Dyadic Alliance Development Over the First Six Couple Therapy Sessions: The Roleof Relationship Adjustment, Symptom Distress, and Attachment

IF 1 Q3 PSYCHOLOGY, CLINICAL CONTEMPORARY FAMILY THERAPY Pub Date : 2024-03-13 DOI:10.1007/s10591-024-09699-8

Lee N. Johnson, Erica Delgado, Scott A. Ketring, Angela B. Bradford, Shayne R. Anderson

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Abstract

This study examined the development of the therapy alliance over the first six sessions of couple therapy using a dyadic latent growth curve. The role of relationship adjustment, symptom distress, and attachment to alliance development were also examined. Participants were 165 couples in a treatment-as-usual setting. The alliance increased over the first six therapy sessions for males and females with males following a curvilinear pattern of growth. Additionally, female relationship adjustment was related to initial alliance levels for females while symptom distress was related to female alliance development. Male attachment avoidance and female attachment anxiety were related to male initial alliance. Couple therapists need to pay attention to intake level of female adjustment, symptom distress, and attachment—along with male attachment, as these are related to alliance development. Therapists should also be mindful that female and male alliance follow a different developmental trajectory.

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前六次夫妻治疗过程中的夫妻联盟发展：关系调整、症状困扰和依恋的作用

本研究采用伴侣潜成长曲线，考察了夫妻治疗前六个疗程中治疗联盟的发展情况。研究还考察了关系调整、症状困扰和依恋对联盟发展的作用。参与研究的是 165 对接受常规治疗的夫妇。在前六个治疗疗程中，男性和女性的联盟关系都有所增强，男性的联盟关系呈曲线增长模式。此外，女性的关系调整与女性的初始联盟水平有关，而症状困扰与女性的联盟发展有关。男性的依恋回避和女性的依恋焦虑与男性的初始联盟有关。夫妻治疗师需要关注女性的适应水平、症状困扰、依恋以及男性的依恋，因为这些都与联盟的发展有关。治疗师还应该注意，女性和男性的联盟发展轨迹是不同的。

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来源期刊

CONTEMPORARY FAMILY THERAPY PSYCHOLOGY, CLINICAL-

CiteScore

2.50

自引率

7.70%

发文量

期刊介绍： Contemporary Family Therapy: An International Journal (COFT) is is a quarterly, peer-reviewed publication that presents the latest developments in research, practice, theory, and training in couple and family therapy. COFT publishes applied and basic research with implications for systemic theory, treatment, and policy. COFT appreciates a multidisciplinary approach, and welcomes manuscripts which address processes and outcomes in systemic treatment across modalities and within broader social contexts. The journal’s content is relevant to systemic therapy practitioners and researchers, as well as marriage and family therapists, family psychologists, clinical social workers, and social policy specialists.