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- Title
Using Therapeutic Alliance to Predict Treatment Attendance Among Couples.
- Authors
Bartle-Haring, Suzanne; Walsh, Laura; Blalock, Jamie; Bryant, Alessandra
- Abstract
Premature termination is significantly understudied in couple and family therapy research yet is a prevalent issue for therapists and has a significant impact on therapeutic outcomes. While therapeutic alliance has been consistently linked to premature termination and other treatment outcomes, little is known about other factors, particularly couple factors, that may influence premature termination in couple therapy. Utilizing dyadic data combined from two different samples of couples seeking therapy, this study examines the influence of relationship satisfaction and therapeutic alliance on premature termination using an Actor Partner Independence Model. Additionally, a chi-square difference test was used to determine differences in therapeutic outcomes among termination-status type groups. Results showed that alliance was not predictive of termination status. Couple factors, particularly relationship satisfaction, were found to be associated with premature termination. That is, couples with lower relationship satisfaction were more likely to terminate therapy prematurely without agreement with their therapist. Findings suggest that couple influences showed stronger associations to premature termination than did therapeutic alliance alone. This highlights a need for therapists to assess how initial relationship satisfaction influences alliance and how each partner's satisfaction and alliance influence that of the other partner.
- Subjects
EVALUATION of medical care; COUPLES therapy; SATISFACTION; INTERPERSONAL relations; CHI-squared test; TERMINATION of treatment; THERAPEUTIC alliance
- Publication
Contemporary Family Therapy: An International Journal, 2021, Vol 43, Issue 4, p370
- ISSN
0892-2764
- Publication type
Article
- DOI
10.1007/s10591-021-09602-9