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The Influence Of Therapist Attachment Style On The Strength Of The Therapeutic Alliance
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Book Synopsis The Influence of Therapist Attachment Style on the Strength of the Therapeutic Alliance by : Amy Sack
Download or read book The Influence of Therapist Attachment Style on the Strength of the Therapeutic Alliance written by Amy Sack and published by . This book was released on 1996 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study investigated the impact of therapists' attachment styles on their patients' perceptions of the therapeutic alliance. There is mounting literature that suggests patterns of attachment are temporally enduring, and exert their effects on interpersonal relationships throughout the lifespan. As a strong therapeutic alliance is perhaps the greatest contributor to a positive therapeutic outcome, the intent of this study was to examine how therapist attachment influences the therapeutic relationship. Thirty-six therapist-patient dyads participated in the study. Twenty-six psychiatric residents were asked to complete the Attachment Style Inventory (ASI), Hazan and Shaver's attachment self-report (HS), and the therapist version of the Penn Helping Alliance Questionnaire (HAq-I). Thirty-six of their patients completed the Symptom Checklist-90-Revised at the beginning of treatment and the patient version of the Penn Helping Alliance Questionnaire (HAq-I) following the third session, and again, after three months of treatment. Results indicated that therapist attachment as measured by the HS was not significantly related to patients' alliance ratings; however, on the ASI therapists who reported a greater hostile style of attachment received lower alliance ratings from their patients. Additional analyses identified significant relationships between alliance ratings and depressive psychopathology, and correlations between therapist age, birth order and attachment security. These findings are discussed with emphasis on their therapeutic implications and directions for future investigation.
Book Synopsis The Influence of Therapist's Attachment Style on the Resolution of Ruptures in the Therapeutic Alliance by : Gabriella Rubino
Download or read book The Influence of Therapist's Attachment Style on the Resolution of Ruptures in the Therapeutic Alliance written by Gabriella Rubino and published by . This book was released on 1999 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Effect of Attachment on the Therapeutic Alliance in Couples Therapy by : Shawn A. Bills
Download or read book The Effect of Attachment on the Therapeutic Alliance in Couples Therapy written by Shawn A. Bills and published by . This book was released on 2013 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is substantial evidence that the strength of the therapeutic alliance in couples therapy is predictive of successful treatment outcome. However, little research has examined the factors that predict a strong therapeutic alliance in couples therapy. With evidence indicating that attachment styles play an important role in the development of healthy adult relationships, it was hypothesized that the attachment styles of partners in couples therapy would predict the development of a strong therapeutic alliance. Data from 115 heterosexual couples seen at a university-based MFT clinic in the southeastern region of the U.S. were used to test this hypothesis. Using multiple regression, results generally found that attachment styles generally predicted the therapeutic alliance among women, but there was only limited support among men. The results of the study suggest the importance of couples therapists being aware of attachment issues, especially among women, as they relate to the establishment of a strong therapeutic alliance.
Book Synopsis The Therapeutic Community by : George De Leon, PhD
Download or read book The Therapeutic Community written by George De Leon, PhD and published by Springer Publishing Company. This book was released on 2000-04-15 with total page 471 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive review of the essentials of the Therapeutic Community (TC) theory and its practical "whole person" approach to the treatment of substance abuse disorders and related problems. Part I outlines the perspective of the traditional views of the substance abuse disorder, the substance abuser, and the basic components of this approach. Part II explains the organizational structure of the TC, its work components, and the role of residents and staff. The chapters in Part III describe the essential activities of TC life that relate most directly to the recovery process and the goals of rehabilitation. The final part outlines how individuals change in the TC behaviorally, cognitively, and emotionally. This is an invaluable resource for all addictions professionals and students.
