Achieving successful resolution of alliance ruptures: for whom and when?

David-Sela, Tal Ben; Dolev‐Amit, Tohar; Eubanks, Catherine F.; Zilcha‐Mano, Sigal

doi:10.1080/10503307.2020.1862432

Cited by 8 publications

(7 citation statements)

References 46 publications

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“…Recent research (e.g., Ben David‐Sela et al, 2021; Grant Jr., 2019; Lane, 2018) echoes Safran’s claim (1993) that the resolution of a therapeutic relationship rupture can offer a “corrective emotional experience” for clients who have experienced deep rejection in the past. Perhaps the participants of this study were hoping for this experience by staying in therapy.…”

Section: Discussionmentioning

confidence: 97%

“I wasn’t feeling like I belonged in my skin”: How self‐identified gay men in theUKexperience unhelpful incidents in talking therapy¹

Televantos

Strauss

2022

Couns and Psychother Res

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Background Contemporary psychological research and practice in Western Societies oppose pathologising perspectives about same‐sex attraction. Nonetheless, recent research indicates gay men may still experience unhelpful incidents in talking therapy in relation to their sexual/affectional orientation. Research focusing on how self‐identified gay men (SIGM) experience these unhelpful incidents, however, remains sparse. Aim The objective of the present study is to offer insight into the phenomenon of unhelpful experiences of SIGM clients in relation to their sexual/affectional orientation. Method The data were collected through individual, semi‐structured interviews of six SIGM (aged 25–57), describing how they currently experience these unhelpful incidents. This study employed Interpretative Phenomenological Analysis (IPA) to capture the lived experiences and sense‐making of the participants. Findings The following three Master Themes were identified: (1) Making Sense of Disconnection, (2) A Rejecting Therapy for a Gay Individual, and (3) Understanding the Impact of Unhelpful Incidents Outside Therapy. The unhelpful experiences of SIGM clients appeared to be largely coloured by the sense of disconnection they felt from their therapists. These followed an experience of therapy that they felt did not acknowledge or embrace their individual gay identity. Participants relayed how these experiences impacted their lives outside therapy. Despite the significant and lasting negative impact, however, all imparted a sense of managing to move on to some extent. Conclusions The present research could encourage therapists and researchers to continue pursuing and embracing helpful ways of working therapeutically with SIGM and other sexual, gender and intersecting identities.

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Section: Discussionmentioning

confidence: 97%

“I wasn’t feeling like I belonged in my skin”: How self‐identified gay men in theUKexperience unhelpful incidents in talking therapy¹

Televantos

Strauss

2022

Couns and Psychother Res

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“…We adapted this measure to examine the development of attachment formation to the therapist for the purpose of assessing the extent to which the therapist serves as an attachment figure. The adapted version of the ATF showed high reliability and validity (Ben David-Sela et al, 2020). Cronbach’s alpha for the total score in the current study was .76…”

Section: Methodsmentioning

confidence: 99%

Patients’ individual differences in implicit and explicit expectations from the therapist as a function of attachment orientation.

Zilcha‐Mano¹,

Dolev‐Amit²,

Fisher³

et al. 2021

Journal of Counseling Psychology

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Patients' attachment orientation was found to be an important predictor of the process and outcome of psychotherapy. The present study is the first to examine whether patients' attachment orientation toward significant others predicts their implicit and explicit expectations from the therapist, and whether this effect is moderated by the extent to which the therapist has become an attachment figure. In two studies (N = 308), we developed measures of implicit (lexical decision task) and explicit expectations from therapist, and tested the presence of individual differences in expectations as a function of the patients' attachment orientation, early and late in treatment. Whereas individuals higher on attachment anxiety did not report having fewer positive expectations from therapist early in treatment, they showed lower accessibility of positive expectations when measured implicitly. As treatment progressed, the extent to which the therapist has become an attachment figure may mitigate the adverse effects of pretreatment attachment anxiety. Public Significance StatementThe article demonstrates how expectations from the therapist can be assessed using both explicit and implicit measures. Findings suggest that pretreatment attachment orientation can predict implicit and explicit expectations from the therapist, and suggest that potential adverse effects of insecure attachment can be mitigated when the therapist becomes an attachment figure.

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“…Second, several studies suggest that interventions that are central in MBT, such as a focus on emotional expression (affect focus) and carefully attending to state changes that constitute part of the immediate context of the therapeutic process and their contribution to ruptures, rather than stable individual difference factors, are associated with improved reflective functioning (Keefe et al, 2019) and the resolution of ruptures in the alliance (Ben David-Sela et al, 2021). Studies in this context indicate that the mentalizing skills of therapists can be improved by brief training programs (Ensink et al, 2013;Sharp et al, 2020;Suchman et al, 2020) and that therapists' adherence to and competence in MBT foster patients' in-session mentalizing (Möller et al, 2017).…”

Section: Mbt and Rupture And Repairmentioning

confidence: 99%

Alliance rupture and repair in mentalization-based therapy.

Fonagy¹,

Campbell²,

Luyten³

2023

Rupture and Repair in Psychotherapy: A Critical Process for Change.

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Mentalizing, or reflective functioning, refers to our capacity to see ourselves from the outside and others from the inside. Mentalizing fundamentally implies that we are able to understand ourselves and others in terms of intentional mental states, such as feelings, thoughts, wishes, and beliefs. One of the defining ideas of mentalizing theory is that mental states are opaque-that is, the process of thinking about the thoughts, feelings, ideas, or beliefs that underpin someone else's behavior is an imaginative one, something that cannot be known with any certainty. Hence, we can never know for sure what someone else is thinking or feeling. Mentalizing theory also suggests that although we might have better access to understanding our own mental states, we are still subject to being taken surprise by our own minds. Given this backdrop of uncertainty about what thoughts and feelings motivate both others and ourselves, the idea of making mistakes in our mentalizing-that is, the possibility of misunderstanding, and that these instances of misunderstanding might lead to ruptures in relationships-is a constant human reality. Mentalization-based therapy (MBT) sees moments

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Achieving successful resolution of alliance ruptures: for whom and when?

Cited by 8 publications

References 46 publications

“I wasn’t feeling like I belonged in my skin”: How self‐identified gay men in theUKexperience unhelpful incidents in talking therapy¹

“I wasn’t feeling like I belonged in my skin”: How self‐identified gay men in theUKexperience unhelpful incidents in talking therapy¹

Patients’ individual differences in implicit and explicit expectations from the therapist as a function of attachment orientation.

Alliance rupture and repair in mentalization-based therapy.

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Achieving successful resolution of alliance ruptures: for whom and when?

Cited by 8 publications

References 46 publications

“I wasn’t feeling like I belonged in my skin”: How self‐identified gay men in theUKexperience unhelpful incidents in talking therapy1

“I wasn’t feeling like I belonged in my skin”: How self‐identified gay men in theUKexperience unhelpful incidents in talking therapy1

Patients’ individual differences in implicit and explicit expectations from the therapist as a function of attachment orientation.

Alliance rupture and repair in mentalization-based therapy.

Contact Info

Product

Resources

About

“I wasn’t feeling like I belonged in my skin”: How self‐identified gay men in theUKexperience unhelpful incidents in talking therapy¹

“I wasn’t feeling like I belonged in my skin”: How self‐identified gay men in theUKexperience unhelpful incidents in talking therapy¹