliances with the therapist discriminated between dropout and completer families. Although no differences were observed between the 2 groups in Session 1, adolescents and mothers in the dropout group demonstrated statistically significantly lower alliance scores in Session 2 than adolescents and parents in the completer group. These findings are consistent with other research that has established a relationship between therapeutic alliance and treatment response.

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“…To do so, therapists need to take into account the typical characteristics of adolescents that challenge the development of a personally meaningful experience in therapy (Diamond et al, 2000;Sharry, 2004). In general, adolescents have less ability than adults to think abstractly and cotnmunicate verbally, and many teenagers are private, self-conscious, and awkward (Sharry, 2004).…”

mentioning

confidence: 99%

How do therapists ally with adolescents in family therapy? An examination of relational control communication in early sessions.

Peña

Friedlander²,

Escudero³

et al. 2012

Journal of Counseling Psychology

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Sequential analyses examined associations between the working alliance and therapist-adolescent communication patterns in 10 Spanish cases of brief conjoint family therapy. Early sessions with strong versus problematic alliances, rated by observers, were selected for coding of relational control communication patterns. No differences were found in the frequency of exchanges, but competitive responding by the therapists (reflecting an interpersonal struggle for control) was significantly more likely in problematic alliance sessions than in strong alliance sessions. Cases in which the adolescent's alliance with the therapist remained positive from Session 1 as compared with Session 3 showed a decrease in the likelihood of competitive symmetry. Notably, when the quality of the alliance deteriorated over time, the therapists were increasingly more likely to respond to the adolescents' domineering messages in a competitive manner. Results underscore the need to avoid competitive responding in order to ally with adolescents in conjoint family treatment.

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The therapist–parent alliance in family-based therapy for adolescents

Cited by 43 publications

References 9 publications

Therapeutic alliance in the initial phase of psychotherapy with adolescents: different perspectives and their association with therapeutic outcomes

Therapeutic alliance in the initial phase of psychotherapy with adolescents: different perspectives and their association with therapeutic outcomes

Adolescent and parent therapeutic alliances as predictors of dropout in multidimensional family therapy.

How do therapists ally with adolescents in family therapy? An examination of relational control communication in early sessions.

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