<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2414-8938</journal-id>
<journal-title><![CDATA[Academo (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Acad. (Asunción)]]></abbrev-journal-title>
<issn>2414-8938</issn>
<publisher>
<publisher-name><![CDATA[Universidad Americana ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2414-89382018000200143</article-id>
<article-id pub-id-type="doi">10.30545/academo.2018.jul-dic.7</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Rupturas en la alianza terapéutica y su asociación con cambio y abandonos tempranos en psicoterapia]]></article-title>
<article-title xml:lang="en"><![CDATA[Ruptures in the therapeutic alliance and its association with change and early abandonments in psychotherapy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manubens]]></surname>
<given-names><![CDATA[Rocío Tamara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Roussos]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olivera Ryberg]]></surname>
<given-names><![CDATA[Julieta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Penedo]]></surname>
<given-names><![CDATA[Juan Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Buenos Aires  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Buenos Aires  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Buenos Aires  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Buenos Aires  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>5</volume>
<numero>2</numero>
<fpage>143</fpage>
<lpage>158</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2414-89382018000200143&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2414-89382018000200143&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2414-89382018000200143&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Con el objetivo de estudiar los procesos de rupturas en la alianza terapéutica y su vínculo con los cambios terapéuticos y abandonos tempranos en psicoterapia. Se analizaron quince pacientes de psicoterapia diagnosticados con trastornos emocionales y divididos en tres grupos, cada uno con cinco participantes: pacientes que abandonaron, que presentaron mejorías clínicas y que no presentaron mejorías. Las primeras cuatro sesiones de los participantes fueron analizadas por cuatro jueces usando el Sistema de Ranqueo y Resolución de Rupturas-Argentina mediante un método consensual. Posteriormente se analizaron patrones diferenciales de rupturas y resoluciones en los grupos. Se observó un promedio de 1,18 (DE= 1,74) rupturas por sesión, encontrando una proporción equitativa de rupturas de retirada (54,72%) y confrontación (45,28%). El grupo de los pacientes que mejoraron presentó mayor tasa de rupturas resueltas (ratio= 0,50) que el grupo de pacientes sin cambio (ratio= 0,30). No se observaron diferencias entre las rupturas del grupo de abandono y los otros dos grupos. Los resultadossugieren que las rupturas en la alianza no implican una amenaza en sí mismo a los tratamientos (en términos de proceso temprano y de abandonos). Sin embargo, la resolución de dichas rupturas podría favorecer mejores respuestas tempranas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT 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&#8217;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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Investigación psicológica]]></kwd>
<kwd lng="es"><![CDATA[efectos psicológicos]]></kwd>
<kwd lng="es"><![CDATA[diferencia individual]]></kwd>
<kwd lng="en"><![CDATA[Psychological research]]></kwd>
<kwd lng="en"><![CDATA[Psychological effects]]></kwd>
<kwd lng="en"><![CDATA[Individual differences]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aguirre McLaughlin]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Keller]]></surname>
<given-names><![CDATA[S. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Feeny]]></surname>
<given-names><![CDATA[N. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Youngstrom]]></surname>
<given-names><![CDATA[E. A.]]></given-names>
</name>
<name>
<surname><![CDATA[&amp; Zoellner]]></surname>
<given-names><![CDATA[L. A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patterns of therapeutic alliance: Rupture-repair episodes in prolonged exposure for posttraumatic stress disorder]]></article-title>
<source><![CDATA[Journal of Consulting and Clinical Psychology]]></source>
<year>2014</year>
<volume>82</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Allen]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[McHugh]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[&amp; Barlow]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Emotional disorders a unified protocol]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Barlow]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<source><![CDATA[Clinical handbook of psychological disorders]]></source>
<year>2007</year>
<edition>4a ed</edition>
<page-range>578-614</page-range><publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Guilford Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="book">
<collab>American Psychiatric Association</collab>
<source><![CDATA[Diagnostic and statistical manual of mental disorders]]></source>
<year>2013</year>
<edition>5</edition>
<publisher-loc><![CDATA[Arlington, VA ]]></publisher-loc>
<publisher-name><![CDATA[American Psychiatric Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bados]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Balaguer]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[&amp; Saldaña]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The efficacy of cognitive - behavioral therapy and the problem of drop-out]]></article-title>
