Therapeutic alliances in couple and family therapy: An empirically informed guide to practice.

Friedlander, Myrna L.; Escudero, Valentín; Heatherington, Laurie

doi:10.1037/11410-000

Cited by 184 publications

(343 citation statements)

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“…Thus, the specificity of each family life cycle period, as well as the transformations undergone during stage transition, are identified as possible inhibitors or facilitators of family change (Friedlander, Escudero, & Heatherington, 2006;Olson et al 1983). However, as far as we know, there is no empirical data regarding the impact of the family's developmental stage in the therapeutic process, which brings us to the issue of finding out if the families are more (/less) susceptible to change in certain stages of their life cycle.…”

Section: Clientmentioning

confidence: 99%

The State of the Art in Family Therapy Research: What Works? How it Works?

Vilaça

Relvas

2014

International Journal of Social Science Studies

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Despite the growing popularity of systemic family therapy, little is known about the way in which therapeutic change occurs. This question concerns theorists and clinicians, and can only be answered through research focused not only on the results but also on the therapeutic process. This article presents an overview of the literature regarding the path followed by published research in systemic family therapy, in order to understand the methodological issues at the core of the current state of the art. Aiming to synthesize and integrate the relevant knowledge consolidated to date, a bibliographic review was carried out using electronic databases (e.g. EBSCO Host) and referenced books in the field of family therapy, with an emphasis on the most relevant meta-analysis and systematic revision studies. The observed predominance of studies regarding family therapy effectiveness over research on the therapeutic process is examined, and the main factors empirically associated to the therapeutic change are presented, emphasizing the fact that this investigation is based on the individual's perspective, rather than on the family perspective. Finally, new ways to successfully introduce specific factors in systemic family therapy are suggested, indicating the need to research these possibilities.

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Section: Clientmentioning

confidence: 99%

The State of the Art in Family Therapy Research: What Works? How it Works?

Vilaça

Relvas

2014

International Journal of Social Science Studies

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“…O critério da referenciação diz respeito a quem faz o pedido: o próprio cliente, o tribunal, a escola, os serviços de protecção de menores ou a família, dando os autores diferente relevo à distinção destas fontes (De Jong & Berg, 1998;Friedlander, Escudero, & Heatherington, 2006;Ivanof, Blythe, & Tripodi, 1994;Rooney, 1992;Tohn & Oshlag, 1996). O critério da vontade representa as percepções, objectivas e subjectivas, do(s) próprio(s) cliente(s) a respeito do pedido, dos objectivos da intervenção, das possibilidades de escolha e do poder no processo (Osborn, 1999;Rooney, 1992;thibaut & Kelley, 1959).…”

Section: Complexidade Conceptual: Clientes Involuntários Não Voluntáunclassified

“…O desafio de estabelecer uma relação terapêutica com um cliente involuntário é também determinado pelo número de pessoas envolvidas e pelos motivos inerentes ao pedido, o que significa que o terapeuta deve ter não só a capacidade de estabelecer uma boa relação com cada um dos elementos presentes, mas também a habilidade de gerir os eventuais motivos em conflito (Friedlander, Escudero, & Heatherington, 2006). Segundo Friedlander et al (2006), quando a obrigatoriedade é explícita e reconhecida por todos os envolvidos, o terapeuta pode planear estratégias apropriadas para criar a aliança.…”

Section: Aliança Terapêuticaunclassified

“…No caso de a pressão ser encoberta, isto é, quando a terapia surge como voluntária mas não o é, o profissional pode detectar constrangimentos "escondidos" através da consideração das diferentes dimensões da aliança terapêutica. É improvável que numa terapia associada ao "relacionamento refém" os clientes estejam inicialmente conectados com o terapeuta, ou que facilmente cooperem nas tarefas e procedimentos da terapia (Friedlander, Escudero & Heatherington, 2006). O'Hare (1996) descreve da seguinte forma as questões éticas no trabalho com clientes involuntá-rios: "the ethical dilemmas inherent in working with involuntary and court-ordered clients smolder beneath the profession like a quiescent volcano" (p. 421).…”

Section: Aliança Terapêuticaunclassified

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A intervenção com clientes involuntários: complexidade e dilemas

Sotero

Relvas

2012

Psicol. Soc.

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RESUMOO presente artigo de revisão da literatura centra-se na temática dos clientes involuntários. Analisaram-se criticamente os trabalhos de autores que: (1) propõem a sua caracterização, designadamente no que respeita ao posicionamento do cliente na situação de ajuda, concluindo-se pela complexidade da sua identificação; (2) conceptualizam o papel dos profissionais de saúde mental, bem como as singularidades da relação terapêutica, destacando a importância da aliança, dos dilemas éticos e da motivação para a intervenção; (3) apresentam os modelos terapêuticos mais utilizados nestas situações, enfatizando-se as terapias colaborativas, e particularmente as centradas nas soluções, como as que melhor promovem o envolvimento destes clientes. Ao longo da pesquisa manteve-se a preocupação de rever obras abrangentes na área do acompanhamento psicológico que simultaneamente evidenciassem ou favorecessem uma perspectiva crítica e complexa sobre o tema. Na organização do artigo procurou-se seguir uma perspectiva diacrónica que mostrasse a evolução da conceptualização e praxis sobre a problemática.Palavras-chave: clientes involuntários; intervenção mandatada; abordagem sistémica pós-moderna. ABSTRACTThe involuntary clients issue is the core of this literature review article. Critical analysis was carried out over the work of authors who: (1) propose their characterization, namely in what concerns the client's positioning in a help situation, leading to a notion of complexity in its identification; (2) conceptualize the role of mental health technicians, as well as the singularities of the therapeutic relationship, highlighting the importance of the alliance, ethical dilemmas and the motivation towards an intervention; (3) point out the therapeutic models mainly used in these situations, emphasizing collaborative therapies, particularly solution focused therapies, as those who better promote the involvement of clients. Reviewing extensive literature on psychological intervention that simultaneously underlined a critical and complex perspective on the matter was a constant concern throughout the research process. The article's structure is outlined diachronically so that the evolution of both conceptualization and praxis on the subject becomes clear.

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“…Bordin's seminal work (1994) outlined three components contributing to therapeutic alliances: (a) agreement on therapeutic goals, (b) agreement on therapeutic tasks to achieve these goals, and (c) the bond between the client and counselor. Within the context of family counseling, practitioners must establish, navigate, and maintain multiple alliances, including ''split'' alliances, across and between individual family members and the family system as a whole (Friedlander, Escudero, & Heatherington, 2006). As family relationships often carry histories of conflict, hurt, and distrust, engaging in therapy can be a particularly stressful experience for some clients (Roberts, 2005).…”

mentioning

confidence: 99%

Fa-MI-ly

2015

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Motivational interviewing (MI) is an evidence-based, client-centered approach that provides a framework for the change process. Careful attention is given within MI to understand and meet clients across a continuum of readiness for change. While less readily applied to family counseling, MI facilitates therapeutic alliance, evokes motivation for change, and provides useful guidelines for conceptualizing and implementing family counseling services. This article (a) provides a brief overview of MI's major tenets, (b) examines systems-level applications of MI principles, and (c) describes five counseling interventions developed by the authors that illustrate how MI may be integrated into family counseling practice.

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Therapeutic alliances in couple and family therapy: An empirically informed guide to practice.

Cited by 184 publications

References 0 publications

The State of the Art in Family Therapy Research: What Works? How it Works?

The State of the Art in Family Therapy Research: What Works? How it Works?

A intervenção com clientes involuntários: complexidade e dilemas

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