A strument to observing therapeutic alliance in couple and family therapy: SOFTA-o. Italian validation

Journal title TERAPIA FAMILIARE
Author/s Lucia Porcedda
Publishing Year 2023 Issue 2022/130
Language Italian Pages 20 P. 77-96 File size 728 KB
DOI 10.3280/TF2022-130005
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The aim of this article is to share the Italian validation of the SOFTA-o (System for Observing Family Therapy Alliances; Friedlander et al., 2006), an observational rating system of the Therapeutic Alliance (TA) in conjoint therapy, family and couple therapy. This observing system contains the alliance-related behaviors clustered in four macro-dimensions: Engagement in the Therapeutic Process; Emotional Connection with the Therapist, Safety within the Therapeutic System, Shared Sense of Purpose within the Family. The SOFTA-o is useful for research, training and supervision. In the final part of this article, we highlight the clinical usefulness with some examples of application.

Keywords: SOFTA-o, Therapeutic Alliance, Couple and family therapy, Re- search, Training, Clinical supervision.

  1. Ackerman S.J. & Hilsenroth M.J. (2003). A review of therapist characteristics and techniques positively impacting the therapeutic alliance. Clinical Psychology Review, 23: 1-33.
  2. Andolfi M. (2015). La Terapia Familiare Multigenerazionale. Strumenti e risorse del terapeuta. Milano: Raffaello cortina.
  3. Andolfi M. & Angelo c. (2012). Il sistema terapeutico ovvero il terzo pianeta. In: M. Andolfi, a cura di (2013). Le Parole dei Maestri. Milano: FrancoAngeli.
  4. Andolfi M., Falcucci M., Mascellani A., Santona A. & Sciamplicotti F., a cura di (2006). La terapia di coppia in una prospettiva trigenerazionale. I seminari di Maurizio Andolfi. Collana di Psicologia Relazionale – Accademia di Psicoterapia della Famiglia.
  5. Andolfi M. & Mascellani A. (2019). Intimità di coppia e trame familiari. Milano: Raffaello cortina.
  6. Anker M.G., Owen J., Duncan B.L. & Sparcks J.A. (2010). The alliance in couple therapy: Partner influence, early change, and alliance patterns in a naturali- stic sample. Journal of Consulting and Clinical Psychology, 78: 635-645.
  7. bateson G. (1977). Verso un’ecologia della mente. Milano: Adelphi.
  8. beck M., Friedlander M.L. & Escudero V. (2006). Three perspectives on clients’ ex- periences of the therapeutic alliance: A discovery‐oriented investigation. Journal of Marital and Family Therapy, 32: 355-368.
  9. blow A.J., Sprenkle D.H. & Davis S.D. (2007). Is who delivers the treatment more important than the treatment itself? The role of the therapist in common factors. Journal of Marital and Family Therapy, 33(3): 298-317.
  10. bordin E.S. (1979). The generalizability of the psychoanalytic concept of the wor- king alliance. Psychotherapy: Theory, Research, Practice, 16: 252-26.
  11. Boszormenyi-Nagy I. & Spark G.M. (1988). Lealtà Invisibili. Roma: Astrolabio. brislin R. (1970). back-translation for cross-cultural research. Journal of Cross-Cultural Psychology, 1: 185-216. DOI: 10.1177/135910457000100301
  12. Brown P.D. & O’Leary K.D. (2000). Therapeutic Alliance: Predicting continuance and success in group treatment for spouse abuse. Journal of Consulting and Clinical Psychology, 68: 340-345.
  13. Carpenter J., Escudero V. & Rivett M. (2008). Training family therapy students in conceptual and observation skills relating to the therapeutic alliance: An eva- luation. Journal of Family Therapy, 30: 411-424.
  14. chen H.Y. & boore J.R. (2010). Translation and back‐translation in qualitative nur- sing research: methodological review. Journal of clinical nursing, 19(1‐2): 234-239.
  15. Christensen L.L., Russell C.S., Miller R.B. & Peterson C.M. (1998). The process of change in couples therapy: A qualitative investigation. Journal of Marital and Family Therapy, 24: 177-188.
  16. Coyne J.C. & Pepper C.M. (1998). The therapeutic alliance in brief strategic the- rapy. In: Safran J.D. & Muran J.C., eds., The Therapeutic Alliance in Brief Psychotherapy. Washington: American Psychological Association.
