Therapeutic Alliance and Adherence in Family Therapy

Autores/as

  • Ismael Fernando Diaz Oropeza Universidad de las Americas, AC

DOI:

https://doi.org/10.19136/mhr.a1n1.1354

Palabras clave:

Therapeutic alliance, adherence, outcome, family therapy.

Resumen

Abstract: The purpose of this study was to test out the alliance and treatment adherence as explanatory factors that contribute to the effectiveness of family therapy. Seven family therapists and four clients participated voluntarily. A system for observing family therapy alliances (SOFTA-o) and self-reports (SOFTA-s) were used to measure therapeutic alliance. Therapeutic adherence was measured using a Family Therapy Adherence Scale and Goal Attainment Scale to measure outcome. Third and fifth therapy sessions were recorded and scales were applied at the end of these sessions. Findings indicated a low relationship between clients’ perception of the therapeutic alliance and therapeutic adherence, a strong relationship between therapeutic alliance, adherence and outcome was found. Clinical, training and research implications are discussed.

Keywords: Therapeutic alliance, adherence, outcome, family therapy.

Biografía del autor/a

Ismael Fernando Diaz Oropeza, Universidad de las Americas, AC

Dr. en Psicología

Citas

Basterra, M. (1999). El cumplimiento terapéutico. Pharmaceutical Care, 1(1), 97-106.

Beck, M., Friedlander, M.L., Escudero, V. (2006). Three perspectives on clients’ experiences of the therapeutic alliance: a discovery-oriented investigation. Journal of Marital and Family Therapy, 32, 355-368.

Blow, A.J., & Sprenkle, D. (2001). Common factors across theories of marriage and family therapy: A modified Delphi study. Journal of Marital and Family Therapy, 27, 385-392.

Bordin, E. (1979). The generalizability of the psychoanalytic concept of working alliance. Psychotherapy, Theory, Research and Practice, 16(3), 252-260.

Díaz, I. (2010). Construcción de un instrumento para medir la adherencia a la terapia familiar. Psicoterapia y Familia, 23(1), 53-61

Di Mateo, R., Di Nicola, D. (1985). Achieving patient compliance. The psychology of the Medical Practitioner’s role. New York, E.E.U.U: Pergamon.

Dinger, U., Strack, M., Leischsenring, F., Schauenberg, H. (2007). Influences of patients’ and therapists’ interpersonal problems and therapeutic alliance on outcome in psychotherapy. Psychotherapy Research, 17(2), 148-159.

Escudero, V., Friedlander, M.L., Varela,N., Abascal, A. (2008). Observing the therapeutic alliance in family therapy: associations with participants’ perceptions and therapeutic outcomes. Journal of Family Therapy, 30, 194-214.

Horvath, A. (2006). The alliance in context: accomplishments, challenges and future directions. Psychotherapy: Theory, Research, Practice, Training,43, 292-299.

Johnson, L., Ketring, S. (2006). The therapy alliance: a moderator in therapy outcome for families dealing with child abuse and neglect. Journal of Marital and Family Therapy, 32 (3), 345-354.

Johnson, L., Wright, D. (2002). Revisiting Bordin’s theory on the therapeutic alliance: implications for family therapy. Contemporary Family Therapy, 24(2), 257-269.

Knobloch-Fedders, L., Pinsof, W., Mann, B. (2004). The formation of the therapeutic alliance in couple therapy. Family Process, 43(4), 425-442.

Martín, L. (2004). Acerca del concepto de adherencia terapéutica. Revista Cubana de Salud Pública, 30 (4). Recuperado el 6 de noviembre de: http://scieloprueba.sld.cu/scielo.php?script=sci_arttext&pid=S086434662004000400008&lng=&nrm=iso&tlng=

Pinsof, W. (1995). Integrative problem-centered therapy: a synthesis of family, individual, and biological therapies. New York, E.E.U.U: Harper Collins.

Rait, D. (2000). The therapeutic alliance in couples and family therapy. Psychotherapy in practice, 56(2), 211-224.

Sprenkle, D., Blow, A. (2004). Common factors and our sacred models. Journal of Marital and Family Therapy, 30, 113-129.

Stevens, C., Muran, C., Safran, J., Gorman, B., Winston, A. (2007). Levels and Patterns of the therapeutic alliance in brief psychotherapy. American Journal of Psychotherapy, 61(2), 109-129.

Descargas

Publicado

2016-07-04

Cómo citar

Diaz Oropeza, I. F. (2016). Therapeutic Alliance and Adherence in Family Therapy. Multidisciplinary Health Research, 1(1). https://doi.org/10.19136/mhr.a1n1.1354

Número

Sección

Artículos de Investigación Científica - Scientific Research Articles