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Resolution of ruptures in therapeutic alliance: Its role on change processes according to a relational approach

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Resumo:This article presents the basic theoretical assumptions of a Relational Approach to Psychotherapy, particularly in what concerns the interpersonal roots of psychopathology and consequently the way the relational experience therapy provides, may serve to change the client’s dysfunctional interpersonal schema subjacent to symptoms. In the second part of the article we present the clinical implications of the concept of Ruptures in Therapeutic Alliance, seen as a tension or breakdown in the collaborative relationship between therapist and patient. Following Bordin’s conceptualization of the alliance, ruptures may consist of a disagreement about the tasks or the goals of treatment or a strain in the bond. The most important findings that have been collected about the way these interpersonal cycles between therapist and patient can lead to change when efficiently addressed, or to poor outcome or unilateral termination when unresolved, are reviewed. Having already accumulated enough evidence about the importance of the therapeutic alliance, a second generation of alliance researchers is now trying to understand the way the alliance is a mechanism of change. The findings we review suggest that the process of repairing weakened alliances may offer an answer to that question.
Autores principais:Coutinho, Joana
Outros Autores:Ribeiro, Eugénia; Safran, Jeremy
Assunto:Interpersonal approach Psychotherapy Ruptures in therapeutic alliance Theoretical study Abordagem interpessoal Estudo teórico Psicoterapia Rupturas na aliança terapêutica
Ano:2009
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Ispa-Instituto Universitário
Idioma:inglês
Origem:Repositório do Ispa - Instituto Universitário
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author Coutinho, Joana
author2 Ribeiro, Eugénia
Safran, Jeremy
author2_role author
author
author_facet Coutinho, Joana
Ribeiro, Eugénia
Safran, Jeremy
author_role author
contributor_name_str_mv Repositório do ISPA
country_str PT
creators_json_str [{\"Person.name\":\"Coutinho, Joana\"},{\"Person.name\":\"Ribeiro, Eugénia\"},{\"Person.name\":\"Safran, Jeremy\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório do ISPA
datacite.creators.creator.creatorName.fl_str_mv Coutinho, Joana
Ribeiro, Eugénia
Safran, Jeremy
datacite.date.Accepted.fl_str_mv 2009-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2018-01-27T10:00:34Z
datacite.date.embargoed.fl_str_mv 2018-01-27T10:00:34Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Interpersonal approach
Psychotherapy
Ruptures in therapeutic alliance
Theoretical study
Abordagem interpessoal
Estudo teórico
Psicoterapia
Rupturas na aliança terapêutica
datacite.titles.title.fl_str_mv Resolution of ruptures in therapeutic alliance: Its role on change processes according to a relational approach
dc.contributor.none.fl_str_mv Repositório do ISPA
dc.creator.none.fl_str_mv Coutinho, Joana
Ribeiro, Eugénia
Safran, Jeremy
dc.date.Accepted.fl_str_mv 2009-01-01T00:00:00Z
dc.date.available.fl_str_mv 2018-01-27T10:00:34Z
dc.date.embargoed.fl_str_mv 2018-01-27T10:00:34Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10400.12/6125
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Instituto Superior de Psicologia Aplicada
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Interpersonal approach
Psychotherapy
Ruptures in therapeutic alliance
Theoretical study
Abordagem interpessoal
Estudo teórico
Psicoterapia
Rupturas na aliança terapêutica
dc.title.fl_str_mv Resolution of ruptures in therapeutic alliance: Its role on change processes according to a relational approach
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description This article presents the basic theoretical assumptions of a Relational Approach to Psychotherapy, particularly in what concerns the interpersonal roots of psychopathology and consequently the way the relational experience therapy provides, may serve to change the client’s dysfunctional interpersonal schema subjacent to symptoms. In the second part of the article we present the clinical implications of the concept of Ruptures in Therapeutic Alliance, seen as a tension or breakdown in the collaborative relationship between therapist and patient. Following Bordin’s conceptualization of the alliance, ruptures may consist of a disagreement about the tasks or the goals of treatment or a strain in the bond. The most important findings that have been collected about the way these interpersonal cycles between therapist and patient can lead to change when efficiently addressed, or to poor outcome or unilateral termination when unresolved, are reviewed. Having already accumulated enough evidence about the importance of the therapeutic alliance, a second generation of alliance researchers is now trying to understand the way the alliance is a mechanism of change. The findings we review suggest that the process of repairing weakened alliances may offer an answer to that question.
