Factors related to Family Therapy Alliance: Taiwanese Family therapists’ point of view

• Main Authors: Yi-Ling Huang, 黃伊伶
• Other Authors: Hong-Ying Chia
• Format: Others
• Language: zh-TW
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/96k62x

碩士 === 國立東華大學 === 諮商與臨床心理學系 === 107 === The purpose of this study is to explore the connotation of family therapy alliance, and the effective and hindered factors in the family therapy alliances from the family therapists and their coping response, as well as the impact of sociocultural factors on family therapy alliances. Through the interview with eight Taiwanese family therapists, the researcher analyzed and summarized data using the content analysis method. The main results are: 1. The connotation of the family therapy alliance is: starting with the evaluation of the invited members, the therapist's efforts to maintain the system's dynamic balance, the three-dimensional working relationship, the family's emotional connection with the therapist, the therapist and each member to establish a safe relationship, and therapists and families have a common goal. 2. Factors conducive to family therapy alliances: (1) Therapeutic alliance factors in family therapy course: assessment of alliance, including assessments when the case system has not yet entered treatment, assessment of the case system after treatment, and reassessment of the case system when entering treatment. (2) The establishment of a therapy alliance, including therapists using relaxed and unstructured conversation mode, clearly seeing the interactive pattern of family relationships, openly discussing the past consultation experience with the family, promoting the connection between family members, actively cooperation with the external system, and creating an equal therapeutic relationship. (3) Maintenance of the therapy alliance, which includes the therapist to understand the parts and motivations of the concealment of the members, the coordination of the therapist and the members, the therapist to create a safe treatment environment, the family therapist and the members trust each other, the therapist is being with the members, the therapist make the members to feel the sense of hope, etc. (4) The positive factors affecting the treatment alliance by family therapists include the attitude of the family therapist in treatment, the self-care and self-care of the therapist, and the professional characteristics of the family therapist. 3. Factors that hinder family therapy alliances: (1) From family members, including members attempting to form alliances with therapists or alliances with weak systems, family members not being treated, members' distrust of therapists, high emotional and emotional performance of members, and rigidity among members etc. (2) From a family therapist, including the personal status and traits of the therapist and lack of self-awareness. (3) From treatment, including the complexity of the treatment alliance, the unsafe treatment environment, the imbalance after joining new members, and the consultative structure of the standard. 4. The factors that influence the family therapy alliance in social culture are divided into positive and negative: positive factors, including the therapist's awareness of his own culture and self-application, through the supervision and peer discussion to promote cultural self-awareness and district theory and practice. Negative factors: members' lack of professional understanding of family therapy, Chinese traditional family culture, Chinese gender culture, therapist's failure to adapt to the changes in the pattern of generations and the therapist did not notice the cultural conflicts of things directly applied. The family therapist proposes relevant ways of coping with the obstruction. Based on the research results, relevant recommendations are made on both research and practice.