The Construction of Therapeutic Alliance and Application of Cognitive Behavioural Therapy and Structural Family Therapy


  • Qin Wei Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, M5S 1V4 Canada


communication, working in differences, therapeutic alliance, cognitive behavioural therapy, structural family therapy, application


Through a case study, this paper employs social work theories to analyze the significant factors in the helping process including the effective verb and non-verbal communication and working in differences that finally successfully promote the construction of therapeutic alliance. This paper also explores the application of cognitive behavioural therapy and structural family therapy, and demonstrates the combination of the theories and practice. It argues that the further research might focus on the integration of different therapy forms for the best therapeutic outcome.


. Factor-Inwentash Faculty of Social Work of University of Toronto (FIFSW), “Simulation Dino,” YouTube, Mar. 27, 2018. [video file]. Internet: [Accessed Aug. 8, 2021]

. J. R. Brandell and S. Ringel, “Psychodynamic perspectives on relationship: implications of new findings from attachment and the neurosciences for social work education,” Families in Society, vol. 85, no. 4, pp. 549-556, 2004. Available: [Accessed Aug. 8, 2021]

. J. R. Schore and A. N. Schore, “Modern attachment theory: The central role of affect regulation in development and treatment,” Clinical Social Work Journal, vol. 36, no. 1, pp. 9-20, 2008. Available: [Accessed Aug. 8, 2021]

. D. Miehls and J. Applegate, “Introduction to neurobiology and clinical work,” Smith College Studies in Social Work, vol. 84, no. 2-3, pp. 145-156, 2014. Available: [Accessed Aug. 8, 2021]

. M. Fishbane, “Wired to connect: Neuroscience, relationships and therapy,” Family process, vol. 46, no. 3, pp. 395-412, 2007. Available: [Accessed Aug. 8, 2021]

. D. J. Siegel, “Emotion as integration,” in Healing power of emotion: Affective neuroscience, development & clinical practice, D. Fosha, D. J. Siegel, and M. Solomon, Eds. W. W. Norton, 2009, pp. 145-170.

. B. E. Wampold and S. L. Budge, “The 2011 Leona Tyler Award address: The relationship – and its relationship to the common and specific factors of psychotherapy,” The Counseling Psychologist, vol. 40, no. 4, pp. 601-623, 2012. Available: [Accessed Aug. 8, 2021].

. M. Bogo, A. K. T. Tsang & E. Lee, “Cross-cultural clinical social work practice,” in Theory and practice in clinical social work, 2nd ed., J. R. Brandell, Ed. Sage, 2011, pp. 693-715.

. S. M. Geller and S. W. Porges, “Therapeutic presence: Neurophysiological mechanisms mediating feeling safe in therapeutic relationships,” Journal of Psychotherapy Integration, vol. 24, no. 3, pp. 178-192, 2014. Available: [Accessed Aug. 8, 2021]

. D. H. Sprenkle, S. D. Davis, and J. L. Lebow, “A strong therapeutic alliance,” in Common factors in couple and family therapy: The overlooked foundation to effective practice, vol. 7, The Guildford Press, 2009, pp. 87-106.

. N. Jokic-Begic, “Cognitive-behavioural therapy and neuroscience: Towards closer Integration,” Psychological Topics, vol. 19, no. 2, pp. 235-254, 2010. Available: [Accessed Aug. 8, 2021]

. R. L. Leahy, D. Tirch & L. A. Napolitano, “Cognitive restructuring,” in Emotion Regulation in Psychotherapy: A practitioner guide. The Guilford Press, 2011, pp. 156-176.

. M. D. Lieberman, N. I. Eisenberger, M. J. Crockett, S. M. Tom, J. H. Pfeifer & B. M. Way, “Putting feelings into words: Affect labeling disrupts amygdala activity in response to affective stimuli,” Psychological Science. 2007, vol. 18, no. 5, pp. 421-428. Available: [Accessed Aug. 8, 2021]

. D. Gehart, “Structural Therapy,” in Mastering competencies in family therapy: a practical approach to theories and clinical case documentation. Brooks/Cole Pun, 2010, pp. 199-214.

. D. Fosha, D. J. Siegel, and M. Solomon, “Introduction,” in Healing power of emotion: Affective neuroscience, development & clinical practice. W. W. Norton, 2009, pp. vii-xiii.

. S. M. Johnson, “Emotionally focused couple therapy,” in Clinical handbook of couple therapy, 5th ed., A. Gurman, Ed. The Guilford Press, 2015, pp. 97-128.

. D. J. Siegel, “An interpersonal neurobiology approach to psychotherapy: Awareness, mirror neurons, and neural plasticity in the development of well-being,” Psychiatric Annals. 2006, vol. 36, no. 4, 248-256. Available: [Accessed Aug. 8, 2021]

. S. W. Porges, “Neuroception: A subconscious system for detecting threats and safety,” Zero to Three. 2004, vol. 24, no. 5, pp. 19-24. Available: [Accessed Aug. 8, 2021]




How to Cite

Wei, Q. (2021). The Construction of Therapeutic Alliance and Application of Cognitive Behavioural Therapy and Structural Family Therapy. International Journal of Social Sciences: Current and Future Research Trends, 10(01), 1–6. Retrieved from