Examining Goal, Task, and Bond in Therapeutic Alliance Ruptures
Tóm tắt
This study examined whether fracturing of specific facets of the therapeutic alliance—goal, task, and bond—were more likely to be associated with a therapeutic alliance rupture by evaluating 988 psychotherapy sessions for ruptures. Furthermore, we used the frequency of alliance ruptures to predict treatment outcome in a sample of outpatient psychotherapy clients (N = 399). Results indicated that a disagreement of the goals and tasks of treatment were both more likely to result in an alliance rupture than a deterioration in the relational bond. The frequency of alliance ruptures was also found to predict treatment outcome, with more ruptures leading to less change. These results highlight the importance of identifying when a rupture has occurred while underscoring that not all ruptures are equal. Implications for guiding rupture resolution and the origin of a rupture are discussed. Study limitations are detailed and future research directions are suggested.
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