Michael Beck, PhD, and Myrna L. Friedlander, PhD, School of Education, University at Albany, State University of New York; Valentín Escudero, PhD, Universidad de La Corula, Spain.
THREE PERSPECTIVES ON CLIENTs' EXPERIENCES OF THE THERAPEUTIC ALLIANCE: A DISCOVERY-ORIENTED INVESTIGATION
Article first published online: 1 MAY 2007
Journal of Marital and Family Therapy
Volume 32, Issue 3, pages 355–368, July 2006
How to Cite
Beck, M., Friedlander, M. L. and 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. doi: 10.1111/j.1752-0606.2006.tb01612.x
This article is based on a dissertation conducted by the first author under the direction of the second (Chair) and third authors. The other members of the dissertation committee, Laurie Heatherington and Azara Santiago-Rivera, are gratefully acknowledged, as well as the many Spanish colleagues who helped with data collection and analysis.
This study was presented as a poster at the November, 2003, conference of the North American Society for Psychotherapy Research in Newport, Rhode Island.
- Issue published online: 1 MAY 2007
- Article first published online: 1 MAY 2007
To deepen our understanding of the therapeutic alliance in conjoint treatment, we interviewed clients in four families about their individual, private experience of the alliance after an early session. These qualitative data were triangulated with family members' scores on Pinsof's Family Therapy Alliance Scale-Revised and observational ratings of their behavior on the System for Observing Family Therapy Alliances. This discovery-oriented investigation focused on three interrelated aspects of the alliance: the family's shared sense of purpose about the needs, goals, and value of therapy (i.e., within-system alliance), split alliances with the therapist, and felt sense of safety within the therapeutic context. Results were highly consistent across the three perspectives and congruent with idiographic, therapist-rated outcomes.