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Alliance, Negotiation, and Rupture Resolution

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Part of the book series: Current Clinical Psychiatry ((CCPSY))

Abstract

More than one hundred years have passed since “the talking cure” was introduced as a treatment for psychological problems. Considerable scientific effort over the last 60 years has been spent to determine whether psychotherapy, in general, is effective, and if so, what factors underlie the mechanism of change. With the growing demand of the health care system and the public in general for accountability, there has been a continuous pressure on the mental health field to provide empirical support for the treatments we offer to our patients. This has given rise to the initiatives of the American Psychological Association and American Psychiatric Association to formulate practice guidelines and identify empirically supported interventions and treatments.

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References

  1. Norcross JC. Empirically supported therapy relationships. In: Norcross JC, ed. Psychotherapy relationships that work. New York: Oxford University Press; 2002. p. 3–16.

    Google Scholar 

  2. Safran JD, Muran JC. Negotiating the therapeutic alliance: A relational treatment guide. New York: Guilford Press; 2000.

    Google Scholar 

  3. Lambert MJ, Okiishi JC. The effects of the individual psychotherapist and implications for future research. Clinical Psychology: Science and Practice 1997; 17: 364–366.

    Google Scholar 

  4. Horvath AO, Bedi RP. The alliance. In: Norcross JC, ed. Psychotherapy relationships that work. New York: Oxford University Press; 2002.

    Google Scholar 

  5. Safran JD, Muran JC, Samstag LW, Stevens C. Repairing alliance ruptures. In: Norcross JC, ed. Psychotherapy relationships that work. New York: Oxford University; 2002.

    Google Scholar 

  6. Kohut H. How does analysis cure? Chicago: University of Chicago Press; 1984.

    Google Scholar 

  7. Garfield SL, Bergin AE. Introduction and historical overview. In: Bergin AE, Garfield SL, ed. Handbook of psychotherapy and behavior change. 4th edn New York: Wiley; 1994. p. 3–18.

    Google Scholar 

  8. Bergin AE, Lambert MJ. The evaluation of therapeutic outcomes. In: Garfield SL, Bergin AE, eds. Handbook of psychotherapy and behavior change. 2nd edn. New York: Wiley; 1978. p. 217–270.

    Google Scholar 

  9. Hoglend P. Psychotherapy research: New findings and implications for training and practice. Journal of Psychotherapy Practice and Research 1999; 8: 257–263.

    CAS  PubMed  Google Scholar 

  10. Lambert MJ, Barley DE. Research summary on the therapeutic relationship and psychotherapy outcome. In: Norcross JC, ed. Psychotherapy relationships that work. New York: Oxford University Press; 2002. p. 17–32.

    Google Scholar 

  11. Lambert MJ, Bergin AE. The effectiveness of psychotherapy. In: Bergin AE, Garfield SL, eds. Handbook of psychotherapy and behavior change. 4th edn New York: Wiley; 1994. p. 143–189.

    Google Scholar 

  12. Luborsky L, Singer B, Luborsky L. Comparative studies of psychotherapies: Is it true that “everyone has won and all must have prizes”? Archives of General Psychiatry 1975; 32(8): 995–1008.

    CAS  PubMed  Google Scholar 

  13. Dobson KS. A meta-analysis of the efficacy of cognitive therapy for depression. Journal of Consulting and Clinical Psychology 1989; 57: 414–419.

    CAS  PubMed  Google Scholar 

  14. Shapiro DA, Shapiro D. Meta-analysis of comparative therapy outcome research: A replication and refinement. Psychological Bulletin 1982; 92: 581–614.

    CAS  PubMed  Google Scholar 

  15. Svartberg M, Stiles TC. Therapeutic alliance, therapist competence and client change in short-term anxiety-provoking psychotherapy. Psychotherapy Research 1994; 4: 20–33.

    Google Scholar 

  16. Lambert MJ. Implications of outcome research for psychotherapy integration. In: Norcross JC, Goldstein MR, eds. Handbook of psychotherapy integration. New York: Basic; 1992.

