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一位纽约破裂研究员的自白:内部人士的指南和批判。

Confessions of a New York rupture researcher: An insider's guide and critique.

机构信息

a Gordon F. Derner Institute of Advanced Psychological Studies, Adelphi University , Garden City , NY , USA.

b Brief Psychotherapy Research Program, Mount Sinai Beth Israel , New York , NY , USA.

出版信息

Psychother Res. 2019 Jan;29(1):1-14. doi: 10.1080/10503307.2017.1413261. Epub 2017 Dec 18.

Abstract

OBJECTIVE

The study of alliance rupture has become quite prevalent since 1990 and especially in the past 10 years where we have seen a noticeable surge in empirical publications on the subject. This honorary paper attempts to provide a critical review of this literature from the perspective of someone who has contributed to it in his collaborative work on a research program designed to investigate ruptures and to develop intervention and training models to resolve them.

METHOD

This paper is organized into three topics or sections: (1) alliance rupture, (2) rupture resolution, and (3) alliance training; and it addresses definitions, findings, questions, and lessons with regard to each topic.

RESULTS/CONCLUSIONS: It suggests some clinical conceptualizations (concerning agency and communion as well as mutual recognition), training implications (regarding emotion regulation and deliberate practice), and methodological considerations (promoting pluralism and contextualism), along with future directions.

摘要

目的

自 1990 年以来,联盟破裂的研究已经相当普遍,特别是在过去的 10 年中,我们看到了关于这一主题的实证出版物的显著增长。本文试图从一个参与研究项目的人的角度,对这一文献进行批判性回顾,该研究项目旨在调查破裂,并制定干预和培训模型以解决这些问题。

方法

本文分为三个主题或部分:(1)联盟破裂,(2)破裂解决,和(3)联盟培训;并针对每个主题的定义、发现、问题和教训进行了阐述。

结果/结论:它提出了一些临床概念化(关于能动性和共融,以及相互承认)、培训启示(关于情绪调节和刻意练习)和方法学考虑(促进多元化和语境主义),以及未来的方向。

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本文引用的文献

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Operationalizing alliance rupture-repair events using control chart methods.
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3
The effect of alliance-focused training on a cognitive-behavioral therapy for personality disorders.
J Consult Clin Psychol. 2018 Apr;86(4):384-397. doi: 10.1037/ccp0000284.
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Risk factors for negative experiences during psychotherapy.
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Research on the alliance: Knowledge in search of a theory.
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Early development of mechanisms of change as a predictor of subsequent change and treatment outcome: The case of working alliance.
J Consult Clin Psychol. 2017 May;85(5):508-520. doi: 10.1037/ccp0000192. Epub 2017 Mar 27.
7
Alliance ruptures and repairs in psychotherapy in primary care.
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8
The relationship between alliance and outcome: Analysis of a two-person perspective on alliance and session outcome.
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