Revisiting Bordin's Theory on the Therapeutic Alliance: Implications for Family Therapy

Because of the belief that relationships are a major contributor to problems as well as the avenue for bringing about change, the alliance between therapists and clients is important in family therapy. Writings and ideas on the therapeutic alliance from psychoanalytic theory were used by Edward Bordin to develop a working theory in 1979, and later adapted to the field of family therapy. However, the adaptation did not account for many variables unique and important to family therapy. This article describes the therapeutic alliance and the necessity of creating a theory of therapeutic alliance that accounts for family therapy concepts. Future ideas for scholarship are presented.     

Influence of Therapist Behaviors on Therapeutic Alliance

A number of recent studies have investigated the relationship between therapist and client gender and conversation in marriage and family therapy. There has also been recent empirical investigation of therapeutic alliance and its influence on therapy outcome in marriage and family therapy. However, there has been limited investigation of the influence of interactional patterns on therapeutic alliance. It seems probable that therapy conversation (which seems to be influenced by gender) will influence therapeutic alliance and subsequent outcome.     

Alliance Ratings as a Part of Trainee Evaluations Within Family Therapy Training

Client-reported therapeutic alliance scores were examined as a measure of improvement in therapeutic skills across master's-level marriage and family therapy (MFT) training. The results indicate significant correlations between alliance ratings and training variables, with the number of cumulative clinical hours identified as a significant predictor of alliance ratings according to a regression analysis. Trainees lacking the expected number of clinical contact hours in each level of training were found to be more likely to receive consistently marginal alliance ratings. Additionally, alliance ratings were especially useful in identifying trainees who were functioning at minimal levels of competency.     

Influence of Therapist and Client Behaviors on Therapy Alliance

This study considers the combined effect of therapist behaviors and couples interaction dynamics on therapeutic alliance because it seems to be a significant predictor of successful therapy outcomes. We measured therapeutic alliance using the Working Alliance Inventory, Observer Version (WAI-O), which includes three subscales: goals, tasks, and bond. We investigated the combined effect of therapist behaviors and couples interactions on therapeutic alliance. There were three significant findings: (1) the models better predicted therapeutic alliance for men clients than women clients; (2) combined consideration of partner behaviors and therapist behaviors provided the stronger prediction of therapeutic alliance; and (3) different variables predicted alliance for women clients versus men clients.     

Therapeutic alliance and progress in couple therapy: multiple perspectives

Therapeutic alliance research in couple therapy using multiple perspectives and longitudinal data has been sparse. This study used structural equation modelling to explore relationships between changes in alliance and in progress from clients' and therapists' perspective in a fairly large sample of couples (N=195) during the initial stage of therapy at an on‐campus training clinic. Self‐rated alliance was measured after sessions 2 through 4 with the Working Alliance Inventory. There was very little change in alliance over the early sessions of therapy, and changes in alliance did not always account for changes in relationship satisfaction. Husbands' perceptions of satisfaction and alliance seem to play an important role in the dynamics of the therapeutic process. Findings suggest a reciprocal relationship between perceptions of alliance and progress in therapy when combining perceptions of therapists and couple clients. Clinical implications and future research are discussed.     

Shifting from Treatment Plans to Action Plans: Solidifying the Therapeutic Alliance

This article summarizes the evolution of my theoretical orientation and treatment intervention style over the past thirty-something years. It discusses the pathways taken, influences felt, and experiences that have contributed to my expanding mindset and current therapeutic modus operandi, progressing from past to present. As to what will be in the future, that is difficult to predict as the metamorphosis keeps happening, although some components remain essential ingredients and provide grounding and balance. Que será, será sums up the future succinctly.     

Coming to Terms with Coparenting: Implications of Definition and Measurement

Coparenting is a complex construct that shares characteristics with other areas of the family system. In an effort to increase clarity surrounding conceptualizations of coparenting, definitions are proposed based on the external (the who, what, and where) and the internal (the what) structures that bound the coparenting construct. A framework of 4 coparenting dimensions that cross methodological boundaries is presented, and includes coparenting solidarity, coparenting support, undermining coparenting, and shared parenting. In analyses of data collected longitudinally from 62 couples when children were aged 6 months and 3 years, the coparenting dimensions were for the most part significantly associated between and within mothers and fathers. Notably, undermining coparenting was negatively related to coparenting support for fathers, but unrelated for mothers. Links between several distinct indicators within each coparenting dimension and marital outcomes were assessed to demonstrate the ramifications for choosing one measure of coparenting over another.     

Theoretical Purity Versus Theoretical Layering in Marriage and Family Therapy

There seem to be two competing streams of thought about the use of theory in the marriage and family therapy literature: theoretical purity versus integrationism. We examined influence of theoretical orientation on client experience in therapy. Level of academic training (masters' versus doctoral degree) was investigated as a possible confounding variable. Results suggest that therapists in private practice are less inclined to practice pure forms of therapy.     

Developing the Working Alliance in Marital Therapy; A Psychodynamic Perspective

A good working alliance in marital therapy is one in which the partners are actively collaborating with their therapist to work through conflicts. The therapist begins to develop the alliance by setting the frame of therapy and helping the couple understand the guidelines of treatment. The partners gradually identify with and emulate the therapist's working style and use of self as a reflective instrument. The working alliance can be weakened by empathic failures and strengthened by increased feelings of trust in the therapist and the process of treatment This paper looks at the development of the working alliance in marital therapy from a psychodynamic perspective. A clinical illustration is included.     

Systems and Solutions: The Discourses of Brief Therapy

The author describes how brief therapy has evolved in the past 10 to 15 years from ecosystemic to solution-focused brief therapy. SFBT is characterized as a radically constructivist approach to personal problems which emphasizes how troubles and solutions are socially constructed realities.     

Reconsidering the Factor Structure of the Beavers Interactional Scales: Do External Ratings Mirror Self-Reports?

Factor analytic studies indicate that family relationships assessed by self-reports may be most clearly and parsimoniously differentiated along three dimensions, namely, Affective Expression, Behavioral Control, and Shared Activity. The present study explored the question of whether this were true of family ratings by outside parties. Confirmatory factor analysis was used with three data sets (n = 97, 91, and 95; N = 283) employing the Beavers Interactional Scales of family functioning. Multicollinearity of the observed variables was a pervasive problem. When the redundancy of the observed variables was pared down so that there were two observed variables for each latent factor, these three factors in oblique relationship provided a good fit to the observed data.     

Time out from Stress: Camp Program and Parenting Groups for Homeless Mothers

This paper describes a camp program for homeless families and parenting groups aimed at discussing issues related to parenting while homeless. In groups and individual interviews, the women shared stories about multiple problems that negatively impacted parent/child relationships and their ability to maintain employment and residential stability. These problems included domestic violence, sexual abuse, and substance abuse. Evaluation of the camp program indicated that services available in the community and those provided by shelters were limited and mothers often had difficulties utilizing services.     

The Impact of Parental Abduction on the Couple

SUMMARY

The abduction of a parent's child by the other parent can be an extremely heart-wrenching experience. Not only are the child's whereabouts and safety placed in doubt, the searching parent's life is thrown into turmoil. This case example describes the impact that the long-term abduction of a mother's son had on the mother's ability to maintain a relationship as a member of a new couple.