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id ispa_2b786d0f3dd1f0ef75da818df4fb77be
identifier.url.fl_str_mv http://hdl.handle.net/10400.12/6125
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institution Ispa-Instituto Universitário
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person_str_mv Coutinho, Joana
Ribeiro, Eugénia
Safran, Jeremy
publishDate 2009
publisher.none.fl_str_mv Instituto Superior de Psicologia Aplicada
reponame_str Repositório do Ispa - Instituto Universitário
repository_id_str urn:repositoryAcronym:ispa
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spelling engInstituto Superior de Psicologia Aplicadapt_PTThis article presents the basic theoretical assumptions of a Relational Approach to Psychotherapy, particularly in what concerns the interpersonal roots of psychopathology and consequently the way the relational experience therapy provides, may serve to change the client’s dysfunctional interpersonal schema subjacent to symptoms. In the second part of the article we present the clinical implications of the concept of Ruptures in Therapeutic Alliance, seen as a tension or breakdown in the collaborative relationship between therapist and patient. Following Bordin’s conceptualization of the alliance, ruptures may consist of a disagreement about the tasks or the goals of treatment or a strain in the bond. The most important findings that have been collected about the way these interpersonal cycles between therapist and patient can lead to change when efficiently addressed, or to poor outcome or unilateral termination when unresolved, are reviewed. Having already accumulated enough evidence about the importance of the therapeutic alliance, a second generation of alliance researchers is now trying to understand the way the alliance is a mechanism of change. The findings we review suggest that the process of repairing weakened alliances may offer an answer to that question.application/pdfpt_PTResolution of ruptures in therapeutic alliance: Its role on change processes according to a relational approachCoutinho, JoanaRibeiro, EugéniaSafran, JeremyHostingInstitutionOrganizationalRepositório do ISPAe-mailmailto:repositorio@ispa.ptrepositorio@ispa.ptISSNIsPartOf0870-82312018-01-27T10:00:34Z20092009-01-01T00:00:00ZHandlehttp://hdl.handle.net/10400.12/6125http://purl.org/coar/access_right/c_abf2open accessInterpersonal approachPsychotherapyRuptures in therapeutic allianceTheoretical studyAbordagem interpessoalEstudo teóricoPsicoterapiaRupturas na aliança terapêutica88240 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2009http://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ispa.pt/bitstreams/3a741e7d-b51e-44bc-b219-079743345c87/downloadAnálise Psicológica427479491Lisboa
spellingShingle Resolution of ruptures in therapeutic alliance: Its role on change processes according to a relational approach
Coutinho, Joana
Interpersonal approach
Psychotherapy
Ruptures in therapeutic alliance
Theoretical study
Abordagem interpessoal
Estudo teórico
Psicoterapia
Rupturas na aliança terapêutica
subject.fl_str_mv Interpersonal approach
Psychotherapy
Ruptures in therapeutic alliance
Theoretical study
Abordagem interpessoal
Estudo teórico
Psicoterapia
Rupturas na aliança terapêutica
title Resolution of ruptures in therapeutic alliance: Its role on change processes according to a relational approach
title_full Resolution of ruptures in therapeutic alliance: Its role on change processes according to a relational approach
title_fullStr Resolution of ruptures in therapeutic alliance: Its role on change processes according to a relational approach
title_full_unstemmed Resolution of ruptures in therapeutic alliance: Its role on change processes according to a relational approach
title_short Resolution of ruptures in therapeutic alliance: Its role on change processes according to a relational approach
title_sort Resolution of ruptures in therapeutic alliance: Its role on change processes according to a relational approach
topic Interpersonal approach
Psychotherapy
Ruptures in therapeutic alliance
Theoretical study
Abordagem interpessoal
Estudo teórico
Psicoterapia
Rupturas na aliança terapêutica
topic_facet Interpersonal approach
Psychotherapy
Ruptures in therapeutic alliance
Theoretical study
Abordagem interpessoal
Estudo teórico
Psicoterapia
Rupturas na aliança terapêutica
url http://hdl.handle.net/10400.12/6125
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