Safran J D, Muran J C
Department of Psychology, New School for Social Research, Beth Israel Medical Center, New York, New York 10003, USA.
J Consult Clin Psychol. 1996 Jun;64(3):447-58. doi: 10.1037//0022-006x.64.3.447.
This article outlines some of the main features of a research program on ruptures in the therapeutic alliance and reports some of the major findings to date. A rupture in the therapeutic alliance is a deterioration in the quality of the relationship between patient and therapist; it is an interpersonal marker that indicates a critical opportunity for exploring and understanding the processes that maintain a maladaptive interpersonal schema. Following the task-analytic research paradigin, a preliminary model of the resolution process was developed and then tested and revised with 2 different data sets. A series of lag 1 sequential analyses were used to confirm the hypothesized sequences of events within resolution sessions and to demonstrate a difference between resolution and nonresolution sessions. This article describes the evolution of a model of rupture resolution and then discusses its implications for treatment development and evaluation.
本文概述了一项关于治疗联盟破裂的研究项目的一些主要特征，并报告了迄今为止的一些主要发现。治疗联盟破裂是指患者与治疗师之间关系质量的恶化；它是一种人际指标，表明存在一个关键机会，可用于探索和理解维持适应不良人际模式的过程。遵循任务分析研究范式，开发了一个解决过程的初步模型，然后用两个不同的数据集进行了测试和修订。使用了一系列滞后1顺序分析来确认解决会议中假设的事件顺序，并证明解决会议与未解决会议之间的差异。本文描述了破裂解决模型的演变，然后讨论了其对治疗发展和评估的意义。
