Alliance ruptures and rupture resolution in cognitive-behavior therapy: a preliminary task analysis.
An initial ideal, rational model of alliance rupture and rupture resolution provided by cognitive-behavioral therapy (CBT) experts was assessed and compared with empirical observations of ruptures and their resolution in two cases of successful CBT. The initial rational model emphasized nondefensive acknowledgment and exploration of the rupture. Results indicated differences between what therapists think they should do to resolve ruptures and what they actually do and suggested that the rational model should be expanded to emphasize client validation and empowerment. Therapists' ability to attend to ruptures emerged as an important clinical skill.
Aspland
Helen
H
Clinical Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, United Kingdom.
Llewelyn
Susan
S
Hardy
Gillian E
GE
Barkham
Michael
M
Stiles
William
W
D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003142:Communication; D003299:Cooperative Behavior; D003674:Defense Mechanisms; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008960:Models, Psychological; D011340:Problem Solving; D011369:Professional-Patient Relations; D013811:Psychotherapeutic Processes