a Department of Psychology , Sheffield University , Sheffield , UK.
Psychother Res. 2014;24(2):132-45. doi: 10.1080/10503307.2013.838652. Epub 2013 Nov 8.
To explore the process of rupture resolution in cognitive behaviour therapy (CBT) with two good outcome clients with borderline personality disorder (BPD).
This study employed task-analytic methods to investigate whether the existing CBT rupture resolution model for depression could be validated. Quantitative analyses identified rupture-repair sequences and 41 rupture resolution attempts were systematically analysed.
The final model shared similarities with the existing model although additional components, including an "external observer" were identified. Focus on affective experience was also hypothesized to be important.
The final theoretical rupture resolution model may be a useful tool when working with BPD clients in CBT. It is however recognized that further research on data from larger samples is needed. Clinical implications for managing alliance ruptures with BPD clients are discussed.
探索认知行为疗法（CBT）中两名边缘型人格障碍（BPD）治疗效果良好的来访者的破裂解决过程。
本研究采用任务分析方法来验证现有的抑郁症 CBT 破裂解决模型是否适用。定量分析确定了破裂-修复序列，并对 41 次破裂解决尝试进行了系统分析。
最终模型与现有模型有相似之处，但也确定了其他一些因素，包括“外部观察者”。此外，还假设关注情感体验也很重要。
最终的理论破裂解决模型在 CBT 中治疗 BPD 来访者时可能是一个有用的工具。然而，需要进一步研究更大样本的数据。讨论了与 BPD 来访者管理联盟破裂的临床意义。
