Therapeutic alliance and treatment progress in couple psychotherapy

Lynne M Knobloch-Fedders*, William M Pinsof, Barton J. Mann

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

82 Scopus citations


This study examined the ability of the therapeutic alliance to predict treatment progress on individual- and relationship-level variables from the early to middle phase of couple treatment. Although alliance did not predict progress in individual functioning, it accounted for 5-22 of the variance in improvement in marital distress. Women's mid-treatment alliance uniquely predicted improvement in marital distress, over and above early treatment alliance. When men's alliances with the therapist were stronger than their partners' at session 8, couples showed more improvement in marital distress. Treatment response was also positively associated with women's ratings of their partners' alliance. Results confirm that the therapeutic alliance in conjoint treatment is composed of distinct client subsystems that are useful predictors of treatment progress.

Original languageEnglish (US)
Pages (from-to)245-257
Number of pages13
JournalJournal of Marital and Family Therapy
Issue number2
StatePublished - Apr 2007

ASJC Scopus subject areas

  • Social Psychology
  • Clinical Psychology
  • Social Sciences (miscellaneous)
  • Sociology and Political Science


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