title: Resolving a challenge to the therapeutic relationship: a single-case study.
abstract: The selection of a case of demonstrated change using a quantitative criterion preceded an exploration of possible change mechanisms in therapy. Between-session variations in the therapeutic relationship revealed by a quantitative measure prompted an intensive qualitative investigation of in-session events. Within these events, the study focused on challenges to the therapeutic relationship and their subsequent resolution. Understanding the resolution of such challenges to the relationship was guided by a rational model derived from the treatment rationale. A tentative account of the process of change is offered, and case replications are required to confirm and extend the findings.
authors.affiliation: Department of Clinical Psychology, Leicester General Hospital, UK.
authors.forename: R M
authors.initials: RM
authors.lastname: Agnew
authors.forename: H
authors.initials: H
authors.lastname: Harper
authors.forename: D A
authors.initials: DA
authors.lastname: Shapiro
authors.forename: M
authors.initials: M
authors.lastname: Barkham
mesh_terms: D001008:Anxiety Disorders / Q000628:therapy*; D003866:Depressive Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008875:Middle Aged; D011369:Professional-Patient Relations; D011613:Psychotherapy