Repairing Alliance Ruptures

Safran, Jeremy D.; Muran, J. Christopher; Eubanks‐Carter, Catherine

doi:10.1093/acprof:oso/9780199737208.003.0011

Cited by 152 publications

(175 citation statements)

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“…In-session exposure tasks may contribute to transient ruptures in alliance that repair over the course of the session. In-session exposure tasks for children with anxiety disorders may present a prime opportunity for temporary ruptures, but their resolution may facilitate positive outcomes (Horvath & Symonds, 1991;Martin et al, 2000;Safran, Muran, Samstag, & Stevens, 2002;Shirk & Karver, 2003). Future research should code for and examine ruptures and repairs within therapy sessions.…”

Section: Discussionmentioning

confidence: 99%

In-session exposure tasks and therapeutic alliance across the treatment of childhood anxiety disorders.

Kendall¹,

Comer²,

Marker³

et al. 2009

Journal of Consulting and Clinical Psychology

106

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The study examined the shape of therapeutic alliance using latent growth curve modeling and data from multiple informants (therapist, child, mother, father). Children (n = 86) with anxiety disorders were randomized to family-based cognitive-behavioral treatment (FCBT; N = 47) with exposure tasks or to family education, support, and attention (FESA; N = 39). Children in FCBT engaged in exposure tasks in Sessions 9-16, whereas FESA participants did not. Alliance growth curves of FCBT and FESA youths were compared to examine the impact of exposure tasks on the shape of the alliance (between-subjects). Within FCBT, the shape of alliance prior to exposure tasks was compared with the shape of alliance following exposure tasks (within-subjects). Therapist, child, mother, and father alliance ratings indicated significant growth in the alliance across treatment sessions. Initial alliance growth was steep and subsequently slowed over time, regardless of the use of exposure tasks. Data did not indicate a rupture in the therapeutic alliance following the introduction of in-session exposures. Results are discussed in relation to the processes, mediators, and ingredients of efficacious interventions as well as in terms of the dissemination of empirically supported treatments.

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Section: Discussionmentioning

confidence: 99%

In-session exposure tasks and therapeutic alliance across the treatment of childhood anxiety disorders.

Kendall¹,

Comer²,

Marker³

et al. 2009

Journal of Consulting and Clinical Psychology

106

View full text Add to dashboard Cite

show abstract

“…Finally, explicitly teaching about this essential therapeutic relationship may help young therapists improve damaged alliances. Several studies have reported the effectiveness of implementing techniques aimed at both building and repairing the therapeutic alliance in individual therapy (Crits-Christoph, Connolly Gibbons, Narducci, Schamberger, & Gallop, 2005;Safran et al, 2002;Whipple et al, 2003). Not only could specific alliance training improve client engagement in the critical first few sessions of therapy (Sprenkle et al, 2009), but it may also prevent early dropout .…”

Section: Increasing the Emphasis On The Therapeutic Alliance In Mft Tmentioning

confidence: 99%

Targeting Threats to the Therapeutic Alliance: A Primer for Marriage and Family Therapy Training

Karam

Sprenkle

Davis³

2014

J Marital Family Therapy

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Although theory and research highlight the importance of the client-therapist relationship, marriage and family therapy (MFT) training has historically centered on specific models, consisting of proprietary language and techniques, instead of common factors like the therapeutic alliance. In this article, we begin by making an argument for explicitly focusing on the therapeutic alliance in MFT training programs. Next, we highlight common alliance threats experienced by both faculty members and student therapists. We then integrate research-informed principles with clinical wisdom to outline specific recommendations and concrete skill-building exercises for MFT educators and supervisors to use with their students to address these threats and advance training on the therapeutic alliance.

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“…The higher rate of treatment retention may also be a result of working alliance which was strongly related to outcome in this study. Working alliance predicts not only treatment outcome but also treatment retention (Bambling & King, 2001; Bambling, 2008; Crits‐Christoph et al, 2007; Martin, Garske, & Davis, 2000; Safran, Muran, & Eubanks‐Carter, 2011; Safran, Muran, Samstag, & Winston, 2002). Likewise, therapist discipline did not predict treatment success.…”

Section: Discussionmentioning

confidence: 99%

Extended problem solving treatment for depression

Bambling

King

2013

Couns and Psychother Res

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Introduction: Effective brief psychological approaches for depression that can be delivered by a variety of health professionals with minimal training increase access to treatment by patients. Problem Solving Treatment (PST) was developed for primary care and was modified for this study (EPST) to better meet the needs of mental health patients. Method: A total of 92 therapists from different professional backgrounds completed EPST workshops and treated 92 patients with major depression with interval clinical and treatment process assessments. Results: EPST achieved a significant reduction in depressive symptom scores, life problem scores, and there were few treatment non-completers. Treatment outcome was predicted by process and therapist variables. Discussion: EPST is an effective and easy to teach treatment that can be delivered by a variety of practitioners and suitable for busy primary mental health care settings.

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Repairing Alliance Ruptures

Cited by 152 publications

References 0 publications

In-session exposure tasks and therapeutic alliance across the treatment of childhood anxiety disorders.

In-session exposure tasks and therapeutic alliance across the treatment of childhood anxiety disorders.

Targeting Threats to the Therapeutic Alliance: A Primer for Marriage and Family Therapy Training

Extended problem solving treatment for depression

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