Clicca qui per scaricare

"Un passo avanti, ma ancora non ci siamo": verso una terapia familiare orientata al feedback
Titolo Rivista: RIVISTA DI PSICOTERAPIA RELAZIONALE  
Autori/Curatori: Peter Rober, Karine Van Tricht, Rolf Sundet 
Anno di pubblicazione:  2018 Fascicolo: 47 Lingua: Italiano 
Numero pagine:  28 P. 35-62 Dimensione file:  422 KB
DOI:  10.3280/PR2018-047004
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Dato che la ricerca indica l’esistenza di uno stretto legame tra l’alleanza terapeutica e l’efficacia della psicoterapia, anche i terapeuti della famiglia dovrebbero pensare a come migliorare la qualità dell’alleanza. L’uso sistematico dei feedback del cliente può diventare una risorsa preziosa, che tiene conto della complessità dell’alleanza nel setting della terapia familiare. Se l’orientamento al feedback è di per sé connesso con l’efficacia della terapia, in questo articolo l’attenzione viene rivolta a come l’uso sistematico del feedback del cliente possa ottimizzare l’alleanza terapeutica. Viene presentato poi un nuovo strumento per il feedback, da utilizzare in particolare nelle sedute di terapia familiare alle quali partecipano bambini: il Dialogical Feedback Tool (DFT). Viene illustrato infine il modo in cui i feedback dei clienti, sull’espe¬rienza che stanno avendo della terapia, possono aiutare i terapeuti a sintonizzarsi meglio con le loro esperienze e con le loro aspettative sulla terapia.


Keywords: Alleanza terapeutica, terapia familiare, feedback.

