Therapeutic Alliances in Couple and Family Therapy,9781591473312

Therapeutic Alliances in Couple and Family Therapy

by
Edition: 1st
ISBN13: 9781591473312
ISBN10: 1591473314
Format: Hardcover
Pub. Date: 2006-02-01
Publisher(s): AMERICAN PSYCHOLOGICAL ASSOCIATION
List Price: $21.56

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Summary

Univ. of Albany, NY. Text demonstrates the crucial importance of healthy working relationships with clients in couple and family therapy. Offers SOFTA (System for Observing Family Therapy Alliances), a conceptual model integrating theory, research, and practice related to the alliance in couple and family therapy. For psychologists and therapists. DNLM: Family Therapy - methods - Case Reports.

Author Biography

Valentin Escudero is a professor of psychology and director of the family intervention master's program at the University of La Coruna (Spain), where he also directs the graduate exchange program with the University at Albany. Myrna L. Friedlander is a professor and director of doctoral training in the counseling psychology program at the University at Albany, State University of New York, where she also directs the graduate exchange program in family therapy with the Universidad de La Cornua (Spain).

Table of Contents

Acknowledgments xi
Introduction 3(4)
I. Overview
7(62)
Therapeutic Alliance in Psychotherapy
9(22)
Unique Flavor of Conjoint Treatment
10(5)
Nature, Evolution, and Importance of the Therapeutic Alliance
15(5)
Alliance in Couple and Family Therapy
20(9)
Conclusion
29(2)
Introducing the System for Observing Family Therapy Alliances
31(20)
Characteristics of the SOFTA
32(9)
Development of the SOFTA Instruments
41(3)
Clinical Applications of the Model
44(4)
Conclusion
48(3)
Observing the Alliance
51(18)
Using the Paper-and-Pencil SOFTA--o
52(3)
Using the e-SOFTA
55(4)
Training SOFTA--o Users
59(4)
Reliability and Validity
63(4)
Conclusion
67(2)
II. SOFTA Dimensions
69(90)
Engagement in the Therapeutic Process
71(16)
Theory and Research
72(3)
Case Illustration: Reasoning With ``Reasonable'' Parents
75(2)
Some Common Challenges to Engagement
77(6)
Sensitivity to Change
83(1)
Case Illustration: Beauty and the Beast
83(3)
Conclusion
86(1)
Emotional Connection With the Therapist
87(22)
Theory and Research
89(2)
Strong Bonds All Around
91(4)
When Connecting Becomes the Problem
95(2)
Joining and the Empathic Use of Self
97(2)
Case Illustration: Vicarious Introspection
99(4)
Being There
103(3)
Conclusion
106(3)
Safety Within the Therapeutic System
109(16)
Theory and Research
110(2)
Safety: A Context for Risk Taking and Change
112(3)
Secrets, Intimacy, and Intense Emotions
115(2)
Safety on the Therapist's Turf
117(1)
Creating Safety
118(3)
Case Illustration: Love and Need
121(2)
Conclusion
123(2)
Shared Sense of Purpose Within the Family
125(18)
Theory and Research
126(5)
Felt Unity Within the Family System
131(2)
Disunity Within the Family Alliance
133(3)
Case Illustration: The House That Fear Built
136(3)
Using Questionnaires to Enhance a Shared Sense of Purpose
139(1)
Conclusion
140(3)
Building Blocks of the Alliance
143(16)
Nurturing Alliances: The Early Phase of Treatment
145(5)
Safety First
150(3)
Sustaining Alliances
153(4)
Conclusion
157(2)
III. Alliance Challenges and Opportunities
159(100)
Repairing Split Alliances
161(18)
Split Alliance Defined
162(10)
Addressing Alliance Ruptures
172(5)
Conclusion
177(2)
Diversity Within the Alliance
179(18)
Cultural Differences, Broadly Defined
179(8)
Gender and Sexual Orientation
187(4)
Diverse Family Structures
191(5)
Conclusion
196(1)
Therapy With Unwilling and Mandated Clients
197(14)
Customers, Plaintiffs, Visitors, Hostages
198(2)
Allying With Clients Under Pressure
200(4)
Case Illustration: The Cotherapist Neighbor
204(2)
Case Illustration: The Silent Hostage
206(3)
Conclusion
209(2)
Zero-Sum Problems
211(16)
``We (Don't) Need Therapy''
212(4)
``My Way or the Highway''
216(4)
Changing Horses Midstream
220(4)
Navigating Dangerous Waters
224(1)
Special Considerations
225(1)
Conclusion
226(1)
Therapist Countertransference
227(18)
The Many Faces of Countertransference
228(6)
Countertransference for Better or Worse
234(3)
Individual and Systemic Manifestations
237(5)
Avoiding and Repairing Alliance Ruptures
242(1)
Conclusion
243(2)
Misalliances Between Professional Helpers
245(14)
Systems on Overload
248(2)
Case Illustration: Professional Misalliances Threaten a Family's Safety
250(2)
Sharing Risks to Ensure Safety
252(1)
Enhancing a Shared Sense of Purpose
253(2)
Engaging Many Professionals in a Coordinated Treatment Plan
255(1)
Making Emotional Connections: The Value of a Coffee Break
256(1)
Conclusion
257(2)
IV. Conclusion
259(10)
Building and Maintaining Healthy Alliances
261(8)
Implications for Clinical Practice, Training, and Supervision
264(2)
Implications for Research
266(2)
Final Thoughts
268(1)
Appendix A: SOFTA--o (Client and Therapist) and SOATIF-o (Client and Therapist) 269(28)
Appendix B: SOFTA--s (Client and Therapist) and SOATIF--s (Client and Therapist) 297(6)
Appendix C: Constructions of Problems Scale and Summary Profile 303(4)
References 307(18)
Index 325(12)
About the Authors 337

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