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Alliance Ruptures and Resolutions in Personality Disorders

Schenk, Nathalie and Fürer, Lukas and Zimmermann, Ronan and Steppan, Martin and Schmeck, Klaus. (2020) Alliance Ruptures and Resolutions in Personality Disorders. Current psychiatry reports, 23 (1). p. 1.

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Official URL: https://edoc.unibas.ch/80157/

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Abstract

This review provides an overview of the state of research on alliance ruptures and resolutions in the treatment of personality disorders (PDs). We discuss frequently used instruments to measure alliance ruptures and resolutions. We discuss the effectiveness of rupture resolution processes and highlight possible avenues for research to explore. Innovative assessments with the potential to reveal the link of ruptures and resolutions and mechanisms of psychotherapeutic change are discussed.; The assessment of alliance rupture and resolutions is heterogeneous. Instruments vary largely with respect to a direct or indirect assessment, the time resolution of assessment (integral therapy, phase, session, event), session sampling strategy and perspectives (patient, therapist, observer). The heterogeneity in the instruments and study designs impedes comparability and interpretation of the findings. Results support the hypothesis that ruptures are more frequent in PD. Results also point towards beneficial effects of rupture resolution patterns, early alliance quality, and resolution complexity. Few studies control findings for pretreatment factors. Evidence points to the direction that rupture resolution processes can be considered a general principle of change in the treatment of PD. The concept of alliance ruptures and resolutions provides a useful tool for the management of the therapeutic alliance and its moments of deteriorations throughout the treatment course. Dimensional pretreatment personality functioning is considered a key variable in future studies to highlight what works for whom.
Faculties and Departments:07 Faculty of Psychology > Departement Psychologie > Health & Intervention > Klinische Psychologie und Psychotherapie (Gaab)
UniBasel Contributors:Zimmermann, Ronan
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Springer
ISSN:1523-3812
e-ISSN:1535-1645
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:13 Oct 2021 15:59
Deposited On:13 Oct 2021 15:59

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