<source><![CDATA[Journal of Clinical Psychology]]></source>
<year>2007</year>
<volume>63</volume>
<page-range>585-92</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bordin]]></surname>
<given-names><![CDATA[E. S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The generalizability of the psychoanalytic concept of the working alliance]]></article-title>
<source><![CDATA[Psychotherapy: Theory, Research and Practice]]></source>
<year>1979</year>
<volume>16</volume>
<page-range>252-60</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bradford]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Cully]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Rhoades]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Kunik]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Kraus-Schuman]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[&amp; Stanley]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early response to psychotherapy and long-term change in worry symptoms in older adults with generalized anxiety disorder]]></article-title>
<source><![CDATA[The American Journal of Geriatric Psychiatry]]></source>
<year>2011</year>
<volume>19</volume>
<page-range>347-56</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coutinho]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[&amp; Safran]]></surname>
<given-names><![CDATA[J. D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The development of the therapeutic alliance and the emergence of alliance ruptures]]></article-title>
<source><![CDATA[Anales de Psicología]]></source>
<year>2014</year>
<volume>30</volume>
<page-range>985-94</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coutinho]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Hill]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[&amp; Safran]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Therapists&#8217; and clients&#8217; experiences of alliance ruptures: A qualitative study]]></article-title>
<source><![CDATA[Psychotherapy Research]]></source>
<year>2011</year>
<volume>21</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>525-40</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coutinho]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[&amp; Safran]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparing two methods of identifying alliance rupture events]]></article-title>
<source><![CDATA[Psychotherapy]]></source>
<year>2014</year>
<volume>51</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>434-42</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[de Shazer]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[&amp; Berg]]></surname>
<given-names><![CDATA[I. K.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[What works?: Remarks on research aspects of solution-focused brief therapy]]></article-title>
<source><![CDATA[Journal of Family Therapy]]></source>
<year>1997</year>
<volume>19</volume>
<page-range>121-4</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[de Shazer]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Berg]]></surname>
<given-names><![CDATA[I. K.]]></given-names>
</name>
<name>
<surname><![CDATA[Lipchick]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Nunnally]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Molnar]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Gingerich]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[&amp; Weiner-Davis]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Brief therapy: Focused solution development]]></article-title>
<source><![CDATA[Family Process]]></source>
<year>1986</year>
<volume>25</volume>
<page-range>207-21</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Doran]]></surname>
<given-names><![CDATA[J. M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The working alliance: Where have we been, where are we going?]]></article-title>
<source><![CDATA[Psychotherapy Research]]></source>
<year>2014</year>
<volume>26</volume>
<page-range>146-63</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eubanks]]></surname>
<given-names><![CDATA[C.F.]]></given-names>
</name>
<name>
<surname><![CDATA[Muran]]></surname>
<given-names><![CDATA[J.C.]]></given-names>
</name>
<name>
<surname><![CDATA[Safran]]></surname>
<given-names><![CDATA[J.D.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rupture resolution rating system (3RS): Manual (PDF Download Available)]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="confpro">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández-Álvarez]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Hirsh]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Maristany]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Torrente]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<source><![CDATA[Propiedades psicométricas del OQ-45.2 en la Argentina: un estudio piloto]]></source>
<year>2005</year>
<conf-name><![CDATA[ 4Congreso Mundial de Psicoterapia]]></conf-name>
<conf-loc> </conf-loc>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gingerich]]></surname>
<given-names><![CDATA[W. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Eisengart]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Solution-focused brief therapy: a review of the outcome research]]></article-title>
<source><![CDATA[Family Process]]></source>
<year>2000</year>
<volume>39</volume>
<page-range>477-98</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez Penedo]]></surname>
<given-names><![CDATA[J. M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Variables del paciente y del proceso psicoterapéutico vinculadas a predictores tempranos de cambio]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Buenos Aires, Argentina ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Buenos Aires]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez Penedo]]></surname>