    Google Scholar 

  17. Butler SF, Strupp HH. Specific and nonspecific factors in psychotherapy: A problematic paradigm for psychotherapy research. Psychotherapy 1986; 23: 30–39.

    Google Scholar 

  18. Safran JD. The relational turn, the therapeutic alliance and psychotherapy research: Strange bedfellows or postmodern marriage? Contemporary Psychoanalysis 2003; 39: 449–475.

    Google Scholar 

  19. Breuer J, Freud S. The standard edition of the complete psychological works of Sigmund Freud. London: Hogarth Press; 1893–1895/1995.

    Google Scholar 

  20. Freud S. An outline of psycho-analysis. Standard Edition ed. London: Hogarth Press; 1940/1964.

    Google Scholar 

  21. Freud S. The dynamics of transference. Standard Edition ed. London: Hogarth Press; 1912/1958.

    Google Scholar 

  22. Sterba R. The fate of the ego in analytic therapy. International Journal of Psycho-Analysis. 1934; 15: 117–126.

    Google Scholar 

  23. Zetzel E. Current concepts of transference. International Journal of Psycho-Analysis 1956; 37: 369–375.

    CAS  PubMed  Google Scholar 

  24. Zetzel E. The analytic situation. In: Litman RE, ed. Psychoanalysis in America. New York: International Universities Press; 1966. p. 86–106.

    Google Scholar 

  25. Greenson R. The technique and practice of psychoanalysis. New York: International Universities Press; 1967.

    Google Scholar 

  26. Rogers CR. Client-centered therapy. Boston: Houghton Mifflin; 1951.

    Google Scholar 

  27. Rogers CR. The necessary and sufficient conditions of therapeutic personality change. Journal of Counseling Psychology 1957; 21: 95–103.

    CAS  Google Scholar 

  28. Luborsky L. Helping alliances in psychotherapy. In: Clanghorn JL, ed. Successful psychotherapy. New York: Brunner/Mazel; 1976.

    Google Scholar 

  29. Bordin E. The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice 1979; 16: 252–260.

    Google Scholar 

  30. Bordin E. Theory and research on the therapeutic working alliance: New directions. In: Hovarth AO, Greenberg LS, ed. The working alliance: Theory, research and practice. New York: John Wiley & Sons; 1994. p. 13–37.

    Google Scholar 

  31. Constantino MJ, Castonguay LG, Schut AJ. The working alliance: A flagship for the “scientist-practitioner” model in psychotherapy. In: Tryon GS, ed. Counseling based on process research: Applying what we know. Boston: Allyn and Bacon; 2002.

    Google Scholar 

  32. Horvath AO, Luborsky L. The role of the therapeutic alliance in psychotherapy. Journal of Consulting and Clinical Psychology 1993; 61(4): 561–573.

    CAS  PubMed  Google Scholar 

  33. Wolfe BE, Goldfried MR. Research on psychotherapy integration: Recommendations and conclusions from an NIMH workshop. Journal of Consulting and Clinical Psychology 1988; 56: 448–451.

    CAS  PubMed  Google Scholar 

  34. Watson J, Greenberg LS. Alliance ruptures and repairs in experiential therapy. In Session: Psychotherapy in Practice 1995; 1: 19–32.

    Google Scholar 

  35. Arnkoff D. Two Examples of Strains in the Therapeutic Alliance in an Integrative Cognitive Therapy. In Session: Psychotherapy in Practice 1995; 1: 33–46.

    Google Scholar 

  36. Goldfried MR, Castonguay LG. Behavior therapy: Redefining strengths and limitations. Behavior Therapy 1993; 24: 505–526.

    Google Scholar 

  37. Newman C. The therapeutic relationship and alliance in short-term cognitive therapy. In: Safran JD, Muran JC, eds. The therapeutic alliance in brief psychotherapy. Washington, DC: American Psychological Association Press; 1998. p. 95–122.

