A striking implication is that the frequency of positive and negative psychotherapist behaviors, ruptures, and session content is more likely to decrease in the pre-dropout sessions than in the temporary rupture sessions.

Coping styles such as overcompensation and avoidance are attempts that developed as survival mechanisms in difficult childhood environments. The objective of this study is to examine the psychometric properties of the Turkish version of the Young-Rygh Avoidance Inventory (YRAI). The sample (n = 1,555) randomly split into two groups to run principal component and confirmatory factor analyses (CFA). A parallel analysis was run to determine the factor number. CFA was carried out with maximum likelihood estimation robust method. Eight factors with 30 items were the final form of the Turkish YRAI. Cronbach alpha levels of each factor and inter-correlations with the Turkish Young Schema Questionnaire, Symptom Check List-90 revised, Beck Depression Inventory, and Beck Anxiety Inventory were calculated. Internal consistency analysis revealed acceptable coefficients. As to convergent validity, the correlational analysis showed statistically significant coefficients. Overall, the Turkish YRAI was found to have acceptable levels of reliability and validity.

Schema therapy (ST) is a relatively new, but promising, psychotherapy approach. Able to be implemented in both individual and group settings, research findings suggest that ST is a highly effective treatment for personality disorders. As in other treatments for personality disorders, some patients decide to drop out from treatment, feeling they did not benefit. To date, there has been no study in the literature that investigates the dropout rates across ST studies specifically. Consequently, this study systematically researched eight different ST studies in which dropout rates were reported. Together, these studies featured both individual and group therapy settings, inpatient and outpatient settings, and different personality disorder diagnoses. The weighted mean dropout rate was 23.3%, 95% CI (14.8-31.7%) across these studies. Although this finding is very similar to those meta-analyses that obtained their dropout rates from different orientations and diagnoses, namely psychotherapy in general, ST’s dropout rates might be significantly lower than studies that included personality disorders in particular.

This study aimed to qualitatively examine the perspectives of therapists using different theoretical orientations on rupture moments. The study features a qualitative research design. Six different therapy session segments were presented to the participants and questions were asked to gather their perspectives on the segments. The thematic analyses conducted on 20 therapists' evaluations on the 6 rupture segments of 5 patients were based on two categories: i) the causes of the rupture moments, ii) the recommendations for resolution. Findings revealed that therapists are more likely to report patients' negative contribution as the main cause of rupture moments. Participants attributed less importance to the negative contribution of the therapist or to the therapist-patient relationship in rupture moments, and therapists tended to suggest mostly technical resolutions to ruptures. This second-generation alliance research draws attention to relational aspects of the rupture resolution processes for a positive outcome. However, our findings yielded that there was a lack in therapists' evaluations in addressing the contribution of the therapists and/or therapist-patient relationship to rupture moments. This highlights the importance of supervision training to foster therapists' awareness of rupture moments and develop their skills for resolution in the context of the therapist-patient relationship.