The Multisystemic and Multilevel Investigation of the Expanded Therapeutic Alliance-Psychological Functioning Relationship in Individual Therapy

The expanded therapeutic alliance, consisting of multiple interpersonal alliance relationships, is a common factor inherent to the practice of all systemic therapies. The following study has three specific aims: (a) Bring an expanded, multisystemic emphasis to the study of the therapeutic alliance i...

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Published in	Journal of marital and family therapy Vol. 41; no. 4; pp. 401 - 414
Main Authors	Karam, Eli A., Ko, Mei-Ju, Pinsof, Bill, Mroczek, Daniel, Sprenkle, Douglas
Format	Journal Article
Language	English
Published	United States Blackwell Publishing Ltd 01.10.2015
Subjects	Adult Attachment Behavior Family Counseling Family of origin Female Humans Individual therapy Longitudinal Studies Male Marriage Counseling Modeling (Psychology) National Surveys Object Attachment Process Assessment (Health Care) Professional-Patient Relations Psychological functioning Psychotherapy Psychotherapy - methods Randomized Controlled Trials Resistance (Psychology) Social networks State Surveys Studies Teenagers Therapeutic alliances Therapist patient relationships Therapy Variability United States > US Texas
Online Access	Get full text
ISSN	0194-472X 1752-0606 1752-0606
DOI	10.1111/jmft.12094

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Abstract	The expanded therapeutic alliance, consisting of multiple interpersonal alliance relationships, is a common factor inherent to the practice of all systemic therapies. The following study has three specific aims: (a) Bring an expanded, multisystemic emphasis to the study of the therapeutic alliance in individual therapy; (b) Understand better the session‐by‐session relationship between alliance and psychological functioning, including distinguishing within‐person from between‐person variability by using multilevel modeling techniques; and (c) Explore the role of early attachment relationships and family‐of‐origin experiences in moderating the alliance‐psychological functioning relationship. Instead of taking only one or two alliance measurements throughout treatment like in the majority of previous research, we measured both alliance and psychological functioning continuously at each session for 296 subjects.
AbstractList	The expanded therapeutic alliance, consisting of multiple interpersonal alliance relationships, is a common factor inherent to the practice of all systemic therapies. The following study has three specific aims: (a) Bring an expanded, multisystemic emphasis to the study of the therapeutic alliance in individual therapy; (b) Understand better the session-by-session relationship between alliance and psychological functioning, including distinguishing within-person from between-person variability by using multilevel modeling techniques; and (c) Explore the role of early attachment relationships and family-of-origin experiences in moderating the alliance-psychological functioning relationship. Instead of taking only one or two alliance measurements throughout treatment like in the majority of previous research, we measured both alliance and psychological functioning continuously at each session for 296 subjects. The expanded therapeutic alliance, consisting of multiple interpersonal alliance relationships, is a common factor inherent to the practice of all systemic therapies. The following study has three specific aims: (a) Bring an expanded, multisystemic emphasis to the study of the therapeutic alliance in individual therapy; (b) Understand better the session-by-session relationship between alliance and psychological functioning, including distinguishing within-person from between-person variability by using multilevel modeling techniques; and (c) Explore the role of early attachment relationships and family-of-origin experiences in moderating the alliance-psychological functioning relationship. Instead of taking only one or two alliance measurements throughout treatment like in the majority of previous research, we measured both alliance and psychological functioning continuously at each session for 296 subjects.The expanded therapeutic alliance, consisting of multiple interpersonal alliance relationships, is a common factor inherent to the practice of all systemic therapies. The following study has three specific aims: (a) Bring an expanded, multisystemic emphasis to the study of the therapeutic alliance in individual therapy; (b) Understand better the session-by-session relationship between alliance and psychological functioning, including distinguishing within-person from between-person variability by using multilevel modeling techniques; and (c) Explore the role of early attachment relationships and family-of-origin experiences in moderating the alliance-psychological functioning relationship. Instead of taking only one or two alliance measurements throughout treatment like in the majority of previous research, we measured both alliance and psychological functioning continuously at each session for 296 subjects.
