200503 17-3 A Qualitative Investigation of the Change Process in Couple Therapy: The Case Analysis of an Affective Disorder Couple

​Shu-Chuan, Liang Shu-Chu, Chao
Chia Nan University of Pharmacy & Science National Changhua University of Education


Using a qualitative approach, the purpose of his study was to explore the process of couple therapy. The participants in this study were an affective disorder couple accepting couple therapy for 19 sessions. After the therapy, the couple were interviewed to understand their perceptions of the therapy, the therapeutic and the nontherapeutic elements, and the mechanism of change. The results were as follows:(1) the couple's motivation and commitment to therapy and the therapeutic alliance were the important therapeutic preconditions;(2) the systematiclly therapeutic elements of change included prescribing a dyadic homework, reflecting the relational position, reflecting the interaction pattern, understanding and validating the couple’s feelings, and marking the subsystem boundaries. There were between- sessions factors. Basing on the findings, implications for couple therapy, and discussions and suggests for future studies were made.



Keywords
mechanism of change, couple therapy, process of change

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