The therapeutic alliance with involuntary clients: how does it work?

This study aimed to compare involuntary and voluntary clients in the establishment of the therapeutic alliance in the context of family therapy. The system for observing family therapy alliances was used to rate the alliance in sessions 1 and 4 from videotapes of 40 families seen in brief family the...

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Bibliographic Details
Main Author: Sotero, Luciana (author)
Other Authors: Major, Sofia (author), Escudero, Valentín (author), Relvas, Ana Paula (author)
Format: article
Language:eng
Published: 2016
Subjects:
Online Access:http://hdl.handle.net/10316/36363
Country:Portugal
Oai:oai:estudogeral.sib.uc.pt:10316/36363
Description
Summary:This study aimed to compare involuntary and voluntary clients in the establishment of the therapeutic alliance in the context of family therapy. The system for observing family therapy alliances was used to rate the alliance in sessions 1 and 4 from videotapes of 40 families seen in brief family therapy. This instrument has four alliance dimensions. In the first session, results showed that the clients who sought therapy voluntarily demonstrated more alliance-related behaviour than did involuntary clients in all alliance dimensions. In the fourth session, however, only the Engagement dimension showed group differences. Notably, there also were group differences in the evolution of the alliance from the first to the fourth session in the Safety dimension, with the voluntary clients developing this dimension more negatively. The results are discussed in terms of the specific characteristics of involuntary clients, as well as the implications for practice.