Author	Sprenkle, Douglas Pinsof, Bill Karam, Eli A. Ko, Mei-Ju Mroczek, Daniel
Author_xml	– sequence: 1 givenname: Eli A. surname: Karam fullname: Karam, Eli A. organization: University of Louisville – sequence: 2 givenname: Mei-Ju surname: Ko fullname: Ko, Mei-Ju organization: Texas Tech University – sequence: 3 givenname: Bill surname: Pinsof fullname: Pinsof, Bill organization: The Family Institute at Northwestern University – sequence: 4 givenname: Daniel surname: Mroczek fullname: Mroczek, Daniel organization: Northwestern University – sequence: 5 givenname: Douglas surname: Sprenkle fullname: Sprenkle, Douglas organization: Purdue University
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Cites_doi	10.1002/cpp.420 10.1111/j.1752-0606.1996.tb00183.x 10.1037/0022-006X.68.3.438 10.1037/11132-010 10.1111/j.1752-0606.2011.00268.x 10.1037/0033-3204.43.3.258 10.1111/j.1545-5300.2004.00032.x 10.1037/0278-6133.17.1.48 10.1037/0022-006X.67.6.894 10.1111/j.1752-0606.2007.00019.x 10.1111/j.1752-0606.2000.tb00270.x 10.1037/0022-006X.70.2.444 10.1111/j.1752-0606.2002.tb00373.x 10.1037/0022-3514.52.3.511 10.1111/j.1752-0606.2001.tb00325.x 10.1111/j.1752-0606.2004.tb01228.x 10.1080/10503300512331339143 10.1037/0022-3514.61.2.321 10.1037/h0085885 10.1037/0022-006X.71.6.997 10.1037/0033-3204.43.3.280 10.1146/annurev.psych.54.101601.145030 10.1007/s12126-002-1007-z 10.1111/j.1545-5300.2008.00254.x 10.1037/0033-3204.38.4.406 10.1037/0022-006X.75.6.842 10.1037/11132-012 10.1001/archpsyc.1961.01710120031004 10.1037/0022-006X.73.1.168 10.1111/j.1752-0606.1986.tb01631.x 10.1037/0022-006X.56.6.893 10.1016/j.cpr.2006.02.001 10.1080/10503300802669973 10.1037/0022-0167.51.1.81 10.1037/0022-0167.38.2.139 10.1093/ptr/10.4.421 10.1037/0033-3204.43.3.271
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References	Knobloch-Fedders, L. M., Pinsof, W. M., & Mann, B. J. (2007). Therapeutic alliance and treatment psychological functioning in couple psychotherapy. Journal of Marital and Family Therapy, 33, 245-257. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571. Bowen, M. (1978). Family therapy in clinical practice. New York: Aronson. Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical Linear Models: Applications and Data Analysis Methods. Thousand Oaks, CA: Sage. Mikulincer, M., & Nachshon, O. (1991). Attachment styles and patterns of self-disclosure. Journal of Personality and Social Psychology, 61(2), 321-331. Castonguay, L. G., Constantino, M. J., & Holtforth, M. G. (2006). The working alliance: Where are we and where should we go?. Psychotherapy: Theory, Research, Practice Training, 43(3), 271-279. Horvath, A. O., & Symonds, B. D. (1991). Relation between working alliance and outcome in psychotherapy: A meta-analysis. Journal of Counseling Psychology, 38, 139-149. Tang, T., Luborsky, L., & Andrusyna, T. (2002). Sudden gains in recovering from depression: Are they also found in psychotherapies other than cognitive-behavioral therapy? Journal of Consulting and Clinical Psychology, 70(2), 444-447. Litt, M. D., Cooney, N. L., & Morse, P. (1998). Ecological momentary assessment (EMA) with treated alcoholics: methodological problems and potential solutions. Health Psychology, 17(1), 48. Doherty, W., & Simmons, D. (1996). Clinical practice patterns of marriage and family therapists: A national survey of therapists and their clients. Journal of Marital and Family Therapy, 22(1), 9-25. Karam, E. A., Sprenkle, D. H., & Davis, S. D. (2014). Targeting threats to the therapeutic alliance: A primer for MFT training. Journal of Marital and Family Therapy. Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of personality and social psychology, 52, 511-524. Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68(3), 438-450. Tang, T., & DeRubeis, R. J. (1999). Sudden gains and critical sessions in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 67(6), 894-904. Crits-Christoph, P., Connolly-Gibbons, M. B., & Hearon, B. (2006). Does the alliance cause good outcome? Recommendations for future research on the alliance. Psychotherapy: Theory, Research, Practice, Training, 43(3), 280-285. Horvath, A. (2006). The alliance in context: Accomplishments, challenges, and future directions. Psychotherapy: Theory, Research, Practice, Training, 43(3), 258-263. Knobloch-Fedders, L. M., Pinsof, W. M., & Mann, B. J. (2004). The formation of the therapeutic alliance in couple therapy. Family Process, 43(4), 425-442. McGoldrick, M., & Carter, B. (2001). Advances in coaching: Family therapy with one person. Journal of Marital and Family Therapy, 27(3), 281-300. Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research, and Practice, 16, 252-260. Owen, J. (2012). Systemic alliance in individual therapy: Factor analysis of the ITAS-SF and the relationship with therapy outcomes and termination status. Journal of Marital and Family Therapy, 38(s1), 320-331. Klein, D. N., Schwartz, J. E., Santiago, N. J., Vivian, D., Vocisano, C., Castonguay, L. G., ⋯ Keller, M. B. (2003). Therapeutic alliance in depression treatment: controlling for prior change and patient characteristics. Journal of Consulting and Clinical Psychology, 71(6), 997-1006. Pinsof, W. M. (1995). Integrative problem centered therapy: A synthesis of biological, individual and family therapies. New York: Basic Books. Mroczek, D. K., Spiro, A., III, & Almeida, D. M. (2003). Between- and within-person variation in affect and personality over days and years: How basic and applied approaches can inform one another. Aging International, 28, 260-278. Pinsof, W. M., & Catherall, D. R. (1986). The integrative psychotherapy alliance: Family, couple, and individual therapy scales. Journal of Marital and Family Therapy, 12, 132-151. Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchial linear models in social and behavioral research: Applications and data analysis methods. Newbury Park, CA: Sage. Eames, V., & Roth, A. (2000). Patient attachment orientation and the early working alliance: A study of patient and therapist reports of alliance quality and ruptures. Journal of Psychotherapy Research, 10(4), 421-434. Northey, W. F. (2002). Characteristics and clinical practices of marriage and family therapists: A national survey. Journal of Marital and Family Therapy, 28(4), 487-494. Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893-897. Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York, US: Basic Books. Tang, T. Z., DeRubeis, R. J., Beberman, R., & Pham, T. (2005). Cognitive changes, critical sessions, and sudden gains in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 73(1), 168. Pinsof, W., Zinbarg, R., Lebow, J., Knobloch-Fedders, L., Durbin, E., Chambers, A., et al. (2009). Laying the foundation for psychological functioning research in family, couple and individual therapy: The development and psychometric features of the INITIAL Systemic Therapy Inventory of Change. Laying the foundation for psychological functioning research in family, couple, and individual therapy. Psychotherapy Research, 19(2), 143-156. Horvath, A. O. (2005). The therapeutic relationship: Research and theory. Psychotherapy Research, 15(1-2), 3-7. Daniel, S. I. (2006). Adult attachment patterns and individual psychotherapy: A review. Clinical Psychology Review, 26, 968-984. Pinsof, W. M., & Wynne, L. C. (2000). Toward psychological functioning research: Closing the gap between family therapy practice and research. Journal of Marital and Family Therapy, 26, 1-8. Johnson, S. M. (1996). The practice of emotionally focused marital therapy: Creating connection. New York: Brunner/Mazel. Bolger, N., Davis, A., & Rafaeli, E. (2003). Diary methods: Capturing life as it is lived. Annual Review of Psychology, 54(1), 579-616. Pinsof, W. M., Zinbarg, R. E., & Knobloch-Fedders, L. (2008). Factorial and construct validity of the revised short form integrative psychotherapy alliance scales for family, couple, and individual Therapy. Family Process, 47, 281-301. Baldwin, S. A., Wampold, B. E., & Imel, Z. E. (2007). Untangling the alliance-outcome correlation: Exploring the relative importance of therapist and patient variability in the alliance. Journal of Consulting and Clinical Psychology, 75(6), 842-852. Safran, J. D., Muran, J. C., Samstag, L. W., & Stevens, C. (2001). Repairing alliance ruptures. Psychotherapy: Theory, Research, Practice, Training, 38, 406-412. Sprenkle, D., & Blow, A. (2004). Common factors and our sacred models. Journal of Marital and Family Therapy, 30(2), 113-129. S.A.S. Institute (1999). SAS/STAT User's Guide, Version 7. Cary, NC: SAS Institute. Sprenkle, D. H., Davis, S., & Lebow, J. (2009). Common factors in couple and family therapy: The overlooked foundation for effective practice. New York: Guilford Press. Stiles, W., Glick, M., Osatuke, K., Hardy, G., Shaprio, D., Agnew-Davies, R., et al. (2004). Patterns of alliance development and rupture-repair hypothesis: Are productive relationships U-shaped or V-shaped. Journal of Counseling Psychology, 51(1), 81-92. Roten, Y., Fischer, M., Drapeau, M., Beretta, V., Kramer, U., Favre, N., et al. (2004). Is one assessment enough? Patterns of helping alliance development and outcome. Clinical Psychology and Psychotherapy, 11(5), 324-331. 