Book Synopsis Therapist Attachment Styles and Therapeutic Alliance in Family Therapy by : Yusmarhaini Yusof
Download or read book Therapist Attachment Styles and Therapeutic Alliance in Family Therapy written by Yusmarhaini Yusof and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: There is some evidence from individual psychotherapy that the ability to build therapeutic alliances with clients may be related to the therapist's adult attachment style. These are patterns of expectations, needs, emotions and social behaviour, learn from our history of attachment experiences with our caregivers (Fraley and Shaver in Mikulincer and Shaver, 2007). There are no published empirical studies of the association between therapist's attachment style and therapeutic alliance in family therapy. Aim The overall aim was to investigate family therapist's attachment styles and explore the association between the therapist's attachment style and therapeutic alliance in family therapy. Method Participants were registered UKCP family therapists. The research comprised three linked studies. Study 1 was a survey using two different self-report attachment measures, the Relationship Questionnaire (Bartholomew and Horowitz, 1991) and the Experiences in Close Relationships questionnaire (Brennan et al., 1998) to examine the variety of therapists' attachment styles; Study 2 sought to examine therapists' and families' perceptions of the therapeutic alliance using the System for Observing Family Therapy (SOFTA, Friedlander et al., 2006) and to examine their association with the therapists' attachment styles; and Study 3 explored therapists' (of different attachment styles) views on alliance and their therapeutic work using semi-structured interviews. Quantitative data derived from the survey of therapists' attachment styles (Study 1) and the survey of therapists' difficulties with Study 2 were analysed using descriptive, and where possible, inferential statistics. Open ended questions for Study 2 were analysed thematically. Digital recordings of the interviews with therapists (Study 3) were analysed using Interpretive Phenomenological Analysis (Smith, 1999) and a template analysis based on a conceptual model of the therapeutic alliance in family therapy, the System for Observing the Therapeutic Alliance (SOFTA, Friedlander et al., 2006). In addition, observational field notes and self- reflections on the interview process were analysed using the method of Interpretative Observational Analysis (Dallos and Vetere, 2005). Results Study 1 showed that therapists (N=82) tended to self-report as having a 'secure' attachment style (74.4%) when assessed using the RQ, a more obvious measure. However, only just over a quarter of them were assessed as having a 'secure' attachment style on the, less transparent, ECR measure. Attachment style, as measured by the ECR, was not associated with therapists' prior profession, 3. gender and preference for a model of therapy. The attempt to investigate the association between therapists' attachment styles and family members' and therapist's perceptions of the therapeutic alliance in family therapy (Study 2) was unsuccessful. In a follow up questionnaire, therapists (N = 13) who had agreed to participate reported that they were unable to carry this through for a number of reasons. These explanations included a feeling that they were overloaded with new paperwork, that they had no time beyond their regular work, and that they had no suitable new cases. The 'failure' of Study 2 showed the difficulty of engaging practitioners in research on their practice. The interviews with therapists (Study 3) showed differences between the 'secure' and 'insecure' therapists (N=13) in alliance building according to their attachment styles. The 'secure' therapists were able to be more reflexive and used richer explanations to guide their therapeutic work than their 'insecure' counterparts. In two cases there was a discrepancy between the therapists self- reported assessments of themselves as 'secure' and their interview presentations. Discussion and Conclusions It is assumed in the literature that effective family therapy requires a 'secure' base/strong therapeutic alliance and that family therapists should have a 'secure' adult attachment style. However this study indicates: 1. On what is probably the more reliable measure, the ECR, around three- quarters of family therapists in this study appeared to have 'insecure' attachment styles. 2. There are differences between participating 'secure' and 'insecure' family therapists in their accounts of therapeutic alliance in family therapy, suggesting that participating 'insecure' therapists have difficulty in some of the key elements of therapeutic alliance building. Nonetheless, this research cannot say for certain whether therapists' attachment styles influenced the formation of therapeutic alliance because this part of the study was unsuccessful. Consequently, it would be desirable to make another attempt to investigate the possible association and to explore whether it was associated with the outcomes of therapy. 4. Given that it would appear that a high proportion of family therapists in this study manifested 'insecure' attachment styles and may have unresolved attachment issues arising from family of origin experiences, personal development/therapy for family therapists would seem to be desirable, both as part of training and subsequently.
Book Synopsis Therapist and Client Attachment and the Therapeutic Alliance by : Nicholas J. Sibrava
Download or read book Therapist and Client Attachment and the Therapeutic Alliance written by Nicholas J. Sibrava and published by . This book was released on 2009 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Knowing the Self by : Yusmarhaini Yusof
Download or read book Knowing the Self written by Yusmarhaini Yusof and published by Bloomsbury Publishing. This book was released on 2019-09-14 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: This exciting new book explores attachment, alliance and therapeutic practice. Grounded in theory and built on new research findings based on adult attachment styles, it brings together ideas on attachment and the connections that counsellors and therapists make with the people who seek their help.
Book Synopsis Attachment Theory and Research in Clinical Work with Adults by : Joseph H. Obegi
Download or read book Attachment Theory and Research in Clinical Work with Adults written by Joseph H. Obegi and published by Guilford Press. This book was released on 2010-06-09 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written with the practicing psychotherapist in mind, this invaluable book presents cutting-edge knowledge on adult attachment and explores the implications for day-to-day clinical practice. Leading experts illustrate how theory and research in this dynamic area can inform assessment, case formulation, and clinical decision making. The book puts such concepts as the secure base, mentalization, and attachment styles in a new light by focusing on their utility for understanding the therapeutic relationship and processes of change. It offers recommendations for incorporating attachment ideas and tools into specific treatment approaches, with separate chapters on psychoanalytic, interpersonal, cognitive-behavioral, and emotionally focused therapies.
