Alliance-building interventions with adolescents in family therapy: A process study

Gary M. Diamond, Howard A Liddle, Aaron Hogue, Gayle A Dakof

Research output: Contribution to journalArticle

130 Citations (Scopus)

Abstract

This exploratory, process-research study identified, articulated, and measured therapist behaviors associated with improving initially poor therapist-adolescent alliances in multidimensional family therapy (MDFT). A list of preliminary alliance-building interventions was generated from MDFT theory and adolescent development research. This list was then refined through the observation of videotaped MDFT sessions. A sample of five improved and five unimproved alliance cases was then drawn from a larger treatment study. Participants were primarily African American, male, adolescent substance abusers and their families. Coders rated the first three sessions of each case (30 sessions) to determine the extent to which each alliance-building intervention was employed. By session three, therapists were attending to the adolescent's experience, formulating personally meaningful goals, and presenting as the adolescent's ally more extensively in the improved alliance cases than in the unimproved alliance cases. Using these data, proposed stages of alliance building with adolescents are discussed.

Original languageEnglish
Pages (from-to)355-368
Number of pages14
JournalPsychotherapy
Volume36
Issue number4
StatePublished - Dec 1 1999
Externally publishedYes

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Family Therapy
Adolescent Development
Research
African Americans
Observation

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Alliance-building interventions with adolescents in family therapy : A process study. / Diamond, Gary M.; Liddle, Howard A; Hogue, Aaron; Dakof, Gayle A.

In: Psychotherapy, Vol. 36, No. 4, 01.12.1999, p. 355-368.

Research output: Contribution to journalArticle

Diamond, GM, Liddle, HA, Hogue, A & Dakof, GA 1999, 'Alliance-building interventions with adolescents in family therapy: A process study', Psychotherapy, vol. 36, no. 4, pp. 355-368.
Diamond, Gary M. ; Liddle, Howard A ; Hogue, Aaron ; Dakof, Gayle A. / Alliance-building interventions with adolescents in family therapy : A process study. In: Psychotherapy. 1999 ; Vol. 36, No. 4. pp. 355-368.
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