Therapists' and clients' experiences of alliance ruptures: A qualitative study

Psychotherapy Research

Volumn 21, Issue 5, 2011, Pages 525-540

  Coutinho, Joana ^a   Ribeiro, Eugenia ^a   Hill, Clara ^b   Safran, Jeremy ^c  

^a UNIVERSITY OF MINHO   (Portugal)

^b UNIVERSITY OF MARYLAND   (United States)

^c NEW SCHOOL FOR SOCIAL RESEARCH   (United States)

Author keywords

Alliance; Personality disorders; Process research; Qualitative research methods

Indexed keywords

ADULT; ARTICLE; CASE REPORT; FEMALE; HUMAN; HUMAN RELATION; MALE; MANPOWER; METHODOLOGY; MIDDLE AGED; PERSONALITY DISORDER; PSYCHOLOGIC TEST; PSYCHOLOGICAL ASPECT; PSYCHOTHERAPY; QUALITATIVE RESEARCH;

ADULT; FEMALE; HUMANS; INTERVIEW, PSYCHOLOGICAL; MALE; MIDDLE AGED; PERSONALITY DISORDERS; PROFESSIONAL-PATIENT RELATIONS; PSYCHOTHERAPEUTIC PROCESSES; PSYCHOTHERAPY; QUALITATIVE RESEARCH; YOUNG ADULT;

EID: 80052416376     PISSN: 10503307     EISSN: 14684381     Source Type: Journal    
DOI: 10.1080/10503307.2011.587469     Document Type: Article

References (40)

