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Rupture and repair in psychotherapy: A critical process for change.

DOI: 10.1037/0000306-000

ISBN: 9781433836145

Publisher: American Psychological Association - American Psychological Association

Oct 24, 2022

1 - 10 of 13 Chapters

LitStream

Introduction: Rupture in a wicked and wonderful world.

Muran, J. Christopher; Eubanks, Catherine F.; Samstag, Lisa Wallner

Pages: 3 –20

Human relations are inherently messy. "Rupture" has become a marker for the messiness in the patient–therapist relationship or alliance. It has been described in numerous ways over the years: from breaches, breakdowns, challenges, derailments, deteriorations, dissociations, disturbances,...
LitStream

Antioppressive approaches to alliance rupture and repair: A criticalculturalrelational model of rupture resolution.

Chang, Doris F.; Omidi, Maryam; Dunn, Jordan J.

Pages: 21 –52

Within the therapeutic context, the failures of empathy and understanding often lead to ruptures in the relationship. This chapter describes the critical–cultural–relational model of rupture and repair, which builds on Safran, Muran, and colleagues' classic model to explicitly contextualize...
LitStream

Alliance rupture and repair in group psychotherapy.

Tasca, Giorgio A.; Marmarosh, Cheri

Pages: 53 –71

This chapter reviews the literature on alliance rupture and repair in group psychotherapy and presents a running case example to illustrate the complexity of maintaining and managing the therapeutic alliance in group therapy. Unlike individual therapy, in which the main emphasis is on the...
LitStream

A close look at the complex rupture and repair process in family therapy.

Friedlander, Myrna L.; Escudero, Valentín

Pages: 73 –94

Conflicts between romantic partners and the interlocking triangles within a three-plus person family system can readily create four kinds of alliance rupture that can occur up at any point in the therapeutic process. Behavioral indicators of faltering alliances include a low level of engagement...
LitStream

Therapistadolescent therapeutic ruptures in attachment-based family therapy.

Cassell, Sophie; Diamond, Guy

Pages: 95 –118

This chapter considers therapist–adolescent ruptures in attachment-based family therapy (ABFT), specifically with regard to the adolescent's attachment style and state of mind. Interestingly, ABFT as a clinical model aims to activate attachment schemas and needs. In the individual sessions,...
LitStream

Alliance rupture and repair in cognitive behavior therapy.

Impala, Tara; Okamoto, Annika; Kazantzis, Nikolaos

Pages: 119 –139

Cognitive behavior therapy (CBT) represents a family of psychotherapies. This chapter presents alliance rupture repair that sits within the Beckian CBT concept of collaboration and centers on four specific therapist behaviors: shared decision making, soliciting and responding to client input, and...
LitStream

Alliance rupture and repair in dialectical behavior therapy for borderline personality disorder.

Boritz, Tali; Varma, Sonya; Sonley, Anne; McMain, Shelley F.

Pages: 141 –164

Alliance rupture and repair plays an important role in borderline personality disorder (BPD) treatments. In therapy, emotional vulnerabilities can manifest as heightened sensitivity to perceived criticism, rejection, and abandonment, leading to an increased likelihood of alliance rupture....
LitStream

Alliance rupture and repair in acceptance and commitment therapy.

Walser, Robyn D.; O'Connell, Manuela

Pages: 165 –186

The therapeutic alliance is defined in various ways but commonly references the quality of emotional interaction between clients and therapists. Moreover, although different therapeutic relationships may evolve depending on the therapist's theoretical orientation, a shared purpose between client...
LitStream

Relational dialogue in emotion-focused therapy: Process analysis and comparison with the alliance-focused training model.

Macdonald, James; Elliott, Robert; Couto, Ana Bela

Pages: 187 –220

This chapter describes the emotion-focused therapy (EFT) approach to working with relational difficulties. The general relational principles of EFT are (a) empathically entering and tracking the client's experience; (b) communicating genuine empathy, caring, and presence to the client; and (c)...
LitStream

Alliance rupture and repair in short-term psychodynamic psychotherapy.

Abbass, Allan; Town, Joel M.

Pages: 221 –251

In intensive short-term dynamic psychotherapy (ISTDP), there is an expectation that patients will exhibit defenses and experience anxiety in sessions because the therapist has a central focus on the patient's feelings as they arise in the therapeutic relationship. At the same time, therapists can...

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