Book Synopsis An Investigation Into the Associations Between Therapist and Client Attachment Styles and the Working Alliance by : Annily Victoria Seymour-Hyde
Download or read book An Investigation Into the Associations Between Therapist and Client Attachment Styles and the Working Alliance written by Annily Victoria Seymour-Hyde and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This thesis explores the associations between therapist and client attachment styles and the working alliance. It is presented as three papers: a literature review, a report of the empirical research study, and a critical reflection of the research process. In the first paper, the author provides a systematic review of studies that have investigated the association between therapist attachment and the working alliance and therapist attachment and clinical outcome. A total of nine research studies met the inclusion criteria and were included in the final review. The studies varied considerably in terms of their design and methodology, as well as, the different tools used to measure the therapeutic alliance, attachment style and outcome. The findings were then organized in terms of the relationship between therapist attachment and client-rated therapeutic alliance; the relationship between therapist attachment and therapist-rated alliance; the relationship between therapist attachment and alliance as rated by an observer and finally, the relationship between therapist attachment and outcome. The key findings were that therapist attachment security was associated with client-rated and therapist-rated working alliance. However, the overall association between therapist attachment and alliance was not straight forward. There was evidence to suggest that the attachment style of therapist and the client interact to produce a combined effect on perceptions of the working alliance and outcome. The empirical research paper examined the extent to which client and therapist self-reported attachment styles were related to the working alliance. The study also investigated any role for client attachment to therapist and psychological mindedness. Both these variables were included as exploratory. It was hypothesised that psychological mindedness may be related to secure attachment and the alliance. Specifically, we investigated the extent to which self-reported attachment styles were related to the working alliance and assessed the relative contribution of psychological mindedness to attachment security and the quality of the working alliance. Thirty clients and 42 therapists from primary care services were recruited. Participants completed measures of anxiety and depression, attachment style, working alliance and psychological mindedness. Therapist attachment security was not related to the alliance. No significant relationships were found between client attachment style and the working alliance. However, therapists and clients with oppositional attachment styles had more favourable alliances. The clinical implications and future research directions is then discussed. The final paper provides a critical reflection of the research process. It begins by outlining the rationale for the development of the literature review and the empirical research paper, and goes on to discuss some of the methodological considerations of the research paper. The implications for therapeutic practice are then suggested, followed by the wider service-related issues. Attachment theory is then critiqued, and the clinical implications discussed. Finally recommendations are made for future research.
Book Synopsis Attachment Theory and Research in Clinical Work with Adults by : Joseph H. Obegi
Download or read book Attachment Theory and Research in Clinical Work with Adults written by Joseph H. Obegi and published by Guilford Press. This book was released on 2009-01-01 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written with the practicing psychotherapist in mind, this invaluable book presents cutting-edge knowledge on adult attachment and explores the implications for day-to-day clinical practice. Leading experts illustrate how theory and research in this dynamic area can inform assessment, case formulation, and clinical decision making. The book puts such concepts as the secure base, mentalization, and attachment styles in a new light by focusing on their utility for understanding the therapeutic relationship and processes of change. It offers recommendations for incorporating attachment ideas and tools into specific treatment approaches, with separate chapters on psychoanalytic, interpersonal, cognitive-behavioral, and emotionally focused therapies.
Book Synopsis Therapeutic Alliances with Families by : Valentín Escudero
Download or read book Therapeutic Alliances with Families written by Valentín Escudero and published by Springer. This book was released on 2017-09-04 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical breakthrough introduces a robust framework for family and couples therapy specifically designed for working with difficult, entrenched, and court-mandated situations. Using an original model (the System for Observing Family Therapy Alliances, or SOFTA) suitable to therapists across theoretical lines, the authors detail special challenges, empirically-supported strategies, and alliance-building interventions organized around common types of ongoing couple and family conflicts. Copious case examples illustrate how therapists can empower family members to discover their agency, find resources to address tough challenges, and especially repair their damaged relationships. These guidelines also show how to work effectively within multiple relationships in a family without compromising therapist focus, client individuality, or client safety. Included in the coverage: Using the therapeutic alliance to empower couples and families Couples’ cross-complaints Engaging reluctant adolescents...and their parents Parenting in isolation, with or without a partner Child maltreatment: creating therapeutic alliances with survivors of relational trauma Disadvantaged, multi-stressed families: adrift in a sea of professional helpers Empowering through the alliance: a practical formulation Therapeutic Alliances with Families offers powerful new tools for social workers, mental health professionals, and practitioners working in couple and family therapy cases with reluctant clients and seeking specific, practical case examples and resources for alliance-related interventions.
