Document Type

Article

Publication Date

2023

Journal Title

Family Process

Volume Number

62

Issue Number

4

First Page

1423

Last Page

1438

DOI

https://doi.org/10.1111/famp.12892

Version

Publisher PDF: the final published version of the article, with professional formatting and typesetting

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a CC BY License.

Abstract

The formation and development of the therapeutic alliance in couple therapy is a complex process and a key contributor to positive treatment outcomes. This study explored differences in trajectories of therapeutic alliance by sex and treatment condition among 24 couples randomized to receive Emotionally Focused Therapy or treatment as usual. The results identified a curvilinear growth pattern for alliance across both treatment groups. Female partners reported higher alliance than male partners after the first session across treatment groups, and female partners receiving Emotionally Focused Therapy reported higher initial alliance than female partners receiving treatment as usual. The rates of change for alliance did not differ by sex or treatment condition. The implications of the change pattern and differences in alliance formation by sex and treatment are discussed.

Original Publication Citation

Fang, M., Morgan, P., Yzaguirre, M. M., Tseng, C.-F., & Wittenborn, A. K. (2023). The therapeutic alliance in couple therapy: Patterns by treatment and sex in a randomized controlled trial of emotionally focused therapy and treatment as usual. Family Process, 62, 1423–1438. https://doi.org/10.1111/famp.12892

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