1,720,962 research outputs found
Italian validation of system for observing family therapy alliances (softa-o) and preliminary results in couple therapy
No full textMuch of the empirical data confirm the importance of Therapeutic Alliance (TA) as an essential factor to positive outcome across treatment modalities (Anker et al. 2010; Steven et al., 2003; Martin et al., 2000; Johnson & Talitman, 1997; Horvath & Symonds, 1991) including Couple Therapy (Bartle-Haring et al., 2012; Friedlander et al., 2006; Pinsof, Catherall, 1986). The most study come from individual psychotherapy. In Italy we have very few contributions about TA in couple therapy (CT). In couple therapy there are multiple levels of alliance: patient whit therapist, partner with therapist, intra-family alliance (Pinsof, 1994; Friedlander et al., 2011). For these reasons, study of alliance-related behavior in family therapy requires measurement at both the individual and the system level (Friedlander et al., 2008). The aim of this study is to present Italian validation of SOFTA-o (Friedlander, Escudero, 2003) and preliminary results in couple therapy whit different termination: clients ended with agreement with the therapist, ended treatment against therapist recommendation or “no showed” (Bartle-Haring et al., 2012). SOFTA-o, System for Observing Family Therapy Alliances, is a transtheoretical and multidimensional instrument that provides observational ratings of individual family members’ alliances as well as the family unit’s within-system alliance. The behaviors, positive and negative, verbal and nonverbal, are clustered within four dimensions: Engagement in the Therapeutic Process, Emotional Connection with the Therapist, Safety within the Therapeutic System, and
Shared Sense of Purpose within the Family. The raters, also, observe specific therapist interventions that either contribute to or detract from
the alliance dimensions
Therapeutic alliance in status termination agreement, disagreement, no-show in couple therapy
No full textThe literature about couple therapy termination is ambiguous in the definition of "drop-out": drop out is the therapy ended with a various number of sessions, but it also depends on the therapist’s opinion, and so on. The termination status definition adopted for the study is: conclusion with agreement, when therapist and partners agree on the achievement of therapeutic goals; without agreement when the partners decide to interrupt therapy and they communicate this decision to the therapist; no-show when the partners don't come to their date, don't give any communication and therapist is unable to reach clients by phone or other means (Bartle-Haring, et al., 2012).
The aim of this study is to explore therapeutic alliance in this three groups of termination status: differences in therapeutic alliance between groups, differences between subjects (men and women) in the same group and between groups, differences in the contributions of therapists between groups.
The therapeutic alliance has been measured whit SOFTA-o (after Italian validation). The top ten sessions have been observed (the top ten and last session for therapies longer). At the time have been observed 198 sessions: 8 therapeutic processes of conclusions with agreement (88 sessions), 9 therapeutic processes of conclusions without agreement (50 sessions); 9 therapeutic processes of no-show conclusions (60 sessions).
Results indicated statistically significant differences between groups for the shared sense of purpose (F: 9.5; α: .000), engagement of men (F: 5.4; α: .005) and emotional connection of men (F: 4; α: .02) and women (F: 6.2; α: .003) between the two groups of drop-out and “agreement”. There aren’t differences intra-groups.
The groups of “without agreement” and “no-show” have a statistically significant difference only for the therapist's contributions in the dimensions of emotional connection (F: 19.1; α: .000) and safety (F: 3.1; α: 0.04)
L’Alleanza terapeutica nelle diverse tipologie di conclusione in terapia di coppia: un confronto tra gruppi, terapeuti e partner
No full textCouple therapy with conflictual and distressed couples. therapeutic alliance, ruptures and repairs
No full textWhen the intimate relationship is stressed and conflictual, great loneliness, angst and suffering emerge and represent a risk factor to partners mental and physical health (Whisman, 2007; Snyder, 2012), as well as parenting skills (Krishnakumar, 2000). There are consistent claims of the effectiveness of Couples Therapy (CT) in reduction of relationship distress and in mental and physical wellbeing of adults and children (Carr, 2009; Fivaz Depeursinge, 2015). However, in CT there is a high risk of drop-out (Allgood, 1991; Bischoff, 1993). Therapeutic Alliance (TA) in CT is one of the most important factors of maintaining the therapeutic process (Escudero, 2015). This study explores the TA in therapies with couples engaged in high levels of distress and conflict. The aim is to investigate: 1) TA in three groups of termination status of CT (Conclusion with Agreement, Without Agreement, No-Show. Bartle-Haring et al., 2012): differences between groups and intragroups (men vs women); 2) differences in therapists between groups; 3) interactive processes of Rupture and Repair of TA. The TA has been measured with SOFTA-o (Italian Validation, Mazzoni, Ciocca, Porcedda, 2015), Ruptures and Reparations have been identified with CIS-r (Colli, Lingiardi et al. 2014) and a qualitative scale specifically developed for the CT. Preliminary results are based on 239 sessions (110 agreement, 63 disagreement, 66 no-show) and show significant differences between groups in intrafamily alliance (F: 15.0, α.000), engagement and security of men (F: 5.6; α:.004; F: 4.8; α:.009), emotional connection of men (F: 6.9; α:.001) and women (F: 7.9; α:.000). There aren’t intra-groups differences. The groups of Without Agreement and No-Show have a statistically significant difference only for the Therapist's contributions in the dimensions of emotional connection (F: 19.9; α:.000). Learn more about TA is important because it can identify crucial clues for clinicians to prevent premature termination on CT
Therapeutic alliance with marital and parental couples: a preliminary study
No full textTherapeutic alliance (TA) represents a crucial variable in explaining the outcome of psychotherapy across different treatments (Ardito & Rabellino, 2011). While most of research to date is about TA in individual psychotherapy, the salience of TA in couple and family therapy has received
less theoretical and empirical attention (Friedlander et al., 2011). Furthermore there is a lack of studies about TA in situations where parents are involved in a psychological intervention focused on their child’s problems. Yet, although there is a variety of instruments to assess TA in ndividual psychotherapy, much less interest has been devoted to measure TA with both marital and parental couples. In order to fill this gap the present work is part of a larger research project aimed at validating the Italian version of the System for Observing Family Therapy Alliances- self report (SOFTA-s; Friedlander & Escudero, 2002), an alliance measure that can be used across a diversity of problems and clinical settings including marital and parental couples. This study has been conducting at the Department of Dynamic and Clinical Psychology, Sapienza University of Rome and at the Department of Psychology, University of Bologna. Preliminary results from a family-based intervention for marital couples and from a psychodynamic intervention for parents and their children (2-10 years) will be discussed. SOFTA-s and the Working Alliance Inventory (Lingiardi, 2002), a measure of TA in individual psychotherapy, were given to both couples and their therapists at three points in time. The ability to monitor patients and therapists’ perceptions of TA allows to take disagreements, difficulties and other aspects useful for therapists to change interventions during the process and to enhance TA. Moreover different purposes followed in therapy by each member of marital and parental couples may be highlighted through data comparison
allowing therapists to improve a sense of a common purpose
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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