2004; 43 1979; 16 1991; 38 1987; 52 2000; 26 2000; 68 1986; 12 2009 1999; 67 1988; 56 1996 1995 2001; 27 1992 2012; 38 2002 2007; 75 2003; 71 2007; 33 2003; 54 1978 1999 2002; 28 2004; 11 2004; 30 1998; 17 2004; 51 1961; 4 2006; 43 2000; 10 1991; 61 2006; 26 2008; 47 2005; 73 2003; 28 2002; 70 2001; 38 2014 2005; 15 2009; 19 1988 1996; 22 e_1_2_10_23_1 e_1_2_10_46_1 e_1_2_10_24_1 Pinsof W. M. (e_1_2_10_33_1) 1995 e_1_2_10_45_1 e_1_2_10_43_1 Bowlby J. (e_1_2_10_9_1) 1988 e_1_2_10_42_1 e_1_2_10_20_1 e_1_2_10_40_1 Bowen M. (e_1_2_10_8_1) 1978 e_1_2_10_4_1 e_1_2_10_18_1 e_1_2_10_3_1 e_1_2_10_19_1 e_1_2_10_6_1 e_1_2_10_16_1 Johnson S. M. (e_1_2_10_21_1) 1996 e_1_2_10_39_1 e_1_2_10_5_1 e_1_2_10_17_1 e_1_2_10_14_1 e_1_2_10_37_1 e_1_2_10_7_1 e_1_2_10_15_1 e_1_2_10_36_1 e_1_2_10_12_1 e_1_2_10_35_1 Sprenkle D. H. (e_1_2_10_44_1) 2009 e_1_2_10_13_1 e_1_2_10_34_1 Argyle M. (e_1_2_10_2_1) 1999 e_1_2_10_10_1 e_1_2_10_32_1 e_1_2_10_31_1 e_1_2_10_30_1 Karam E. A. (e_1_2_10_22_1) 2014 Raudenbush S. W. (e_1_2_10_38_1) 2002 S.A.S. Institute (e_1_2_10_41_1) 1999 e_1_2_10_29_1 Bryk A. S. (e_1_2_10_11_1) 1992 e_1_2_10_27_1 e_1_2_10_28_1 e_1_2_10_25_1 e_1_2_10_48_1 e_1_2_10_26_1 e_1_2_10_47_1 18831308 - Fam Process. 2008 Sep;47(3):281-301 3204199 - J Consult Clin Psychol. 1988 Dec;56(6):893-7 3572722 - J Pers Soc Psychol. 1987 Mar;52(3):511-24 15114942 - J Marital Fam Ther. 2004 Apr;30(2):113-29 14622075 - J Consult Clin Psychol. 2003 Dec;71(6):997-1006 15709844 - J Consult Clin Psychol. 2005 Feb;73(1):168-72 12499517 - Annu Rev Psychol. 2003;54:579-616 13688369 - Arch Gen Psychiatry. 1961 Jun;4:561-71 22122094 - Psychotherapy (Chic). 2006 Fall;43(3):258-63 10883561 - J Consult Clin Psychol. 2000 Jun;68(3):438-50 18085902 - J Consult Clin Psychol. 2007 Dec;75(6):842-52 10685346 - J Marital Fam Ther. 2000 Jan;26(1):1-8 12382557 - J Marital Fam Ther. 2002 Oct;28(4):487-94 15605976 - Fam Process. 2004 Dec;43(4):425-42 25382583 - J Marital Fam Ther. 2015 Oct;41(4):389-400 11436422 - J Marital Fam Ther. 2001 Jul;27(3):281-300 22122096 - Psychotherapy (Chic). 2006 Fall;43(3):271-9 19235092 - Psychother Res. 2009 Mar;19(2):143-56 16545897 - Clin Psychol Rev. 2006 Dec;26(8):968-84 17437462 - J Marital Fam Ther. 2007 Apr;33(2):245-57 22122097 - Psychotherapy (Chic). 2006 Fall;43(3):280-5 11952204 - J Consult Clin Psychol. 2002 Apr;70(2):444-7 22765343 - J Marital Fam Ther. 2012 Jun;38 Suppl 1:320-31 21756114 - Psychother Res. 2000 Dec;10(4):421-34 9459069 - Health Psychol. 1998 Jan;17(1):48-52 10596511 - J Consult Clin Psychol. 1999 Dec;67(6):894-904
References_xml	– reference: Knobloch-Fedders, L. M., Pinsof, W. M., & Mann, B. J. (2004). The formation of the therapeutic alliance in couple therapy. Family Process, 43(4), 425-442. – reference: Pinsof, W. M., & Catherall, D. R. (1986). The integrative psychotherapy alliance: Family, couple, and individual therapy scales. Journal of Marital and Family Therapy, 12, 132-151. – reference: Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research, and Practice, 16, 252-260. – reference: Johnson, S. M. (1996). The practice of emotionally focused marital therapy: Creating connection. New York: Brunner/Mazel. – reference: Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of personality and social psychology, 52, 511-524. – reference: Litt, M. D., Cooney, N. L., & Morse, P. (1998). Ecological momentary assessment (EMA) with treated alcoholics: methodological problems and potential solutions. Health Psychology, 17(1), 48. – reference: Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68(3), 438-450. – reference: Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893-897. – reference: Horvath, A. O., & Symonds, B. D. (1991). Relation between working alliance and outcome in psychotherapy: A meta-analysis. Journal of Counseling Psychology, 38, 139-149. – reference: Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York, US: Basic Books. – reference: Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical Linear Models: Applications and Data Analysis Methods. Thousand Oaks, CA: Sage. – reference: Pinsof, W. M., & Wynne, L. C. (2000). Toward psychological functioning research: Closing the gap between family therapy practice and research. Journal of Marital and Family Therapy, 26, 1-8. – reference: Tang, T., & DeRubeis, R. J. (1999). Sudden gains and critical sessions in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 67(6), 894-904. – reference: Safran, J. D., Muran, J. C., Samstag, L. W., & Stevens, C. (2001). Repairing alliance ruptures. Psychotherapy: Theory, Research, Practice, Training, 38, 406-412. – reference: Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571. – reference: Doherty, W., & Simmons, D. (1996). Clinical practice patterns of marriage and family therapists: A national survey of therapists and their clients. Journal of Marital and Family Therapy, 22(1), 9-25. – reference: Sprenkle, D. H., Davis, S., & Lebow, J. (2009). Common factors in couple and family therapy: The overlooked foundation for effective practice. New York: Guilford Press. – reference: Sprenkle, D., & Blow, A. (2004). Common factors and our sacred models. Journal of Marital and Family Therapy, 30(2), 113-129. – reference: Tang, T., Luborsky, L., & Andrusyna, T. (2002). Sudden gains in recovering from depression: Are