title: Good versus poor therapeutic alliances with non-accepting parents of same-sex oriented adolescents and young adults: a qualitative study.
abstract: OBJECTIVE
  Therapeutic themes and processes associated with five good versus five poor parent-therapist alliances among a sample of non-accepting parents of sexual minority youth/young adults participating in family therapy were examined.
  
  
  METHODS
  The Consensual Qualitative Research approach was used to analyse of therapy notes and follow-up interviewsfrom good and poor alliances.
  
  
  RESULTS
  In good alliances, parents adopted relationship building as a goal, considered essentialist causal attributions of same-sex orientation, acknowledged positive aspects of their child, and perceived the therapist as empathic and accepting. Parents with poor alliances rejected relationship building as a goal, rebuffed essentialist causal attributions, dismissed the possibility of their own coming out, nullified positive aspects of their child, sought to change their child's sexual orientation, blamed therapists for validating their child's same-sex orientation, and pressured therapists for information about their child.
  
  
  CONCLUSIONS
  Clinical implications are discussed.
authors.affiliation: a Department of Psychology , Ben-Gurion University of the Negev , Beer-Sheva , Israel.
authors.forename: Maya S
authors.initials: MS
authors.lastname: Shpigel
authors.forename: Gary M
authors.initials: GM
authors.lastname: Diamond
mesh_terms: D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D005196:Family Therapy; D005260:Female; D063509:Homophobia / Q000523:psychology*; D006716:Homosexuality / Q000523:psychology*; D018452:Homosexuality, Female / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D011369:Professional-Patient Relations; D036301:Qualitative Research; D055815:Young Adult