    Google Scholar 

  38. Raue PJ, Goldfried MR. The therapeutic alliance in cognitive behavioral therapy. In: Horvath AO, ed. The working alliance: Theory, research and practice. New York: John Wiley & Sons; 1994. p. 131–152.

    Google Scholar 

  39. Rait DS. The therapeutic alliance in couples and family therapy: Theory in practice. In Session: Psychotherapy in Practice 1995; 1(1): 59–72.

    Google Scholar 

  40. Rait D. Perspectives on the therapeutic alliance in brief couple and family therapy. In: Safran JD, Muran JC, eds. The therapeutic alliance in brief psychotherapy. Washington DC: American Psychologic Association Books; 1998. p.171–191.

    Google Scholar 

  41. MacKenzie KR. The alliance in time-limited group psychotherapy. In: Safran JD, Muran JC, eds. The therapeutic alliance in brief psychotherapy. Washington, D.C.: American Psychological Association Books; 1988. p. 193–216.

    Google Scholar 

  42. Safran JD, Muran, JC. The resolution of ruptures in the therapeutic alliance. Journal of Counseling and Clinical Psychology 1996; 64: 447–458.

    CAS  Google Scholar 

  43. Martin DJ, Garske JP, Davis MK. Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Counseling and Clinical Psychology 2000; 68(3): 438–450.

    CAS  Google Scholar 

  44. Horvath AO. Research on the alliance. In: Horvath AO, Greenberg LS, eds. The working alliance: Theory, research, and practice. New York: Wiley; 1994. p. 259–286.

    Google Scholar 

  45. Luborsky L, Crits-Cristoph P, Alexander L, Margolis M, Cohen M. Two helping alliance methods for predicting outcomes of psychotherapy: A counting signs vs. a global rating method. Journal of Nervous and Mental Disease 1983; 171: 480–491.

    CAS  PubMed  Google Scholar 

  46. Luborsky L, McLellan AT, Woody GE, O’Brien CP, Auerback A. Therapist success and its determinants. Archives of General Psychiatry 1985; 42: 602–611.

    CAS  PubMed  Google Scholar 

  47. O'Malley SS, Suh CS, Strupp HH. The Vanderbilt Psychotherapy Process Scale: A report on the scale development and a process-outcome study. Journal of Consulting and Clinical Psychology 1983; 51(4): 581–586.

    PubMed  Google Scholar 

  48. Gomes-Schwartz B. Effective ingredients in psychotherapy: Prediction of outcome from process variables. Journal of Consulting and Clinical Psychology 1978; 46(5): 1023–1035.

    CAS  PubMed  Google Scholar 

  49. Hartley DE, Strupp HH. The therapeutic alliance: Its relationship to outcome in brief psychotherapy. In: Masling J, editor. Empirical studies in analytic theories. New Jersey: Erlbaum; 1983. p. 1–37.

    Google Scholar 

  50. Marziali E. Three viewpoints on the therapeutic alliance: Similarities, differences, and associations with psychotherapy outcome. The Journal of Nervous and Mental Disease 1984; 172: 417–423.

    CAS  PubMed  Google Scholar 

  51. Marziali E, Marmar C, Krupnick J. Therapeutic alliance scales: Development and relationship to psychotherapy outcome. American Journal of Psychiatry 1981; 138(3): 361–364.

    CAS  PubMed  Google Scholar 

  52. Marmar CR, Weiss DS, Gaston L. Toward the validation of the California Therapeutic Alliance Rating System. Psychological Assessment 1989; 1(1): 46–52.

    Google Scholar 

  53. Gaston L, Marmar C. The California Psychotherapy Alliance Scales. In: Horvath AO, Greenberg LS, eds. The working alliance: Theory, research, and practice. New York: Wiley; 1994. p. 85–108.

    Google Scholar 

  54. Gaston L. The concept of the alliance and its role in psychotherapy; theoretical and empirical considerations. Psychotherapy 1990; 27: 143–153.

    Google Scholar 

  55. Horvath AO, Greenberg LS. Development and validation of the Working Alliance Inventory. Journal of Consulting and Clinical Psychology 1989; 36(2): 223–233.

