The alliance in couple therapy: Partner influence, early change, and alliance patterns in a naturalistic sample.

Morten G. Anker · Jesse J. Owen · Barry L. Duncan · Jacqueline A. Sparks

123 citations0/0 files storedJournal of Consulting and Clinical Psychology

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

Abstract

OBJECTIVE: The purpose of this study was to explore the relationship between the alliance and outcome in couple therapy and examine whether the alliance predicted outcomes over and above early change. The authors also investigated partner influence and gender and sought to identify couple alliance patterns that predicted couple outcomes. METHOD: The authors examined the alliances and outcomes at posttreatment and follow-up of 250 couples seeking treatment for marital distress in a naturalistic setting. The Session Rating Scale was used to measure the alliance; the Outcome Rating Scale and Locke Wallace Marital Adjustment Scale were used to measure outcomes. Couples were White, Euro-Scandinavian, and heterosexual, with a mean age of 38.5 years and average number of years together of 11.8. On a subsample (n = 118) that included couples with 4 or more sessions, the authors investigated the relationship between the alliance and outcome controlling for early change, and patterns of alliance development were delineated. RESULTS: In the full sample, first-session alliances were not predictive of outcomes, but last-session alliances were predictive for both individuals and their partners. In the subsample, third-session alliances predicted outcome significantly above early change (d = 0.25) that exceeded the reliable change index. Couple alliances that started over the mean and increased were associated with significantly more couples achieving reliable or clinically significant change. Gender influences were mixed. CONCLUSIONS: Given the current findings suggesting a potential alliance impact over and above symptom relief as well as the importance of ascending alliance scores, continuous assessment of the alliance appears warranted.

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References

1991Clinical significance: A statistical approach to defining meaningful change in psychotherapy research.1976Measuring Dyadic Adjustment: New Scales for Assessing the Quality of Marriage and Similar Dyads 1979The generalizability of the psychoanalytic concept of the working alliance.1962On the social psychology of the psychological experiment: With particular reference to demand characteristics and their implications.1989Development and validation of the Working Alliance Inventory.2000Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review.1959Short Marital-Adjustment and Prediction Tests: Their Reliability and Validity 1991Relation between working alliance and outcome in psychotherapy: A meta-analysis.

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2018Meta-analysis of the alliance–outcome relation in couple and family therapy.2012The Partners for Change Outcome Management System (PCOMS): The Heart and Soul of Change Project.2013Early career perspectives on psychotherapy research and practice: Psychotherapist effects, multicultural orientation, and couple interventions.2015The Partners for Change Outcome Management System (PCOMS) revisiting the client’s frame of reference.

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