  17. crits-christoph P. (1997). Limitations of the Dodo bird verdict and the role of cli- nical trials in psychotherapy research: Comment on Wampold et al. (1997). Psychological Bulletin, 122: 216-220. DOI: 10.1037/0033-2909.122.3.216
  18. Escudero V. (2016). Guest Editorial: The therapeutic alliance from a systemic per- spective. Journal of Family Therapy, 38: 1-4. DOI: 10.1111/1467-6427.12110
  19. Escudero V., Friedlander M.L., Varela N. & Abascal A. (2008). Observing the the- rapeutic alliance in family therapy: Associations with participants’ percep- tions and therapeutic outcomes. Journal of Family Therapy, 30: 194-214.
  20. Flaskas c. (2004). Thinking about the therapeutic relationship: Emerging themes in family therapy. Australian and New Zealand Journal of Family Therapy, 25: 13-20.
  21. Flicker S.M., Turner C.W., Waldron H.B., Brody J.L. & Ozechowski T.J. (2008). Ethnic background, therapeutic alliance, and treatment retention in functio- nal family therapy with adolescents who abuse substances. Journal of Family Psychology, 22: 167-170. DOI: 10.1037/0893-3200.22.1.167
  22. Friedlander M.L., Escudero V. & Heatherington L. (2006). Alleanze terapeutiche nella terapia di coppia e della famiglia. Roma: Firera, Liuzzo, 2010, ed. a cura di S. Mazzoni.
  23. Friedlander M.L., Escudero V., Heatherington L. & Diamond G.M. (2011). Alliance in couple and family therapy. Psychotherapy, 48: 25-33.
  24. Friedlander M.L., Lee H.H., Shaffer K.S. & cabrera P. (2013). Negotiating the- rapeutic alliances with a family at impasse: An evidence-based case study. Psychotherapy, 51: 41-53.
  25. Friedlander M.L., Wildman J., Heatherington L. & Skowron E.A. (1994). What we do and don’t know about the process of family therapy. Journal of Family Psychology, 8: 390-416. DOI: 10.1037/0893-3200.8.4.390
  26. Garfield R. (2004). The therapeutic alliance in couples therapy: clinical conside- rations. Family Process, 43: 457-465.
  27. Horvath A.O. (2009). “Relationship that help: Linking research to practice”. Relazione presentata alla Society for Social Work Research, gennaio 2009. In: Muran J.C. & Barber J.P., a cura di (2010). L’Alleanza Terapeutica. Una guida Evidence-Based per la pratica clinica. Roma: Sovera.
  28. Horvath A.O. & Bedi R.P. (2002). The alliance. In: Norcross J.C., ed., Psychotherapy relationships that work: Therapist contributions and responsiveness to patients. New York: Oxford University Press.
  29. Horvath A.O., Del Re A.C., Flückiger C. & Symonds D. (2011b). Alliance in indivi- dual psychotherapy. Psychotherapy, 48: 9-16.
  30. Horvath A.O. & Symonds B.D. (1991). Relation between working alliance and out- come in psychotherapy: A Meta-Analysis. Journal of counseling psychology, 38: 139-149. DOI: 10.1037/0022-0167.38.2.139
  31. Horvath A.O., Symonds B.D. & Tapia L. (2010). Alleanze terapeutiche nella terapia di coppia. Una rete di relazioni. In: Muran J.C. & Barber J.P., a cura di (2010). L’Alleanza Terapeutica. Una guida Evidence-Based per la pratica clinica. Roma: Sovera.
  32. Johnson L.N. & Wright D.W. (2002). Revising Bordin’s theory on the therapeutic allian- ce. Contemporary Family Therapy, 24: 257-269.
  33. Knobloch‐Fedders L.M., Pinsof W.M. & Mann b.J. (2007). Therapeutic alliance and treatment progress in couple psychotherapy. Journal of Marital and Family Therapy, 33: 245-257.
  34. Lambert J.E., Skinner A.H. & Friedlander M.L. (2012). Problematic within-family alliances in conjoint family therapy: A close look at five cases. Journal of Marital and Family Therapy, 38: 417-428.
  35. Lingiardi V. & Colli A. (2010). L’alleanza terapeutica nella terapia psicodinamica. Psicobiettivo, 30: 32-58.
  36. Luborsky L., Rosenthal R., Diguer L., Andrusyna T.P., Berman J.S., Levitt J.T., Seligman D.A. & Krause E.D. (2002). The Dodo bird verdict is alive and well – mostly. Clinical Psychology: Science and Practice, 9: 2-12.
  37. Malagoli-Togliatti M. & Lubrano-Lavadera A. (2006). La ricerca in Psicoterapia Sistemico-Relazionale. Stato dell’arte e linee guida per la ricerca sulla terapia fa- miliare. In: Dazzi N., Lingiardi V. & Colli A., a cura di, La Ricerca in Psicoterapia. Milano: Raffaello cortina.