1. Binder, J.L., & Strupp, H.H. (1997). Negative process: A recurrently discovered and underestimated facet of therapeutic process and outcome in the individual psychotherapy of adults. Clinical Psychology Science and Practice, 4, 121-139.
2. Benjamin, L.S., & Karpiak, C.P. (2001). Personality disorders. Psychotherapy, 38, 487-491.
3. Castonguay, L.G., Goldfried, M.R., Wiser, S., Raue, P.J., & Hayes, A.M. (1996). Predicting the effect of cognitive therapy for depression: A study of unique and common factors. Journal of Consulting and Clinical Psychology, 64, 497-504.
4. Crits-Cristoph, P., Crits-Cristoph, K., & Gibbons, M.B.C. (2010). Training in alliance-fostering techniques. In J.C. Muran & J.P. Barber (Eds.), The therapeutic alliance: An evidence-based guide to practice (pp. 304-319). New York, NY: Guilford.
5. Elkind, S.N. (1992). Resolving impasses in therapeutic relationships. New York, NY: Guilford.
6. Elliott, R., & Shapiro, D.A. (1988). Brief structured recall: A more efficient method for studying significant therapy events. British Journal of Medical Psychology, 61(2), 141-153.
7. Emmerling, M.E., & Whelton, W.J. (2009). Stages of change and the working alliance in psychotherapy. Psychotherapy Research, 19, 687-698.
8. Eubanks-Carter, C., Mitchell, A., Muran, J.C. & Safran, J.D. (2009). Rupture resolution rating system (3RS): Manual. Unpublished manuscript.
9. Farber, B.A. (1983). Psychotherapists' perceptions of stressful patient behavior. Professional Psychology: Research and Practice, 14, 697-705.
10. First, M.B., Gibbon, M., Spitzer, R.L., Williams, J.W., & Benjamin, L.S. (1997). Structured Clinical Interview for DSMIV Axis II Personality Disorders, (SCID-II). Washington, D.C.: American Psychiatric Press.
11. Greenson, R.R. (1972). Beyond transference and interpretation. The International Journal of Psychoanalysis, 53, 213-217.
12. Hill, C.E. (Ed.) (2011). Consensual qualitative research: A practical resource for investigating social science phenomena. Washington DC: American Psychological Association.
13. Hill, C.E., Kellems, I.S., Kolchakian, M.R.,Wonnell, T.L., Davis, T.L., & Nakayama, E.Y. (2003). The therapist experience of being the target of hostile versus suspected-unasserted client anger: Factors associated with resolution. Psychotherapy Research, 13, 475-491.
14. Hill, C.E., & Knox, S. (2009). Processing the therapeutic relationship. Psychotherapy Research, 19, 13-29.
15. Hill, C.E., Knox, S., Thompson, B.J., Williams, E.N., Hess, S., & Ladany, N. (2005). Consensual Qualitative Research: An update. Journal of Counseling Psychology, 52, 196-205.
16. Hill, C.E., Nutt-Williams, E., Heaton, K.J., Thompson, B.J., & Rhodes, R.H. (1996). Therapist retrospective recall of impasses in long term psychotherapy: A qualitative analysis. Journal of Counseling Psychology, 43, 207-217.
17. Hill, C.E., Thompson, B.J., & Williams, E.N. (1997). A guide to conducting consensual qualitative research. The Counseling Psychologist, 25, 517-572.
18. Horvath, A.O. (2008). Tacit assumptions about the therapeutic relationship: A conceptual analysis of the literature on the "rupture-repair" cycle. Paper presented at the international meeting of the Society for Psychotherapy Research, Barcelona, Spain.
19. Hoffman, I.Z. (1991). Discussion: Toward a social-constructivist view of the psychoanalytic situation. Psychoanalytic Dialogues, 1, 74-105.
20. Leiman, M., & Stiles, W.B. (2001). Dialogical sequence analysis and the zone of proximal development as conceptual enhancements to the assimilation model: The case of Jan revisited. Psychotherapy Research, 11, 311-330.
21. Matsakis, A. (1998). Managing client anger: What to do when a client is angry at you. Oakland, CA: New Harbinger Publications.
22. Mitchell, S.A. (1988). Relational concepts in psychoanalysis. Cambridge, MA: Harvard University Press.
23. Muran, J.C., Safran, J.D., Samstag, L.W., & Winston, A. (2005). Evaluating an alliance-focused treatment for personality disorders. Psychotherapy, 42, 532-545.
24. Muran, J.C., Segal, Z.V., Samstag, L.W., & Cawford, C. (1994). Patient pretreatment interpersonal problems and therapeutic alliance in short-term cognitive therapy. Journal of Consulting and Clinical Psychology, 62, 185-190.
25. Newman, C.F. (1997). Maintaining professionalism in the face of emotional abuse from clients. Cognitive and Behavioral Practice, 4, 1.
26. Paulson, B.L., Truscott, D., & Stuart, J. (1999). Clients' perceptions of helpful experiences in counseling. Journal of Counseling Psychology, 46, 317-324.
27. Piper, W.E., Azim, H.F.A., Joyce, A.S., & McCallum, M. (1991). Transference interpretations, therapeutic alliance, and outcome in short term individual psychotherapy. Archives of General Psychiatry, 48, 946-953.
28. Rhodes, R., Hill, C.E., Thompson, B.J., & Elliot, R. (1994). Client retrospective recall of resolved and unresolved misunderstanding events. Journal of Counselling Psychology, 41, 473-483.
29. Ribeiro, E. (2009). A aliança terapêutica reconsiderada: colaboração terapêutica me zonas de mudança proximal. [The Therapeutic Alliance Reconsidered: Therapeutic collaboration in zones of proximal change]. In E. Ribeiro (Ed.), Aliança terapêutica: Da teoria à prá tica cli{dotless}́nica (pp. 169-181). Braga: Psiquili{dotless}́brios Ediçõ es.
30. Ribeiro, E., Ribeiro, A., Gonçalves, M.M., Horvath, O., & Stiles, W.B. (2010). How collaboration in therapy becomes therapeutic: The therapeutic collaboration coding system. Submitted manuscript.
31. Samstag, L.W., Batchelder, S.T., Muran, J.C., Safran, J.D., & Winston, A. (1998). Early identification of treatment failures in short-term psychotherapy: An assessment of therapeutic alliance and interpersonal behavior. Journal of Psychotherapy Practice & Research, 7, 126-143.
32. Safran, J.D., Crocker, P., McMain, S., & Murray, P. (1990). The therapeutic alliance rupture as a therapy event for empirical investigation. Psychotherapy: Theory, Research and Practice, 27, 154-165.
33. Safran, J.D., & Muran, J.C. (1996). The resolution of ruptures in the therapeutic alliance. Journal of Consulting and Clinical Psychology, 64, 447-458.
34. Safran, J.D., & Muran, J.C. (2000). Negotiating the therapeutic alliance: A relational treatment guide. New York, NY: Guilford.
35. Safran, J.D., Muran, J.C., & Samstag, L.W. (1994). Resolving therapeutic alliance ruptures: A task analytic investigation. In A.O. Horvath and L.S. Greenberg (Eds.), The working alliance: Theory, research and practice (pp. 225-255). New York: Wiley.
36. Safran, J.D., Muran, J.C., Samstag, L.W., & Stevens, C. (2002). Repairing alliance ruptures. In J.C. Norcross (Ed.), Psychotherapy relationships that work (pp. 235-254). Oxford: Oxford University Press.
37. Safran, J.D., Muran, J.C., Samstag, L.W., & Winston, A (2005). Intervention for potential treatment failures: a feasibility study and descriptive analysis. Psychotherapy: Theory, Research, Practice Training, 42, 512-531.
38. Safran, J.D., & Segal, Z.V. (1990). Interpersonal process in cognitive therapy. New York, NY: Basic.
39. Tryon, G.S., & Kane, A.S. (1995). Client involvement, working alliance, and type of therapy termination. Psychotherapy Research, 5, 189-198.
40. Vygotsky, L. (1978). Mind in society: The development of higher psychological processes (M. Cole, V. John-Steiner, S. Scribner, & E. Souberman, Eds.). Cambridge, MA: Harvard University Press.