    Google Scholar 

  56. Tracey TJ, Kokotovic AM. Factor structure of the Working Alliance Inventory. Psychological Assessment 1989; 1(3): 207–210.

    Google Scholar 

  57. Hatcher RL, Barends AW. Patient’s view of the alliance in psychotherapy: Exploratory factor analysis of three alliance measures. Journal of Consulting and Clinical Psychology 1996; 64: 1326–1336.

    CAS  PubMed  Google Scholar 

  58. Kivlighan DM, Shaughnessy P. Analysis of the development of the working alliance using hierarchical linear modeling. Journal of Counseling and Clinical Psychology 1995; 42(3): 338–349.

    Google Scholar 

  59. Tichenor V, Hill CE. A comparison of six measures of working alliance. Psychotherapy: Theory, Research, Practice and Training 1989; 26(2): 195–199.

    Google Scholar 

  60. Fenton LR, Cecero J, Nich C, Frankforter T, Carroll KM. Perspective is everything: the predictive validity of working alliance instruments. Journal of Psychotherapy Practice and Research 2001; 10(4): 262–268.

    CAS  PubMed  Google Scholar 

  61. Horvath AO, Symonds BD. Relation between working alliance and outcome in psychotherapy: A meta-analysis. Journal of Consulting and Clinical Psychology 1991; 38: 139–149.

    Google Scholar 

  62. Hatcher RL, Barends A, Hansell J, Gutfreund MJ. Patient’s and therapist’s shared and unique views of the therapeutic alliance: An investigation using confirmatory factor analysis in a nested design. Psychoanalysis Quarterly 1995; 63: 636–643.

    CAS  Google Scholar 

  63. Marmar CR, Horowitz MJ, Weiss DS, Marziali E. The development of the Therapeutic Alliance Rating System. In: Greenberg LS, Pinsof WM, eds. The psychotherapeutic process: A research handbook. New York: Guilford Press; 1986.

    Google Scholar 

  64. Kokotovic AM, Tracey TJ. Working alliance in the early phase of counseling. Journal of Counseling Psychology 1990; 37(1): 16–21.

    Google Scholar 

  65. Tryon GS, Kane AS. Client involvement, working alliance, and type of therapy termination. Psychotherapy Research 1995; 5(3): 189–198.

    Google Scholar 

  66. Gelso CJ, Carter JA. Components of the psychotherapy relationship: Their interaction and unfolding during treatment. Journal of Counseling Psychology 1994; 41(3): 296–306.

    Google Scholar 

  67. Bachelor A, Salame R. Participants' perceptions of dimensions of the therapeutic alliance over the course of therapy. Journal of Psychotherapy Practice and Research 2000; 9: 39–53.

    CAS  PubMed  Google Scholar 

  68. Krupnick J, Sotsky SM, Simmens A, Moyer J, Elkin I, Watkins J, et al. The role of the alliance in psychotherapy and pharmacotherapy outcome: Findings in the National Institute of Mental Health treatment of depression collaborative research program. Journal of Consulting and Clinical Psychology 1996; 64: 532–539.

    CAS  PubMed  Google Scholar 

  69. Kivlighan DM, Shaughnessy P. Patterns of working alliance development: A typology of client's working alliance ratings. Journal of Counseling Psychology 2000; 47(3): 362–371.

    Google Scholar 

  70. Tracey TJ, Ray PB. The stages of successful time-limited counseling: An interactional examination. Journal of Counseling Psychology 1984; 31: 13–27.

    Google Scholar 

  71. Golden BR, Robbins SB. The working alliance within time-limited therapy. Professional Psychology: Research and Practice 1990; 21(6): 476–481.

    Google Scholar 

  72. Horvath AO, Marx RW. The development and decay of the working alliance during time-limited counselling. Canadian Journal of Counselling 1991; 24(4): 240–260.

    Google Scholar 

  73. Stiles WB, Glick MJ, Osatuke K, Hardy GE, Shapiro DA, Agnew-Davies R, et al. Patterns of alliance development and the rupture-repair hypothesis: Are productive relationships U-shaped or V-shaped? Journal of Counseling Psychology 2004; 51(1): 81–92.

