THE RELATIONSHIP OF EARLY ALLIANCE RUPTURES AND THEIR RESOLUTION TO PROCESS AND OUTCOME IN THREE TIME-LIMITED PSYCHOTHERAPIES FOR PERSONALITY DISORDERS

This study examined the relationship of early alliance ruptures and their resolution to process and outcome in a sample of 128 patients randomly assigned to 1 of 3 time-limited psychotherapies for personality disorders: cognitive-behavioral therapy, brief relational therapy, or short-term dynamic ps...

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Bibliographic Details
Published in:Psychotherapy (Chicago, Ill.) Ill.), 2009-06, Vol.46 (2), p.233-248
Main Authors: MURAN, J. CHRISTOPHER, SAFRAN, JEREMY D, GORMAN, BERNARD S, SAMSTAG, LISA WALLNER, EUBANKS-CARTER, CATHERINE, WINSTON, ARNOLD
Format: Article
Language:English
Subjects:
Brief Psychotherapy
Cognitive behaviour therapy
Female
Human
Male
Personality Disorders
Psychodynamics
Psychotherapeutic Processes
Psychotherapy
Retention
Therapeutic Alliance
Therapists
Treatment Dropouts
Treatment Outcomes
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Summary:This study examined the relationship of early alliance ruptures and their resolution to process and outcome in a sample of 128 patients randomly assigned to 1 of 3 time-limited psychotherapies for personality disorders: cognitive-behavioral therapy, brief relational therapy, or short-term dynamic psychotherapy. Rupture intensity and resolution were assessed by patient- and therapist-report after each of the first 6 sessions. Results indicated that lower rupture intensity and higher rupture resolution were associated with better ratings of the alliance and session quality. Lower rupture intensity also predicted good outcome on measures of interpersonal functioning, while higher rupture resolution predicted better retention. Patients reported fewer ruptures than did therapists. In addition, fewer ruptures were reported in cognitive-behavioral therapy than in the other treatments.
ISSN:0033-3204
1939-1536
DOI:10.1037/a0016085