The role of the therapeutic relationship in successful family therapy outcome
Abstract
The purpose of the present study was to examine the role the therapeutic relationship plays in successful family therapy outcome. This research utilized a clinic-based client sample of marriage and family therapy clients and student therapists. It was hypothesized that the therapeutic relationship would positively impact therapy outcome, and would also mediate the role of initial client variables on outcome. In addition, the research sought to explore how different dimensions of the therapeutic relationship affected outcome given different presenting problems. The majority of the hypotheses received at least partial support. The therapeutic relationship was the strongest predictor of successful family therapy outcome. In addition, the therapeutic relationship mediated the effect of initial client variables on outcome. Such initial client variables showed both direct and indirect effects on outcome, as well as differential effects on the therapeutic relationship itself. Finally, a measurement model was created to examine the different dimensions of the therapeutic relationship. The different dimensions showed a different pattern of relationship to outcome depending upon presenting problem, but the number of cases was too small to make definitive statements about the role of the relationship dimensions in outcome based on presenting problem. Implications for the field and for clinical practice were suggested.
Degree
Ph.D.
Advisors
Piercy, Purdue University.
Subject Area
Psychotherapy|Families & family life|Personal relationships|Sociology|Social psychology
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