    Google Scholar 

  74. Strauss JL, Hayes AM, Johnson SL, Newman CF, Brown GK, Barber JP, et al. Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive–compulsive personality disorders. Journal of Consulting and Clinical Psychology 2006; 74(2): 337–345.

    PubMed  Google Scholar 

  75. Wallner Samstag L, Muran JC, Safran JD. Defining and identifying ruptures in psychotherapy. In: Charman D, ed. Core concepts in brief dynamic therapy: Training for effectiveness. Hillsdale: Lawrence Erlbaum Associates; 2004. p. 187–214.

    Google Scholar 

  76. Alexander F, French TM. Psychoanalytic therapy: Principles and application. New York: Ronald Press; 1946.

    Google Scholar 

  77. Weiss J, Sampson H, Group. TMZPR. The psychoanalytic process: Theory, clinical observations, and empirical research. New York: Guilford Press; 1986.

    Google Scholar 

  78. Safran JD, Muran JC. The resolution of ruptures in the therapeutic alliance. Journal of Consulting and Clinical Psychology 1996; 64(3): 447–458.

    CAS  PubMed  Google Scholar 

  79. Safran JD. Breaches in the therapeutic alliance: An area for negotiating authentic relatedness. Psychotherapy: Theory, Research and Practice 1993a; 30: 11–24.

    Google Scholar 

  80. Safran JD, Muran JC. Has the concept of the alliance outlived its usefulness. Psychotherapy 2006; 43: 286–291.

    Google Scholar 

  81. Jones E. Therapeutic action: A guide to psychoanalytic therapy. Northvale, NJ: Jason Aronson; 2000.

    Google Scholar 

  82. Safran JD. The therapeutic alliance rupture as a transtheoretical phenomenon: Definitional and conceptual issues. Journal of Psychotherapy Integration 1993; 3: 33–49.

    Google Scholar 

  83. Safran JD, Crocker P, McMain S, Murray P. The therapeutic alliance rupture as a therapy event for empirical investigation. Psychotherapy: Theory, Research and Practice 1990; 27: 154–165.

    Google Scholar 

  84. Safran JD. Breaches in the therapeutic alliance: An area for negotiating authentic relatedness. Psychotherapy: Theory, Research and Practice 1993; 30: 11–24.

    Google Scholar 

  85. Strupp HH. Success and failure in time-limited psychotherapy. Further evidence (Comparison 4). Archives of General Psychiatry 1980; 37: 947–954.

    CAS  PubMed  Google Scholar 

  86. Rennie DL. Clients’ deference in psychotherapy. Journal of Counseling Psychology 1994; 41(4): 427–437.

    Google Scholar 

  87. Regan AM, Hill CE. Investigation of what clients and counselors do not say in brief therapy. Journal of Counseling Psychology 1992; 39: 168–174.

    Google Scholar 

  88. Hill CE, Thompson BJ, Cogar MC, Denman DW. Beneath the surface of long-term therapy: Therapist and client report of their own and each other's covert processes. Journal of Counseling Psychology 1993; 40(3): 278–287.

    Google Scholar 

  89. Rhodes R, Hill CE, Thompson B, Elliot R. Client retrospective recall of resolved and unresolved misunderstanding events. Counseling Psychology 1994; 41: 473–483.

    Google Scholar 

  90. Hill CE, Nutt-Williams E, Heaton KJ, Thompson BJ, Rhodes RH. Therapist retrospective recall impasses in long-term psychotherapy: A qualitative analysis. Journal of Counseling Psychology 1996; 43(2): 207–217.

    Google Scholar 

  91. Castonguay LG, Goldfried MR, Wiser S, Raue PJ, Hayes AM. Predicting the effect of cognitive therapy for depression: A study of unique and common factors. Journal of Counseling and Clinical Psychology 1996; 64(3): 497–504.

