Abstract
In this study, the authors examined the relation between adolescent and parent therapeutic alliances and treatment outcome among 65 substance-abusing adolescents receiving multidimensional family therapy. Observer ratings of parent alliance predicted premature termination from treatment. Observer ratings, but not self-report, of adolescent alliance predicted adolescents' substance abuse and dependency symptoms at posttreatment, as well as days of cannabis use at 3-month follow-up. The association between adolescent alliance and substance abuse and dependency symptoms at posttreatment was moderated by the strength of the parent alliance. Results reveal the unique and interactive effects of the 2 alliances on treatment outcome and emphasize the need for a systemic and well-articulated approach to developing and maintaining the multiple alliances inherent to family therapy.
Original language | English |
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Pages (from-to) | 689-698 |
Number of pages | 10 |
Journal | Journal of Consulting and Clinical Psychology |
Volume | 73 |
Issue number | 4 |
DOIs | |
State | Published - 1 Aug 2005 |
Keywords
- Adolescents
- Alliance
- Family therapy
- Substance abuse
ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health