Therapeutic Alliance and Treatment Progress in Couple Psychotherapy

Knobloch‐Fedders, Lynne M.; Pinsof, William M.; Mann, Barton J.

doi:10.1111/j.1752-0606.2007.00019.x

Cited by 108 publications

(123 citation statements)

References 32 publications

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“…The psychotherapy field has recently called for longitudinal studies that measure both alliance and psychological functioning at several times over the course of treatment to explore further this relationship (Knobloch-Fedders, Pinsof, & Mann, 2007; Pinsof & Wynne, 2000). Most of the previous research, however, has looked at the alliance at only one or two points during the course of treatment.…”

Section: Advancing Measurement: Using Multilevel Modeling To Explore mentioning

confidence: 99%

The Multisystemic and Multilevel Investigation of the Expanded Therapeutic Alliance‐Psychological Functioning Relationship in Individual Therapy

Karam

Pinsof

et al. 2014

J Marital Family Therapy

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The expanded therapeutic alliance, consisting of multiple interpersonal alliance relationships, is a common factor inherent to the practice of all systemic therapies. The following study has three specific aims: (a) Bring an expanded, multisystemic emphasis to the study of the therapeutic alliance in individual therapy; (b) Understand better the session-by-session relationship between alliance and psychological functioning, including distinguishing within-person from between-person variability by using multilevel modeling techniques; and (c) Explore the role of early attachment relationships and family-of-origin experiences in moderating the alliance-psychological functioning relationship. Instead of taking only one or two alliance measurements throughout treatment like in the majority of previous research, we measured both alliance and psychological functioning continuously at each session for 296 subjects.

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Section: Advancing Measurement: Using Multilevel Modeling To Explore mentioning

confidence: 99%

The Multisystemic and Multilevel Investigation of the Expanded Therapeutic Alliance‐Psychological Functioning Relationship in Individual Therapy

Karam

Pinsof

et al. 2014

J Marital Family Therapy

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“…Instead, therapists have the demanding task of building and using alliances with both spouses while not condoning the harmful interactions of any person (Knobloch-Fedders, Pinsof, & Mann, 2007), but facilitating couples' and families' own relationships as the engine of change (Butler & Gardner, 2003;Butler & Wampler, 1999). Therefore, we see that while the detachment of Bowenian neutrality has its alliance problems, abandoning neutrality in favor of active alignment brought entirely new and equally problematic alliance complications in relational therapies.…”

Section: A Survey Of Attempts At Reconciling Alliance and Neutrality mentioning

confidence: 91%

A Primer on the Evolution of Therapeutic Engagement in MFT: Understanding and Resolving the Dialectic Tension of Alliance and Neutrality. Part 1—Retrospective: The Evolution of Neutrality

Brimhall

Butler

2010

The American Journal of Family Therapy

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Alliance and neutrality are the two fundamental constructs defining therapeutic engagement. Although both are critical to positive clinical process and outcome, they become much more difficult to effectively balance in relational therapies. In many ways they coexist in an unrecognized dialectic tension. A history of the evolution of neutrality in relational therapies is provided. Evolutionary iterations of relational therapy have experimented with different formulations of the neutrality-alliance mix. We critique these hybrid conceptualizations of neutrality as they relate to the therapeutic alliance. In a second paper, we propose multipartiality and enactments as a dynamic, engaged neutrality that represents a fully realized relational advocacy. Together, the papers provide a primer on therapeutic engagement in MFT.[Therapy] is above all else a human endeavor. It will flourish and grow as long as its scientific aspects, including objective evaluation, are promoted. But its fundamental therapeutic efficacy will always remain much more intimately connected to the fact that human beings . . . can This paper is one of a two-part series and introductory portions of the two papers overlap and are reprinted with permission.

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“…Spilt alliances predict worse treatment outcome in couple and family therapy (Knobloch-Fedders, Pinsof, & Mann, 2007;Lebow, Chambers, Christensen, & Johnson, 2011). These families are very much at risk for developing spilt alliances due to their tendency to splitting between good and bad objects (Doolittle & Deustch, 1999) and the high level of conflicts between parents about who is right that almost inevitably come with these cases.…”

Section: Alliance Buildingmentioning

confidence: 97%