Department of Psychology, University of A Coruña, Spain.
Psychotherapy (Chic). 2012 Mar;49(1):26-37. doi: 10.1037/a0026747.
In this article, we introduce a methodology for studying alliance rupture and repair in conjoint family therapy. Using the System for Observing Family Therapy Alliances (Friedlander, Escudero, & Heatherington, 2006), we identified rupture markers and repair interventions in a session with a single mother and her 16-year-old "rebellious" daughter. The session was selected for analysis because a severe rupture was clinically evident; however, by the end of the session, there was an emotional turnaround, which was sustained in the following session and continued until the successful, mutually agreed upon termination. The first rupture occurred when the psychotherapist suggested that the mother explore, in an individual session, how her "personal stress" may be affecting her daughter. The observational analysis showed repeated rupture markers, that is, confrontation and withdrawal behavior, hostile within-family interactions, and a seriously "split" alliance in family members' expressed feelings toward the psychotherapist. The time-stamped behavioral stream showed that the psychotherapist focused first on safety, then on enhancing his emotional connection with each client, and finally on helping mother and daughter understand each other's behavior and recognize their shared isolation.
在本文中，我们介绍了一种研究联合家庭治疗中联盟破裂和修复的方法。使用家庭治疗联盟观察系统（Friedlander、Escudero 和 Heatherington，2006），我们在一次与一位单身母亲和她 16 岁的“叛逆”女儿的治疗会议中识别出了破裂标记和修复干预措施。选择这个会议进行分析是因为临床明显出现了严重的破裂；然而，到会议结束时，出现了情感转折，这种转折在接下来的会议中得以维持，并持续到治疗成功并得到双方同意结束。第一次破裂发生在心理治疗师建议母亲在一次单独的治疗会议中探讨她的“个人压力”如何影响她的女儿时。观察分析显示了反复出现的破裂标记，即对抗和回避行为、家庭内的敌对互动以及家庭成员对心理治疗师表达的感受中严重的“分裂”联盟。带有时间戳的行为流显示，心理治疗师首先关注安全问题，然后增强与每位客户的情感联系，最后帮助母亲和女儿理解彼此的行为，并认识到他们共同的孤立。