they also found in psychotherapies other than cognitive-behavioral therapy? Journal of Consulting and Clinical Psychology, 70(2), 444-447. – reference: Karam, E. A., Sprenkle, D. H., & Davis, S. D. (2014). Targeting threats to the therapeutic alliance: A primer for MFT training. Journal of Marital and Family Therapy. – reference: Klein, D. N., Schwartz, J. E., Santiago, N. J., Vivian, D., Vocisano, C., Castonguay, L. G., ⋯ Keller, M. B. (2003). Therapeutic alliance in depression treatment: controlling for prior change and patient characteristics. Journal of Consulting and Clinical Psychology, 71(6), 997-1006. – reference: Knobloch-Fedders, L. M., Pinsof, W. M., & Mann, B. J. (2007). Therapeutic alliance and treatment psychological functioning in couple psychotherapy. Journal of Marital and Family Therapy, 33, 245-257. – reference: Horvath, A. O. (2005). The therapeutic relationship: Research and theory. Psychotherapy Research, 15(1-2), 3-7. – reference: McGoldrick, M., & Carter, B. (2001). Advances in coaching: Family therapy with one person. Journal of Marital and Family Therapy, 27(3), 281-300. – reference: Pinsof, W., Zinbarg, R., Lebow, J., Knobloch-Fedders, L., Durbin, E., Chambers, A., et al. (2009). Laying the foundation for psychological functioning research in family, couple and individual therapy: The development and psychometric features of the INITIAL Systemic Therapy Inventory of Change. Laying the foundation for psychological functioning research in family, couple, and individual therapy. Psychotherapy Research, 19(2), 143-156. – reference: Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchial linear models in social and behavioral research: Applications and data analysis methods. Newbury Park, CA: Sage. – reference: Tang, T. Z., DeRubeis, R. J., Beberman, R., & Pham, T. (2005). Cognitive changes, critical sessions, and sudden gains in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 73(1), 168. – reference: Bolger, N., Davis, A., & Rafaeli, E. (2003). Diary methods: Capturing life as it is lived. Annual Review of Psychology, 54(1), 579-616. – reference: Mikulincer, M., & Nachshon, O. (1991). Attachment styles and patterns of self-disclosure. Journal of Personality and Social Psychology, 61(2), 321-331. – reference: Castonguay, L. G., Constantino, M. J., & Holtforth, M. G. (2006). The working alliance: Where are we and where should we go?. Psychotherapy: Theory, Research, Practice Training, 43(3), 271-279. – reference: Stiles, W., Glick, M., Osatuke, K., Hardy, G., Shaprio, D., Agnew-Davies, R., et al. (2004). Patterns of alliance development and rupture-repair hypothesis: Are productive relationships U-shaped or V-shaped. Journal of Counseling Psychology, 51(1), 81-92. – reference: Baldwin, S. A., Wampold, B. E., & Imel, Z. E. (2007). Untangling the alliance-outcome correlation: Exploring the relative importance of therapist and patient variability in the alliance. Journal of Consulting and Clinical Psychology, 75(6), 842-852. – reference: Pinsof, W. M. (1995). Integrative problem centered therapy: A synthesis of biological, individual and family therapies. New York: Basic Books. – reference: Crits-Christoph, P., Connolly-Gibbons, M. B., & Hearon, B. (2006). Does the alliance cause good outcome? Recommendations for future research on the alliance. Psychotherapy: Theory, Research, Practice, Training, 43(3), 280-285. – reference: Horvath, A. (2006). The alliance in context: Accomplishments, challenges, and future directions. Psychotherapy: Theory, Research, Practice, Training, 43(3), 258-263. – reference: Mroczek, D. K., Spiro, A., III, & Almeida, D. M. (2003). Between- and within-person variation in affect and personality over days and years: How basic and applied approaches can inform one another. Aging International, 28, 260-278. – reference: Owen, J. (2012). Systemic alliance in individual therapy: Factor analysis of the ITAS-SF and the relationship with therapy outcomes and termination status. Journal of Marital and Family Therapy, 38(s1), 320-331. – reference: Northey, W. F. (2002). Characteristics and clinical practices of marriage and family therapists: A national survey. Journal of Marital and Family Therapy, 28(4), 487-494. – reference: Eames, V., & Roth, A. (2000). Patient attachment orientation and the early working alliance: A study of patient and therapist reports of alliance quality and ruptures. Journal of Psychotherapy Research, 10(4), 421-434. – reference: S.A.S. Institute (1999). SAS/STAT User's Guide, Version 7. Cary, NC: SAS Institute. – reference: Roten, Y., Fischer, M., Drapeau, M., Beretta, V., Kramer, U., Favre, N., et al. (2004). Is one assessment enough? Patterns of helping alliance development and outcome. Clinical Psychology and Psychotherapy, 11(5), 324-331. – reference: Bowen, M. (1978). Family therapy in clinical practice. New