Author :Shari M. Geller Publisher :American Psychological Association (APA) ISBN 13 :9781433810602 Total Pages :0 pages Book Rating :4.8/5 (16 download)
Book Synopsis Therapeutic Presence by : Shari M. Geller
Download or read book Therapeutic Presence written by Shari M. Geller and published by American Psychological Association (APA). This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors present their empirically based model of therapeutic presence, along with practical, experiential exercises for cultivating presence.
Book Synopsis Adult Attachment Style and the Therapeutic Alliance as Predictors of Premature Therapy Termination: A Retrospective Chart Review by : Joshua Green
Download or read book Adult Attachment Style and the Therapeutic Alliance as Predictors of Premature Therapy Termination: A Retrospective Chart Review written by Joshua Green and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Premature termination in psychotherapy is associated with negative consequences for clients, therapists, and the institutions that employ them, in the form of poorer mental health, diminished confidence, and lost revenue, respectively. Missed appointments in the form of late cancellations and no-shows exert similarly negative effects on client outcomes and treatment providers (Berrigan & Garfield 1981; Edlund et al., 2002; LaGanga & Lawrence, 2007; Oldham, Kellett, Miles, & Sheeran, 2012). Approximately one out of every five patient/clients in treatment will drop out of therapy before goals are met, regardless of treatment settings or intervention (Swift & Greenberg, 2012). The current study sought to explore relational variables - the therapeutic alliance and adult attachment style - as they relate to premature termination and missed appointments. A total of 110 case files, collected at a university training clinic over a period of 38 months, were consulted to determine rates of premature termination and missed appointments, as well as the relationships of these dispositions with alliance and attachment. The effects of attachment and alliance on premature termination could not be adequately tested due to missing data; missed appointment rate was analyzed instead. The results of regression analyses indicated that individuals who missed more sessions were more likely to prematurely terminate. Client-reported adult attachment style did not predict missed appointment rate; effects of client-reported alliance were confounded with a low sample size and positively skewed distribution and as such results were not conclusive. Implications and recommendations are suggested for future research.
Book Synopsis Therapeutic Attachment Relationships by : Geoff Goodman
Download or read book Therapeutic Attachment Relationships written by Geoff Goodman and published by Rowman & Littlefield. This book was released on 2010 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Attachment theory and research have begun to specify the variety of therapist-patient interactions and the relation between the quality of these interactions and patient outcomes. The goal of this book is to contribute to our understanding of these interaction structures and t...
Book Synopsis Attachment Transmission by : Ashley R. Kaplan
Download or read book Attachment Transmission written by Ashley R. Kaplan and published by . This book was released on 2014 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Working Alliance by : Adam O. Horvath
Download or read book The Working Alliance written by Adam O. Horvath and published by John Wiley & Sons. This book was released on 1994-04-14 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past decade, the working alliance has emerged as possibly the most important conceptualization of the common elements in diverse therapy modalities. Created to define the relationship between a client in therapy or counseling and the client's therapist, it is a way of looking at and examining the vagaries and expectations and commitments previously implicit in the therapeutic relationship, explaining the cooperative aspects of the alliance between the two parties.
Book Synopsis The Therapeutic Relationship in the Cognitive Behavioral Psychotherapies by : Paul Gilbert
Download or read book The Therapeutic Relationship in the Cognitive Behavioral Psychotherapies written by Paul Gilbert and published by Routledge. This book was released on 2007-06-11 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although the therapeutic relationship is a major contributor to therapeutic outcomes, the cognitive behavioral psychotherapies have not explored this aspect in any detail. This book addresses this shortfall and explores the therapeutic relationship from a range of different perspectives within cognitive behavioral and emotion focused therapy traditions. The Therapeutic Relationship in the Cognitive Behavioral Psychotherapies covers new research on basic models of the process of the therapeutic relationship, and explores key issues related to developing emotional sensitivity, empathic understanding, mindfulness, compassion and validation within the therapeutic relationship. The contributors draw on their extensive experience in different schools of cognitive behavioral therapy to address their understanding and use of the therapeutic relationship. Subjects covered include: · the process and changing nature of the therapeutic relationship over time · recognizing and resolving ruptures in the therapeutic alliance · the role of evolved social needs and compassion in the therapeutic relationship · the therapeutic relationship with difficult to engage clients · self and self-reflection in the therapeutic relationship. This book will be of great interest to all psychotherapists who want to deepen their understanding of the therapeutic relationship, especially those who wish to follow cognitive behavioral approaches.