  38. Mamodhoussen S., Wright J., Tremblay N. & Poitras‐Wright H. (2005). Impact of marital and psychological distress on therapeutic alliance in couples Undergoing couple therapy. Journal of Marital and Family Therapy, 31: 159-169.
  39. Martin D.J., Garske J.P. & Davis M.K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68: 438-450.
  40. Masi M.V., Miller R.b. & Olson M.M. (2003). Differences in dropout rates among individual, couple, and family therapy clients. Contemporary Family Therapy, 25: 63-75. DOI: 10.1023/A:1022558021512
  41. Muñiz de la Peña C., Friedlander M. & Escudero V. (2009). Frequency, severity, and evolution of split family alliances: How observable are they? Psychotherapy Research, 19: 133-142. DOI: 10.1080/10503300802460050
  42. Norcross J.C. & Lambert M.J. (2011). Psychotherapy relationships that work II. Psychotherapy, 48: 4-8.
  43. Norcross J.C. & Wampold B.E. (2011). Evidence-based therapy relationships: Research conclusions and clinical practices. Psychotherapy, 48: 98-101.
  44. Pinsof W.M. (1994). An integrative systems perspective on the therapeutic alliance: Theoretical, clinical, and research implications. In: A.O. Horvath & L.S. Greenberg, eds., The working alliance: Theory, research, and practice. New York: Wiley.
  45. Pinsof W.M. & catherall D.R. (1986). The integrative psychotherapy alliance: Family, couple and individual therapy scales. Journal of Marital and Family Therapy, 12: 137-151. In: Norcross J.c. & Goldfried M.R., eds., Oxford series in clinical psycho- logy. Handbook of psychotherapy integration. Oxford University Press.
  46. Rait D.S. (2000). The therapeutic alliance in couples and family therapy. Journal of Clinical Psychology, 56: 211-224.
  47. Robbins M.S., Mayorga C.C., Mitrani V.B., Szapocznik J., Turner C.W. & Alexander J.F. (2008). Adolescent and parent alliances with therapists in brief strategic family therapy with drug‐using hispanic adolescents. Journal of Marital and Family Therapy, 34: 316-328.
  48. Safran J.D. & Muran J.c. (1996). The resolution of ruptures in the therapeu- tic alliance. Journal of Consulting and Clinical Psychology, 64: 447-458. DOI: 10.1037/0022-006X.64.3.447
  49. Selvini Palazzoli M., Boscolo L., Cecchin G. & Prata G. (1980). Ipotizzazione, circo- larità, neutralità: Tre direttive per la conduzione della seduta. In: Andolfi M., a cura di (2013). Le Parole dei Maestri. Milano: FrancoAngeli.
  50. Shelef K., Diamond G.M., Diamond G.S. & Liddle H.A. (2005). Adolescent and parent alliance and treatment outcome in multidimensional family the- rapy. Journal of Consulting and Clinical Psychology, 73: 689-698. DOI: 10.1037/0022-006X.73.4.689
  51. Shirk S.R. & Karver M. (2003). Prediction of treatment outcome from relationship variables in child and adolescent therapy: A meta-analytic review. Journal of Consulting and Clinical Psychology, 71: 452-464.
  52. Symonds D. & Horvath A.O. (2004). Optimizing the alliance in couple therapy. Family Process, 43: 443-455.
  53. Tsang S., Royse c.F. & Terkawi A.S. (2017). Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi journal of anaesthesia, 11(Suppl.1): 80-89.
  54. Watzlawick P., beavin J.H. & Jackson D.D. (1971). Pragmatica della comunicazio- ne umana. studio dei modelli interattivi, delle patologie e dei paradossi. Roma: Astrolabio.
  55. Whitaker C.A. & Bumberry W.M. (1989). Danzando con la Famiglia. Un approccio simbolico-esperenziale. Roma: Astrolabio
  56. Yoo H., bartle-Haring S. & Gangamma R. (2016). Predicting premature termina-tion with alliance at sessions 1 and 3: An exploratory study. Journal of Family Therapy, 38: 5-17. DOI: 10.1111/1467-6427.12031
  57. Zetzel E.R. & Meissner W.W. (1973). Basic Concepts of Psychoanalytic Psychiatry (trad. it. Psichiatria Psicoanalitica. Torino: Bollati Boringhieri, 1991).

Lucia Porcedda, Uno strumento per l’osservazione dell’alleanza terapeutica nelle terapie di coppia e familiari: il SOFTA-o. Validazione italiana in "TERAPIA FAMILIARE" 130/2022, pp 77-96, DOI: 10.3280/TF2022-130005