York: Aronson. – reference: Daniel, S. I. (2006). Adult attachment patterns and individual psychotherapy: A review. Clinical Psychology Review, 26, 968-984. – reference: Pinsof, W. M., Zinbarg, R. E., & Knobloch-Fedders, L. (2008). Factorial and construct validity of the revised short form integrative psychotherapy alliance scales for family, couple, and individual Therapy. Family Process, 47, 281-301. – volume: 10 start-page: 421 issue: 4 year: 2000 end-page: 434 article-title: Patient attachment orientation and the early working alliance: A study of patient and therapist reports of alliance quality and ruptures publication-title: Journal of Psychotherapy Research – volume: 70 start-page: 444 issue: 2 year: 2002 end-page: 447 article-title: Sudden gains in recovering from depression: Are they also found in psychotherapies other than cognitive‐behavioral therapy? publication-title: Journal of Consulting and Clinical Psychology – volume: 52 start-page: 511 year: 1987 end-page: 524 article-title: Romantic love conceptualized as an attachment process publication-title: Journal of personality and social psychology – year: 2009 – start-page: 353 year: 1999 end-page: 373 – volume: 22 start-page: 9 issue: 1 year: 1996 end-page: 25 article-title: Clinical practice patterns of marriage and family therapists: A national survey of therapists and their clients publication-title: Journal of Marital and Family Therapy – start-page: 329 year: 1999 end-page: 360 – volume: 43 start-page: 271 issue: 3 year: 2006 end-page: 279 article-title: The working alliance: Where are we and where should we go? publication-title: Psychotherapy: Theory, Research, Practice Training – year: 1996 – volume: 43 start-page: 425 issue: 4 year: 2004 end-page: 442 article-title: The formation of the therapeutic alliance in couple therapy publication-title: Family Process – volume: 71 start-page: 997 issue: 6 year: 2003 end-page: 1006 article-title: Therapeutic alliance in depression treatment: controlling for prior change and patient characteristics publication-title: Journal of Consulting and Clinical Psychology – volume: 11 start-page: 324 issue: 5 year: 2004 end-page: 331 article-title: Is one assessment enough? Patterns of helping alliance development and outcome publication-title: Clinical Psychology and Psychotherapy – year: 1992 – volume: 17 start-page: 48 issue: 1 year: 1998 article-title: Ecological momentary assessment (EMA) with treated alcoholics: methodological problems and potential solutions publication-title: Health Psychology – volume: 26 start-page: 968 year: 2006 end-page: 984 article-title: Adult attachment patterns and individual psychotherapy: A review publication-title: Clinical Psychology Review – volume: 26 start-page: 1 year: 2000 end-page: 8 article-title: Toward psychological functioning research: Closing the gap between family therapy practice and research publication-title: Journal of Marital and Family Therapy – volume: 61 start-page: 321 issue: 2 year: 1991 end-page: 331 article-title: Attachment styles and patterns of self‐disclosure publication-title: Journal of Personality and Social Psychology – volume: 43 start-page: 280 issue: 3 year: 2006 end-page: 285 article-title: Does the alliance cause good outcome? Recommendations for future research on the alliance publication-title: Psychotherapy: Theory, Research, Practice, Training – start-page: 389 year: 1999 end-page: 406 – volume: 12 start-page: 132 year: 1986 end-page: 151 article-title: The integrative psychotherapy alliance: Family, couple, and individual therapy scales publication-title: Journal of Marital and Family Therapy – volume: 15 start-page: 3 issue: 1–2 year: 2005 end-page: 7 article-title: The therapeutic relationship: Research and theory publication-title: Psychotherapy Research – volume: 33 start-page: 245 year: 2007 end-page: 257 article-title: Therapeutic alliance and treatment psychological functioning in couple psychotherapy publication-title: Journal of Marital and Family Therapy – volume: 54 start-page: 579 issue: 1 year: 2003 end-page: 616 article-title: Diary methods: Capturing life as it is lived publication-title: Annual Review of Psychology – volume: 27 start-page: 281 issue: 3 year: 2001 end-page: 300 article-title: Advances in coaching: Family therapy with one person publication-title: Journal of Marital and Family Therapy – volume: 19 start-page: 143 issue: 2 year: 2009 end-page: 156 article-title: Laying the foundation for psychological functioning research in family, couple and individual therapy: The development and psychometric features of the INITIAL Systemic Therapy Inventory of Change. Laying the foundation for psychological functioning research in family, couple, and individual therapy publication-title: Psychotherapy Research – year: 2002 – year: 1988 – volume: 28 start-page: 260 year: 2003 