Alliance ruptures and rupture resolution in cognitive-behavior therapy: A preliminary task analysis

被引：65

作者：

Aspland, Helen ^{[2
]}

Llewelyn, Susan ^{[1
]}

Hardy, Gillian E. ^{[3
]}

Barkham, Michael ^{[4
]}

Stiles, William ^{[5
]}

机构：

[1] Univ Oxford, Warneford Hosp, Isis Educ Ctr, Oxford OX3 7JX, England

[2] Univ Sheffield, Dept Psychol, Clin Psychol Unit, Sheffield S10 2TN, S Yorkshire, England

[3] Islington Primary Care Trust, Dept Clin Psychol, London, England

[4] Univ Leeds, Psychol Therapies Res Ctr, Leeds, W Yorkshire, England

[5] Miami Univ, Dept Psychol, Oxford, OH 45056 USA

来源：

PSYCHOTHERAPY RESEARCH | 2008年 / 18卷 / 06期

关键词：

brief psychotherapy; alliance; cognitive-behavioral therapy; integrative treatment models; process research; psychotherapist training; supervision; development; aptitude-treatment interaction research; helpful events;

D O I：

10.1080/10503300802291463

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

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.

引用

页码：699 / 710

页数：12

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