  1. Anker M.G., Duncan B.L., Sparks J.A. (2009). Using client feedback to improve couple therapy outcomes: A randomized clinical trial in a naturalistic setting. Journal of consulting and clinical psychology, 77(4): 693-704.
  2. Angus L., Kegan F. (2007). Empathic relational bonds and personal agency: Implication for psychotherapy supervision, practice and research. Psychotherapy: theory, research, practice, training, 44: 371-377.
  3. Assay T.P., Lambert M.J. (1999). The empirical case for the common factors in therapy: Quantitative findings. In M.A. Hubble, B.L. Duncan & S.D. Miller (Eds.), The heart and soul of change: What works in therapy (pp. 33-56). Washington, DC: APA Press.
  4. Bachelor A., Horvath A. (1999). The therapeutic relationship. In M.A. Hubble, B.L. Duncan & S.D. Miller (Eds.), The heart and soul of change: What works in therapy (pp. 133-178). Washington, DC: APA Press.
  5. Bateson G. (1979). Mind and Nature: A necessary Unity. New York: E.P. Dutton.
  6. Bergin A.E., Garfield S.L. (1994). Overview, trends, and future issues. In A.E. Bergin & Garfield S.L. (Eds.). Handbook of Psychotherapy and Behavior Change (4th edition, pp. 821-830), New York: Wiley.
  7. Bohart A.C., Tallman K. (2010). Clients: The neglected common factor in psychotherapy. In B. Duncan, S. Miller, B. Wampold e M. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 83-111). Washington, DC: American Psychological Association.
  8. De Haene L., Rober P. (2016). Looking for a home: An exploration of Jacques Derrida’s notion of hospitality in family therapy with refugee families. In I. McCarthy & G. Simon (Eds.), Systemic therapy as transformative practice (pp.102-118). Farnhill, UK: EverythingIsConnected Press.
  9. De Jong K., Timman R., Hakkaart-Van Roijen L., Vermeulen P., Kooiman K., Passchier J., Van Busschbach J. (2014). The effect of outcome monitoring feedback to clinicians and patients in short and long-term psychotherapy: A randomized controlled trial. Psychotherapy research, 24(6): 629-639.
  10. Duncan B.L. (2010). On becoming a better therapist. Washington, DC: APA Press.
  11. Duncan B.L., Miller S.D. (2000). The Heroic Client: Doing client-directed, outcome-informed therapy. San Fransisco: Jossey-Bass.
  12. Duncan B.L., Miller S.D., Sparks J.A., Claud D.A., Reynolds L.R., Brown J., Johnson L.D. (2003). The session rating scale: Preliminary psychometric properties of a “working alliance” measure. Journal of brief therapy, 3: 3-12.
  13. Duncan B.L., Miller S.D., Wampold B.E., Hubble M.A. (Eds.) (2010). The heart and soul of change: Delivering what works in therapy (2nd ed.), (pp. 49-81). Washington, DC: APA Press.
  14. Duncan B.L., Sparks J.A., Miller S.D., Bohanske R.T., Claud D.A. (2006). Giving youth a voice: A preliminary study of the reliability and validity of a brief outcome measure for children, adolescents, and caretakers. Journal of brief therapy, 5: 71-88.
  15. Duncan B.L., Miller S.D., Hubble M.A. (2007). How being bad can make you better. Developing a culture of feedback in your practice. Psychotherapy networker, Nov./Dec., pp. 26-45/57.
  16. Friedlander M.L., Escudero V., Heatherington L. (2006). Therapeutic alliance in couple and family therapy: An empirically informed guide to practice. Washington, DC: APA Press.
  17. Friedlander M.L., Escudero V., Heatherington L., Diamond G.M. (2011). Alliance in couple and family therapy. In J. C. Norcross (Ed.), Psychotherapy Relationships that Work: Evidence-based responsiveness (2nd ed.) (p.92-109). New York: Oxford University Press.
  18. Haber R., Carlson R.G., Braga C. (2014). Use of an anecdotal client feedback note in family therapy. Family process, 53: 307-317.
  19. Haraway D.J. (2008). When Species Meet. Minneapolis: University of Minnesota Press.
  20. Hill C.E., Thompson B.J. Cogar M.C., Denman D.W. (1993). Beneath the surface of long-term therapy: Therapist and client report of their own and each other’s covert processes. Journal of counseling psychology, 40: 278-287.
  21. Hughes D.A. (2007). Attachment-Focused Family Therapy. New York: Norton.
  22. Lambert M.J. (2010). Yes, it is time for clinicians to routinely track treatment outcome. In B.L. Duncan, S.D. Miller, B.E. Wampold & M.A. Hubble (Eds.), The heart and soul of change: Delivering what works (pp. 239-268). Washington, DC: APA Press.
  23. Lambert M.J. (Ed.). (2013). Bergin & Garfield’s handbook of psychotherapy and behavior change (6th ed.), New York: Wiley.
  24. Larner G. (2004). Levinas: Therapy as discourse ethics. In T. Strong & D. Paré (Eds.), Furthering talk: Advances in discursive therapies (pp. 15-32). New York: Kluwer Academic/Plenum Publishers.
  25. Larner G. (2016). Ethical family therapy: Speaking the language of the other. Australian and new zealand journal of family therapy, 36: 434-449.
  26. Linell P. (2009). Rethinking language, mind, and world dialogically: Interactional and contextual theories of human sense-making. Charlotte, NC: Information Age Publishing Inc.
  27. Lutz W., De Jong K., Rubel J. (2015). Patient-focused and feedback research in psychotherapy: Where are we and where do we want to go? Psychotherapy research, 25: 625-632.
  28. Miller S.D., Duncan B.L., Brown J., Sparks J.A., Claud, D.A. (2003). The outcome rating scale: A preliminary study of the reliability, validity, and feasibility of a brief visual analogue measure. Journal of brief therapy, 2: 91-100.
  29. Moore L., Bruna Seu I. (2011). Giving children a voice: Children’s positioning in family therapy. Journal of family therapy, 33: 279-301.
  30. McNamee S., Gergen K.J. (1999). Relational Responsibility. London: Sage.
  31. Norcross J.C., Beutler L.E., Levant R.F. (2006). Evidence-Based Practices in Mental Health: Debate and dialogue on the fundamental questions. Washington, DC: The American Psychological Association.
  32. Norcross J.C., Lambert M. (2011). Evidence-based therapy relationships. In J.C. Norcross (Ed.), Psychotherapy relationships that work: evidence-based responsiveness (2nd ed.) (pp. 3-21). New York: Oxford University Press.
