The construction of the therapeutic alliance in couple therapy in two contrasting cases with depression

• Anna Vilaregut Puigdesens ^[1] ; Lourdes Artigas Miralles ^[1] ; Clara Mateu Martínez ^[1] ; Guillem Feixas Viaplana ^[2]
  1. [1] Universitat Ramon Llull

     Universitat Ramon Llull

     Barcelona, España

     
  2. [2] Universitat de Barcelona

     Universitat de Barcelona

     Barcelona, España

     
• Localización: Anuario de psicología, ISSN 0066-5126, Vol. 48, Nº. 2, 2018, págs. 64-74
• Idioma: inglés
• DOI: 10.1016/j.anpsic.2018.09.001
• Títulos paralelos:
  • Construcción de la Alianza Terapéutica en Terapia de Pareja para la Depresión
• Enlaces
  • Texto completo
• Dialnet Métricas: 4 Citas
• Resumen
  • español

    Este estudio se basa en el análisis comparativo de la alianza terapéutica en dos casos de terapia de pareja para la depresión con distinto resultado terapéutico, en términos de cambio sintomático. El Sistema para la Observación de la Alianza Terapéutica en Intervención Familiar (SOFTA-o) se utilizó para evaluar cómo la pareja establecía la alianza terapéutica con el terapeuta y, por el otro, como el terapeuta construyó la alianza terapéutica con la pareja en el proceso de terapia, durante la primera, sexta y última sesión del tratamiento. Se valoró la construcción de la alianza terapéutica mediante un análisis de micro proceso para proporcionar una información más exhaustiva sobre el transcurso de la terapia. Se considera de gran relevancia que el terapeuta fomente la creación de un contexto de soporte mutuo entre la pareja para que ésta trabaje en la terapia de un modo colaborativo. Finalmente, se discute sobre la importancia de la alianza terapéutica en terapia de pareja para la depresión, con una mención a las implicaciones que tiene este estudio en la investigación y en la práctica clínica.

  • English

    This article reports an analysis of the therapeutic alliance in two contrasting couple therapy cases for depression with different outcome in terms of depressive symptoms. The System for Observing Family Therapy Alliances (SOFTA-o) was used to analyze the therapeutic alliance established by all the participants, including clients but also therapists, during the first, sixth and last sessions of the treatment. The alliance is best assessed using micro-process analysis, allowing it to provide valuable information to the therapist on what is happening in treatment when a partner is suffering from depression. A collaborative alliance between both members is necessary in order for the therapist to establish a context of mutual support in which the couple is seen working collaboratively. Finally, there is discussion of the importance that the therapeutic alliance can make in couple therapy for depression, with mention also of the implications for research and for clinical practice.

• Referencias bibliográficas
  • American Psychiatric Association, Diagnostic and statistical manual of mental disorders. 4th ed., text rev., 2000, Author, Washington, DC.
  • Anderson, S., Johnson, L., A dyadic analysis of the between- and within-system alliances on distress. Family Process 49 (2010), 220–235.
  • Arnow, B., Steidtmann, D., Blasey, C., Manber, R., Constantino, M., Klein, D., Kocsis, J., The relationship between the therapeutic alliance...
  • Artigas, L., Mateu, C., Vilaregut, A., Feixas, G., Escudero, V., Couple therapy for depression: Exploring how the dyadic adjustment determines...
  • Barbato, A., D'Avanzo, B., Efficacy of couples therapy as a treatment for depression: A meta-analysis. Psychiatric Quarterly 79 (2008),...
  • Barber, J.P., Connolly, M.B., Crits-Christoph, P., Gladis, L., Siqueland, L., Alliance predicts patients’ outcome beyond in-treatment change...
  • Beck, A.T., Steer, R.A., Brown, G.K., Manual for Beck depression inventory II (BDI-II). 1996, Psychology Corporation, San Antonio, TX.
  • Blow, A., Sprenkle, D., Davis, S., Is who delivers the treatment more important than the treatment itself? The role of the therapist in common...
  • Bordin, E., The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, research and practice 16:3...
  • Bordin, E., Theory and research on the Therapeutic Working Alliance: New Directions. Horvath, A.O., Greenberg, L.S., (eds.) The working alliance:...
  • Brown, P.D., O'Leary, K.D., Therapeutic alliance: Predicting continuance and success in group treatment for spouse abuse. Journal of Consulting...
  • Crits-Christoph, P., Gibbons, M.B.C., Hearon, B., Does the alliance cause good outcome? Recommendations for future research on the alliance....
  • De Bolle, M., Johnson, J.G., De Fruyt, F., Patient and clinician perceptions of therapeutic alliance as predictors of improvement in depression....
  • Escudero, V., La creación de la alianza terapéutica en la terapia familiar. Apuntes de Psicología 27:2–3 (2009), 247–259.
  • Escudero, V., Friedlander, M.L., El sistema de observación de la alianza terapéutica en intervención familiar (SOATIF): Desarrollo trans-cultural,...
  • Escudero, V., Friedlander, M.L., Varela, N., Abascal, A., Observing the therapeutic alliance in family therapy: associations with participants’...
  • Escudero, V., Heatherington, L., Friedlander, M.L., Therapeutic alliances and alliance building in family therapy. Muran, J.C., Barber, P.,...
  • Falkenström, F., Granström, F., Holmqvist, R., Therapeutic alliance predicts symptomatic improvement session by session. Journal of Counseling...
  • Feixas, G., Muñoz, D., Dada, G., Compañ, V., Arroyo, S., Terapia sistémica de pareja de la depresión. Un estudio de caso único. Apuntes de...
  • Friedlander, M.L., Escudero, V., Heatherington, L., La Alianza terapéutica. En la terapia familiar y de pareja. 2009, Paidós, Barcelona.
  • Friedlander, M.L., Escudero, V., Heatherington, L., Diamond, G., Alliance in couple and family therapy. Psycotherapy 48 (2011), 25–33, 10.1037/a0022060.
  • Friedlander, M.L., Escudero, V., Horvath, A.O., Heatherington, L., Cabero, A., Martens, M.P., System for Observing Family Therapy Alliances:...
  • Goldfarb, M.R., Trudel, G., Boyer, R., Préville, M., Marital relationship and psychological distress: Its correlates and treatments. Sexual...
  • Hatcher, R., Barends, W., How a return to theory could help alliance research. Psychotherapy: Theory, Research, Practice, Training 43 (2006),...
  • Heene, E., Buysse, A., Van Oost, P., Indirect pathways between depressive symptoms and marital distress: The role of conflict communication,...
  • Horvath, A.O., Del Re, A.C., Fluckiger, C., Symonds, D., Alliance in individual psychotherapy. Psychotherapy 48 (2011), 9–16.
  • Jacobson, N.S., Truax, P., Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal...
  • Johnson, L., Ketring, S.A., Rohacs, J., Brewer, A.L., Attachment and the therapeutic alliance in family therapy. American Journal of Family...
  • Jones, E., Asen, E., Systemic couples therapy and depression. 2000, Karnac Books, London.
  • Knobloch-Fedders, L.M., Pinsof, W.M., Mann, B.J., Therapeutic alliance and treatment progress in couple psychotherapy. Journal of Marital...
  • Kuhlman, I., Tolvanen, A., Seikkula, J., Couples therapy for depression within a naturalistic setting in Finland: Factors related to change...
  • Leff, J., Vearnals, S., Brewin, C.R., Wolff, G., Alexander, B., Asen, E., Everitt, B., The London Depression Intervention Trial: Randomised...
  • Linares, J.L., Campo, C., Tras la honorable fachada. 2000, Paidós, Barcelona.
  • Martin, D.J., Garske, J.P., Davis, M.K., Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal...
  • Mateu, C., Vilaregut, A., Campo, C., Artigas, L., Escudero, V., Construcción de la Alianza Terapéutica en la terapia de pareja: Estudio de...
  • Mamodhoussen, S., Wright, J., Tremblay, N., Poitras-Wright, H., Impact of marital and psychological distress on therapeutic alliance in couples...
  • Owen, J., Reese, R.J., Quirk, K., Rodolfa, E., Alliance in action: A new measure of clients’ perceptions of therapists’ alliance activity....
  • Pinsof, W., An integrative systems perspective on the therapeutic alliance: Theoretical, clinical, and research implications. Horvath, A.O.,...
  • Pinsof, W., Catherall, D., The integrative psychotherapy alliance: Family, couple, and individual therapy scales. Journal of Marital and Family...
  • Pinsof, W., Wynne, L., Toward progress research: Closing the gap between family therapy practice and research. Journal of Marital and Family...
  • Rait, D., The therapeutic alliance in couples and family therapy. Psychotherapy in Practice 56 (2000), 211–224, 10.1002/(SICI)1097-4679(200002)56:2<211::AID-JCLP7>3.0.CO;2-H.
  • Rautiainen, E., Aaltonen, J., Depression: The differing narratives of couples in couple therapy. The Qualitative Report 15 (2010), 156–175.
  • Sanz, J., Vazquez, C., Adaptación española del Inventario para de Depresión de Beck-II (BDI-II). 2011, Pearson Education, Madrid.
  • Symonds, D., Horvath, A.O., Optimizing the alliance in couple therapy. Family Process 43 (2004), 443–455.
  • Tasca, G.A., Lampard, A.M., Reciprocal influence of alliance to the group and outcome in day treatment for eating disorders. Journal of Counseling...
  • Whisman, M.A., Johnson, D.P., Be, D., Li, A., Couple-based interventions for depression. Couple and Family Psychology: Research and Practice...