Abstract

MANUBENS, Rocío Tamara; ROUSSOS, Andrés; OLIVERA RYBERG, Julieta  and  GOMEZ PENEDO, Juan Martín. Ruptures in the therapeutic alliance and its association with change and early abandonments in psychotherapy. Acad. (Asunción) [online]. 2018, vol.5, n.2, pp.143-158. ISSN 2414-8938.  https://doi.org/10.30545/academo.2018.jul-dic.7.

With the aim of studying the rupture processes in therapeutic alliance and its association with therapeutic change and early drop-out in psychotherapy. Fifteen patients diagnosed with emotional disorders were divided en three groups, each one with five participants: drop-out patients, patients with change and none change patients. The first four sessions were analyzed by four judges using the Rupture Resolution Rating System by a consensual method. Afterwards differential patterns of ruptures and resolutions were analyzed in each group. On average 1,18 (SD= 1,74) ruptures were found per session. Withdrawal (54,72%) and Confrontation (45,28%) ruptures were found evenly. Early change patients had higher resolution rupture ratio (ratio= 0,50) than none change patients (ratio= 0,30). There were no differences in the ruptures between groups. Results suggests that alliance ruptures don’t imply a threat on itself to treatments (in terms of early processes and drop-out). However, the resolution of said ruptures could improve early responses.

Keywords : Psychological research; Psychological effects; Individual differences.

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