  33. Norcross J.C., Wampold B.E. (2011). Evidence-based therapy relationships: Research conclusions and clinical practices. In J.C. Norcross (Ed.). Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed.) (pp. 423-430). New York: Oxford University Press.
  34. O’Reilly M. (2008). What value is there in children’s talk? Investigating family therapists’ interruptions of parents and children during the therapeutic process. Journal of pragmatics, 40: 507-524.
  35. Orlinsky D.E., Rønnestad M.H., Willutzki U. (2004). Fifty years of psychotherapy process-outcome research: Continuity and change. In M. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed., pp. 307-390). New York: Wiley.
  36. Partridge E. (1961). Origins. A short etymological dictionary of modern English. London: Routledge & Kegan Paul.
  37. Pinsof W.M., Catherall D.R. (1986). The integrative psychotherapy alliance: Family, couples, and individual therapy scales. Journal of marital and family therapy, 12: 137-151.
  38. Pinsof W.M., Goldsmith J.Z., Latta T.A. (2012). Information technology and feedback research can bridge the scientist-practitioner gap: A couple therapy example. Couple and family psychology: research and practice, 1: 253-273.
  39. Pinsof W.M. Tilden T., Goldsmith J. (2016). Empirically informed couple and family therapy: Past, present and future. In Sexton, T. & Lebow, J. (Eds.). Handbook of Family Therapy (pp. 500-516). New York: Routledge.
  40. Rennie D.L. (1994). Client’s deference in psychotherapy. Journal of counseling psychology, 41: 427-437.
  41. Rhodes R.H., Hill C.E., Thompson B.J., Elliott R. (1994). Client retrospective recall of resolved and unresolved misunderstanding events. Journal of counseling psychology, 41: 473-483.
  42. Rober P. (1998). Reflections on ways to create a safe therapeutic culture for children in family therapy. Family process, 37: 201-213.
  43. Rober P. (2002). Hesitations and their non-verbal expression in the family therapy session. Journal of family therapy, 24: 187-204.
  44. Rober P. (2008). Being there, experiencing and creating space for dialogue: About working with children in family therapy. Journal of family therapy, 30: 465-477.
  45. Rober P. (2015). The Challenge of Creating Dialogical Space for Both Partners in Couple Therapy. The australian and new zealand journal of family therapy, 36: 105-121.
  46. Rober P. (2016). The development of dialogical space in a couple therapy session. Borcsa, M. & Rober, P. (Eds.) (2016). Research Perspectives in Couple Therapy: Discursive qualitative methods (pp.17-30). Heidelberg: Springer.
  47. Rober P. (2017). In Therapy Together: Family therapy as a dialogue. London: Palgrave Mcmillan.
  48. Rober P., De Haene L. (in press). Hospitality in Family Therapy Practice: A further engagement with Jacques Derrida in reflecting on the therapeutic encounter. Australian and new zealand journal of family therapy.
  49. Sapyta J., Riemer M., Bickman L. (2005). Feedback to clinicians: theory, research and practice. Journal of clinical psychology, 61(2): 145-153.
  50. Seikkula J., Laitila A, Rober P. (2012). Making sense of multi-actor dialogues in family therapy and network meetings. Journal of marital and family therapy, 38: 667-687.
  51. Shimokawa K., Lambert M.J., Smart D.W. (2010). Enhancing treatment outcome of patients at risk of treatment failure: meta-analytic and mega-analytic review of a psychotherapy quality assurance system. Journal of consulting and clinical psychology, 78(3): 298-311.
  52. Sori C.F. (ed.) (2006). Engaging Children in Family Therapy: Creative Approaches toIntegrating Theory and Research in Clinical Practice. New York: Routledge.
  53. Sprenkle D.H., Davis S.D., Lebow J.L. (2009). Common Factors in Couple and Family Therapy. New York: Guilford Press.
  54. Stern D.N., Hoferm L., Haft W., Dore J. (1984). Affect attunement: The sharing of feeling states between mother and infant by means of intermodal fluency. In T. Field & N. Fox (Eds.). Social Perception in Infants (pp. 249-268). Norwood (NJ): Ablex.
  55. Strickland-Clark L., Campbell D., Dallos R. (2000). Children’s and adolescents’ views on family therapy. Journal of family therapy, 22: 324-341.
  56. Stratton P., Bland J., James E., Lask J. (2010). Developing an indicator of family function and a practicable outcome measure for systemic and couple therapy: The SCORE. Journal of family therapy, 32: 232-258.
  57. Sundet R. (2010). Therapeutic collaboration and formalized feedback: using perspectives from Vygotsky and Bakhtin to shed light on practices in a family therapy unit. Clinical child psychology and psychiatry, 15(1): 81-95.
  58. Sundet R. (2011). Collaboration: family and therapist perspectives of helpful therapy. Journal of marital and family therapy, 37(2): 236-249.
  59. Sundet R. (2012). Postmodern-oriented practices and patient-focused research: Possibilities and hazards. Australian and new zealand journal of family therapy, 33: 299 - 308.
  60. Sundet R. (2017). Feedback as a means to enhance client-therapist interaction in therapy. In Tilden T. & Wampold B. (Eds.). Routing Outcome Monitoring in Couple and Family Therapy (pp.121-142). Cham (Switzerland): Springer.
  61. Tilden T., Wampold B. (Eds.) (2017). Routing Outcome Monitoring in Couple and Family Therapy. Cham (Switzerland): Springer.
  62. Tilsen J., McNamee S. (2014). Feedback informed treatment: Evidence based practice meets social construction. Family process, 54: 124-137.
  63. Wampold B.E., Imel Z.E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work (2nd ed.). New York: Routledge.

Peter Rober, Karine Van Tricht, Rolf Sundet, in "RIVISTA DI PSICOTERAPIA RELAZIONALE " 47/2018, pp. 35-62, DOI:10.3280/PR2018-047004

   

FrancoAngeli è membro della Publishers International Linking Association associazione indipendente e no profit per facilitare l'accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche