Therapeutic Alliance and Treatment Progress in Couple Psychotherapy

Lynne Marie Knobloch-Fedders · William M. Pinsof · Barton J. Mann

128 citations0/0 files storedJournal of Marital and Family Therapy

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Psychotherapy Techniques and Applications Attachment and Relationship Dynamics Counseling, Therapy, and Family Dynamics

Abstract

This study examined the ability of the therapeutic alliance to predict treatment progress on individual- and relationship-level variables from the early to middle phase of couple treatment. Although alliance did not predict progress in individual functioning, it accounted for 5-22% of the variance in improvement in marital distress. Women's mid-treatment alliance uniquely predicted improvement in marital distress, over and above early treatment alliance. When men's alliances with the therapist were stronger than their partners' at session 8, couples showed more improvement in marital distress. Treatment response was also positively associated with women's ratings of their partners' alliance. Results confirm that the therapeutic alliance in conjoint treatment is composed of distinct client subsystems that are useful predictors of treatment progress.

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References

1979The generalizability of the psychoanalytic concept of the working alliance.2000Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review.2024Diagnostic and Statistical Manual of Mental Disorders 1991Relation between working alliance and outcome in psychotherapy: A meta-analysis.2003Psychotherapy Relationships That Work: Therapist Contributions and Responsiveness to Patients 1995The Working Alliance: Theory, Research, and Practice 1996Evaluation of psychotherapy: Efficacy, effectiveness, and patient progress.2000Handbook of Psychological Assessment in Primary Care Settings

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2010The alliance in couple therapy: Partner influence, early change, and alliance patterns in a naturalistic sample.2018Meta-analysis of the alliance–outcome relation in couple and family therapy.2008Observing the therapeutic alliance in family therapy: associations with participants' perceptions and therapeutic outcomes 201425 Years of systemic therapies research: Progress and promise

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