end-page: 278 article-title: Between‐ and within‐person variation in affect and personality over days and years: How basic and applied approaches can inform one another publication-title: Aging International – volume: 28 start-page: 487 issue: 4 year: 2002 end-page: 494 article-title: Characteristics and clinical practices of marriage and family therapists: A national survey publication-title: Journal of Marital and Family Therapy – volume: 56 start-page: 893 issue: 6 year: 1988 end-page: 897 article-title: An inventory for measuring clinical anxiety: Psychometric properties publication-title: Journal of Consulting and Clinical Psychology – volume: 38 start-page: 406 year: 2001 end-page: 412 article-title: Repairing alliance ruptures publication-title: Psychotherapy: Theory, Research, Practice, Training – volume: 4 start-page: 561 year: 1961 end-page: 571 article-title: An inventory for measuring depression publication-title: Archives of General Psychiatry – volume: 38 start-page: 139 year: 1991 end-page: 149 article-title: Relation between working alliance and outcome in psychotherapy: A meta‐analysis publication-title: Journal of Counseling Psychology – year: 2014 article-title: Targeting threats to the therapeutic alliance: A primer for MFT training publication-title: Journal of Marital and Family Therapy – year: 1995 – volume: 43 start-page: 258 issue: 3 year: 2006 end-page: 263 article-title: The alliance in context: Accomplishments, challenges, and future directions publication-title: Psychotherapy: Theory, Research, Practice, Training – volume: 47 start-page: 281 year: 2008 end-page: 301 article-title: Factorial and construct validity of the revised short form integrative psychotherapy alliance scales for family, couple, and individual Therapy publication-title: Family Process – volume: 30 start-page: 113 issue: 2 year: 2004 end-page: 129 article-title: Common factors and our sacred models publication-title: Journal of Marital and Family Therapy – volume: 68 start-page: 438 issue: 3 year: 2000 end-page: 450 article-title: Relation of the therapeutic alliance with outcome and other variables: A meta‐analytic review publication-title: Journal of Consulting and Clinical Psychology – volume: 51 start-page: 81 issue: 1 year: 2004 end-page: 92 article-title: Patterns of alliance development and rupture‐repair hypothesis: Are productive relationships U‐shaped or V‐shaped publication-title: Journal of Counseling Psychology – year: 1978 – volume: 16 start-page: 252 year: 1979 end-page: 260 article-title: The generalizability of the psychoanalytic concept of the working alliance publication-title: Psychotherapy: Theory, Research, and Practice – volume: 67 start-page: 894 issue: 6 year: 1999 end-page: 904 article-title: Sudden gains and critical sessions in cognitive‐behavioral therapy for depression publication-title: Journal of Consulting and Clinical Psychology – volume: 75 start-page: 842 issue: 6 year: 2007 end-page: 852 article-title: Untangling the alliance‐outcome correlation: Exploring the relative importance of therapist and patient variability in the alliance publication-title: Journal of Consulting and Clinical Psychology – volume: 38 start-page: 320 issue: s1 year: 2012 end-page: 331 article-title: Systemic alliance in individual therapy: Factor analysis of the ITAS‐SF and the relationship with therapy outcomes and termination status publication-title: Journal of Marital and Family Therapy – volume: 73 start-page: 168 issue: 1 year: 2005 article-title: Cognitive changes, critical sessions, and sudden gains in cognitive‐behavioral therapy for depression publication-title: Journal of Consulting and Clinical Psychology – year: 1999 – ident: e_1_2_10_39_1 doi: 10.1002/cpp.420 – ident: e_1_2_10_15_1 doi: 10.1111/j.1752-0606.1996.tb00183.x – ident: e_1_2_10_27_1 doi: 10.1037/0022-006X.68.3.438 – ident: e_1_2_10_43_1 doi: 10.1037/11132-010 – ident: e_1_2_10_32_1 doi: 10.1111/j.1752-0606.2011.00268.x – ident: e_1_2_10_19_1 doi: 10.1037/0033-3204.43.3.258 – ident: e_1_2_10_24_1 doi: 10.1111/j.1545-5300.2004.00032.x – ident: e_1_2_10_26_1 doi: 10.1037/0278-6133.17.1.48 – ident: e_1_2_10_46_1 doi: 10.1037/0022-006X.67.6.894 – volume-title: SAS/STAT User's Guide, Version 7 year: 1999 ident: e_1_2_10_41_1 – ident: e_1_2_10_25_1 doi: 10.1111/j.1752-0606.2007.00019.x – volume-title: Family therapy in clinical practice year: 1978 ident: e_1_2_10_8_1 – volume-title: Integrative problem centered therapy: A synthesis of biological, individual and family therapies year: 1995 ident: e_1_2_10_33_1 – start-page: 353 volume-title: Well‐being: The foundations of hedonic psychology year: 1999 ident: e_1_2_10_2_1 – ident: e_1_2_10_35_1 doi: 10.1111/j.1752-0606.2000.tb00270.x – ident: e_1_2_10_48_1 doi: 10.1037/0022-006X.70.2.444 – ident: e_1_2_10_31_1 doi: 10.1111/j.1752-0606.2002.tb00373.x – ident: e_1_2_10_17_1 doi: 10.1037/0022-3514.52.3.511 – volume-title: The practice of emotionally focused marital therapy: Creating connection year: 1996 ident: e_1_2_10_21_1 – ident: e_1_2_10_28_1 doi: 10.1111/j.1752-0606.2001.tb00325.x – ident: e_1_2_10_42_1 doi: 10.1111/j.1752-0606.2004.tb01228.x – ident: e_1_2_10_18_1 doi: 10.1080/10503300512331339143 – ident: e_1_2_10_29_1 doi: 10.1037/0022-3514.61.2.321 – ident: e_1_2_10_7_1 doi: 10.1037/h0085885 – ident: e_1_2_10_23_1 doi: 10.1037/0022-006X.71.6.997 – ident: e_1_2_10_13_1 doi: 10.1037/0033-3204.43.3.280 – ident: e_1_2_10_6_1 doi: 10.1146/annurev.psych.54.101601.145030 – ident: e_1_2_10_30_1 doi: 10.1007/s12126-002-1007-z – ident: e_1_2_10_36_1 doi: 10.1111/j.1545-5300.2008.00254.x – ident: e_1_2_10_40_1 doi: 10.1037/0033-3204.38.4.406 – ident: e_1_2_10_3_1 doi: 10.1037/0022-006X.75.6.842 – volume-title: A secure base: Parent–child attachment and healthy human development year: 1988 ident: e_1_2_10_9_1 – year: 2014 ident: e_1_2_10_22_1 article-title: Targeting threats to the therapeutic alliance: A primer for MFT training publication-title: Journal of Marital and Family Therapy – volume-title: Hierarchical Linear Models: Applications and Data Analysis Methods year: 2002 ident: e_1_2_10_38_1 – ident: e_1_2_10_10_1 doi: 10.1037/11132-012 – ident: e_1_2_10_5_1 doi: 10.1001/archpsyc.1961.01710120031004 – ident: e_1_2_10_47_1 doi: 10.1037/0022-006X.73.1.168 – ident: e_1_2_10_34_1 doi: 10.1111/j.1752-0606.1986.tb01631.x – ident: e_1_2_10_4_1 doi: 10.1037/0022-006X.56.6.893 – ident: e_1_2_10_14_1 doi: 10.1016/j.cpr.2006.02.001 – ident: e_1_2_10_37_1 doi: 10.1080/10503300802669973 – ident: e_1_2_10_45_1 doi: 10.1037/0022-0167.51.1.81 – ident: e_1_2_10_20_1 doi: 10.1037/0022-0167.38.2.139 – volume-title: Hierarchial linear models in social and behavioral research: Applications and data analysis methods year: 1992 ident: e_1_2_10_11_1 – ident: e_1_2_10_16_1 doi: 10.1093/ptr/10.4.421 – volume-title: Common factors in couple and family therapy: The overlooked foundation for effective practice year: 2009 ident: e_1_2_10_44_1 – ident: e_1_2_10_12_1 doi: 10.1037/0033-3204.43.3.271 – reference: 12499517 - Annu Rev Psychol. 2003;54:579-616 – reference: 14622075 - J Consult Clin Psychol. 2003 Dec;71(6):997-1006 – reference: 3572722 - J Pers Soc Psychol. 1987 Mar;52(3):511-24 – reference: 19235092 - Psychother Res. 2009 Mar;19(2):143-56 – reference: 15114942 - J Marital Fam Ther. 2004 Apr;30(2):113-29 – reference: 10596511 - J Consult Clin Psychol. 1999 Dec;67(6):894-904 – reference: 10883561 - J Consult Clin Psychol. 2000 Jun;68(3):438-50 – reference: 13688369 - Arch Gen Psychiatry. 1961 Jun;4:561-71 – reference: 15605976 - Fam Process. 2004 Dec;43(4):425-42 – reference: 21756114 - Psychother Res. 2000 Dec;10(4):421-34 – reference: 18831308 - Fam Process. 2008 Sep;47(3):281-301 – reference: 10685346 - J Marital Fam Ther. 2000 Jan;26(1):1-8 – reference: 15709844 - J Consult Clin Psychol. 2005 Feb;73(1):168-72 – reference: 11436422 - J Marital Fam Ther. 2001 Jul;27(3):281-300 – reference: 22765343 - J Marital Fam Ther. 2012 Jun;38 Suppl 1:320-31 – reference: 11952204 - J Consult Clin Psychol. 2002 Apr;70(2):444-7 – reference: 3204199 - J Consult Clin Psychol. 1988 Dec;56(6):893-7 – reference: 9459069 - Health Psychol. 1998 Jan;17(1):48-52 – reference: 12382557 - J Marital Fam Ther. 2002 Oct;28(4):487-94 – reference: 22122097 - Psychotherapy (Chic). 2006 Fall;43(3):280-5 – reference: 22122094 - Psychotherapy (Chic). 2006 Fall;43(3):258-63 – reference: 22122096 - Psychotherapy (Chic). 2006 Fall;43(3):271-9 – reference: 25382583 - J Marital Fam Ther. 2015 Oct;41(4):389-400 – reference: 16545897 - Clin Psychol Rev. 2006 Dec;26(8):968-84 – reference: 17437462 - J Marital Fam Ther. 2007 Apr;33(2):245-57 – reference: 18085902 - J Consult Clin Psychol. 2007 Dec;75(6):842-52
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Snippet	The expanded therapeutic alliance, consisting of multiple interpersonal alliance relationships, is a common factor inherent to the practice of all systemic...
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SubjectTerms	Adult Attachment Behavior Family Counseling Family of origin Female Humans Individual therapy Longitudinal Studies Male Marriage Counseling Modeling (Psychology) National Surveys Object Attachment Process Assessment (Health Care) Professional-Patient Relations Psychological functioning Psychotherapy Psychotherapy - methods Randomized Controlled Trials Resistance (Psychology) Social networks State Surveys Studies Teenagers Therapeutic alliances Therapist patient relationships Therapy Variability
Title	The Multisystemic and Multilevel Investigation of the Expanded Therapeutic Alliance-Psychological Functioning Relationship in Individual Therapy
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