Resolving therapeutic alliance ruptures: Diversity and integration

2000/02/01 by Jeremy D. Safran, J. Christopher Muran · 31 citations
Psychology · #Psychotherapy Techniques and Applications #Attachment and Relationship Dynamics #Transactional Analysis in Psychotherapy

paper · pdf · doi:10.1002/(sici)1097-4679(200002)56:2<233::aid-jclp9>3.0.co;2-3

Abstract

This article reviews and synthesizes the diverse contributions of the authors in this issue of In Session: Psychotherapy in Practice. It presents a schematization of direct and indirect interventions that therapists typically implement to address problems related to the tasks and goals of treatment, or the affective bond between therapist and client. We then present an additional perspective on the resolution of therapeutic alliance ruptures, emerging out of our own research program.

Cited by

• "Even GPT Can Reject Me": Conceptualizing Abrupt Refusal Secondary Harm (ARSH) and Reimagining Psychological AI Safety with Compassionate Completion Standard (CCS)
• An opportunity to bridge the gap between clinical research and clinical practice: Implications for clinical training.
• Experiments on transference in interpersonal relations: Implications for treatment.
• Motive-Oriented Psychotherapeutic Relationship Facing a Patient Presenting with Narcissistic Personality Disorder: A Case Study
• Repairing alliance ruptures.
• Rupture and Repair in Mentalization-Based Group Psychotherapy
• Making cross-racial therapy work: A phenomenological study of clients' experiences of cross-racial therapy. [europepmc]
• An opportunity to bridge the gap between clinical research and clinical practice: implications for clinical training. [europepmc]
• Patterns of therapeutic alliance: rupture-repair episodes in prolonged exposure for posttraumatic stress disorder. [europepmc]
• Using decision trees to characterize verbal communication during change and stuck episodes in the therapeutic process. [europepmc]
• Working alliance inventory applied to virtual and augmented reality (WAI-VAR): psychometrics and therapeutic outcomes. [europepmc]
• A conceptual model for generating and validating in-session clinical judgments. [europepmc]
• The Relationship Between Therapist Effects and Therapy Delivery Factors: Therapy Modality, Dosage, and Non-completion. [europepmc]
• Sudden gains in the alliance in cognitive behavioral therapy versus brief relational therapy. [europepmc]
• If you believe that breaking is possible, believe also that fixing is possible: a framework for ruptures and repairs in child psychotherapy. [europepmc]
• Alliance challenges in the treatment of a narcissistic patient: the case of Alex. [europepmc]
• Why did she leave? Development of working alliance in a case of psychotherapy for depression. [europepmc]
• The relation between the therapeutic alliance and communicative intentions in therapeutic interaction during the initial phase of adolescent therapy. [europepmc]
• The Role of Intolerance of Uncertainty and Working Alliance in the Outcome of Cognitive Behavioral Therapy for Generalized Anxiety Disorder Delivered by Videoconference: Mediation Analysis. [europepmc]
• Operationalizing alliance rupture-repair events using control chart methods. [europepmc]
• The relationship between the therapeutic alliance in psychotherapy and suicidal experiences: A systematic review. [europepmc]
• Proof of Concept of the Contribution of the Interaction between Trait-like and State-like Effects in Identifying Individual-Specific Mechanisms of Action in Biological Psychiatry. [europepmc]
• Mentalizing the patient-Patient experiences with short-term mentalization-based therapy for borderline personality disorder: A qualitative study. [europepmc]
• The role of interpersonal coordination dynamics in alliance rupture and repair processes in psychotherapy-A systematic review. [europepmc]
• Therapeutic alliance in individual adult psychotherapy: a systematic review of conceptualizations and measures for face-to-face- and online-psychotherapy. [europepmc]
• Differentiating self-disclosure interventions from self-involving interventions based on the assessment of the short-term therapeutic effects: preliminary results. [europepmc]
• "Maybe you don't know what answers I want" : unresolved alliance ruptures preceding dropout in short-term psychoanalytic psychotherapy with depressed adolescents. [europepmc]
• A dyadic approach of assessing the therapeutic alliance in youth mental health and addiction treatment. [europepmc]
• Psychotherapists' self-protective attachment strategies. [europepmc]
• Hybrid Telehealth Adaptation of COMPASS for Hope: Parent-Mediated Outcomes in Autism. [europepmc]
• Repairing alliance ruptures in psychotherapy with adults: a scoping review. [europepmc]

Related

• The therapeutic alliance–A conceptual analysis
• The Impact of Clients’ and Therapists’ Characteristics on Therapeutic Alliance and Outcome
• Therapeutic Alliance in the Personal Therapy of Graduate Clinicians: Relationship to the Alliance and Outcomes of Their Patients
• Self-definition issues may veil relational needs and fears in negotiations of the alliance
• Rupture resolution strategies and the impact of rupture on the working alliance after racial microaggressions in therapy.