    CAS  Google Scholar 

  92. Piper WE, Azim H, Joyce AS, McCallum M. Transference interpretations, therapeutic alliance, and outcome in short term individual psychotherapy. Archives of General Psychiatry 1991; 48: 946–953.

    CAS  PubMed  Google Scholar 

  93. Piper WE, Ograodniczuk JS, Joyce AS, McCallum M, Rosie JS, O’Kelly JG, et al. Prediction of dropping out in time-limited, interpretive individual psychotherapy. Psychotherapy 1999; 36(2): 114–122.

    Google Scholar 

  94. Critchfield KL, Henry WP, Castonguay LG, Borcovec TD. Interpersonal process and outcome in variants of cognitive–behavioral psychotherapy. Journal of Clinical Psychology 1999; 63(2): 31–35.

    Google Scholar 

  95. Henry WP, Strupp HH. The therapeutic alliance as interpersonal process. In: Greenberg AOHLS, editor. The working alliance: Theory, research and practice. A. O. Horvath & L. S. Greenberg ed. New York: Wiley; 1994. p. 51–84.

    Google Scholar 

  96. Strupp HH. The Vanderbuilt Psychotherapy Studies: Synopsis. Journal of Consulting and Clinical Psychology 1993; 61: 431–433.

    CAS  PubMed  Google Scholar 

  97. Foreman SA, Marmar CR. Therapist actions that address initially poor therapeutic alliances in psychotherapy. American Journal of Psychiatry 1985; 142: 922–926.

    CAS  PubMed  Google Scholar 

  98. Lansford E. Weakenings and repairs of the working alliance in short-term psychotherapy. Professional Psychology: Research and Practice 1986; 17(4): 364–366.

    Google Scholar 

  99. Muran JC. A relational approach to understanding change: Multiplicity and contextualism in a psychotherapy research program. Psychotherapy Research 2002; 12(2): 113–138.

    Google Scholar 

  100. Rice LN, Greenberg LS. Patterns of change: Intensive analysis of psychotherapy process. New York: Guilford; 1984.

    Google Scholar 

  101. Safran JD, Greenberg LS, Rice LN. Integrating psychotherapy research and practice: Modeling the change process. Psychotherapy: Theory, Research and Practice 1988; 25: 1–17.

    Google Scholar 

  102. Safran JD, Muran JC, Samstag LW. Resolving therapeutic alliance ruptures: A task analytic investigation. In: Horvath AO, Greenberg LS, eds. The working alliance: Theory, research, and practice. New York: Wiley; 1994. p. 225–255.

    Google Scholar 

  103. Muran JC, Safran JD, Samstag LW, Winston A. Evaluating an alliance-focused treatment for personality disorders. Psychotherapy: Theory, Research, Practice, Training 2005; 42(4): 532–545.

    Google Scholar 

  104. Samstag LW, Muran JC, Samstag LW, Winston A. Evaluating alliance-focused intervention for potential treatment failures: A feasibility study and descriptive analysis. Psychotherapy: Theory, Research, Practice, Training 2005; 42(4): 512–531.

    Google Scholar 

  105. Benjamin J. The bonds of love. New York: Pantheon Books; 1988.

    Google Scholar 

  106. Mitchell SA. Relational concepts in psychoanalysis: An integration. Cambridge, MA: Harvard Universities Press; 1988.

    Google Scholar 

  107. Winkelman E, Safran JD, Muran JC. The development and validation of the rupture resolution questionnaire (RRQ). New York: Beth Israel Medical Center, NY; 1998.

    Google Scholar 

  108. Proskurov B. Psychometric properties of the Rupture Resolution Questionnaire (RRQ). New York: The New School for Social Research; 2006.

    Google Scholar 

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Safran, J.D., Muran, J.C., Proskurov, B. (2009). Alliance, Negotiation, and Rupture Resolution. In: Levy, R.A., Ablon, J.S. (eds) Handbook of Evidence-Based Psychodynamic Psychotherapy. Current Clinical Psychiatry. Humana Press. https://doi.org/10.1007/978-1-59745-444-5_9

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