<given-names><![CDATA[J. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Artiaga]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Roussos]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Sistema de Ranqueo y Resolución de Rupturas - Argentina]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Haas]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Hill]]></surname>
<given-names><![CDATA[R. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Lambert]]></surname>
<given-names><![CDATA[M. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Morrell]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Do early responders to psychotherapy maintain treatment gains?]]></article-title>
<source><![CDATA[Journal of Clinical Psychology]]></source>
<year>2002</year>
<volume>58</volume>
<page-range>1157-72</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Holmqvist Larsson]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Falkenström]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<name>
<surname><![CDATA[Andersson]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Holmqvist]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alliance ruptures and repairs in psychotherapy in primary care]]></article-title>
<source><![CDATA[Psychotherapy Research]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Horowitz]]></surname>
<given-names><![CDATA[L. M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[On the cognitive structure of interpersonal problems treated in psychotherapy]]></article-title>
<source><![CDATA[Journal of Consulting and Clinical Psychology]]></source>
<year>1979</year>
<volume>47</volume>
<page-range>5-15</page-range></nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Horvath]]></surname>
<given-names><![CDATA[A. O.]]></given-names>
</name>
<name>
<surname><![CDATA[Symonds]]></surname>
<given-names><![CDATA[B. D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relation between working alliance and outcome in psychotherapy: A meta-analysis]]></article-title>
<source><![CDATA[Journal of Counseling Psychology]]></source>
<year>1991</year>
<volume>38</volume>
<page-range>139-49</page-range></nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Horvath]]></surname>
<given-names><![CDATA[A. O.]]></given-names>
</name>
<name>
<surname><![CDATA[Greenberg]]></surname>
<given-names><![CDATA[L. S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The development of the working alliance Inventory]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Greenberg]]></surname>
<given-names><![CDATA[L. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Pinsof]]></surname>
<given-names><![CDATA[W. M.]]></given-names>
</name>
</person-group>
<source><![CDATA[The psychotherapeutic process: A research handbook]]></source>
<year>1986</year>
<page-range>529-56</page-range><publisher-loc><![CDATA[New York, NY ]]></publisher-loc>
<publisher-name><![CDATA[Guilford Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Horvath]]></surname>
<given-names><![CDATA[A. O.]]></given-names>
</name>
<name>
<surname><![CDATA[Del Re]]></surname>
<given-names><![CDATA[A. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Flückiger]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Symonds]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alliance in individual psychotherapy]]></article-title>
<source><![CDATA[Psychotherapy]]></source>
<year>2011</year>
<volume>48</volume>
<page-range>9-16</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Howard]]></surname>
<given-names><![CDATA[K. I.]]></given-names>
</name>
<name>
<surname><![CDATA[Kopta]]></surname>
<given-names><![CDATA[S. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Krause]]></surname>
<given-names><![CDATA[M. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Orlinsky]]></surname>
<given-names><![CDATA[D. E.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The dose-effect relationship in psychotherapy]]></article-title>
<source><![CDATA[The American Psychologist]]></source>
<year>1986</year>
<volume>41</volume>
<page-range>159-64</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Howard]]></surname>
<given-names><![CDATA[K. I.]]></given-names>
</name>
<name>
<surname><![CDATA[Lueger]]></surname>
<given-names><![CDATA[R. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Maling]]></surname>
<given-names><![CDATA[M. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Martinovich]]></surname>
<given-names><![CDATA[Z.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A phase model of psychotherapy outcome: Causal mediation of change]]></article-title>
<source><![CDATA[Journal of Consulting and Clinical Psychology]]></source>
<year>1993</year>
<volume>61</volume>
<page-range>678-85</page-range></nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ilardi]]></surname>
<given-names><![CDATA[S. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Craighead]]></surname>
<given-names><![CDATA[W. E.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The role of nonspecific factors in cognitive-behavior therapy for depression]]></article-title>
<source><![CDATA[Clinical Psychology: Science and Practice]]></source>
<year>1994</year>
<volume>1</volume>
<page-range>138-55</page-range></nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jacobson]]></surname>
<given-names><![CDATA[N. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Truax]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical significance: a statistical approach to defining meaningful change in psychotherapy research]]></article-title>
<source><![CDATA[Journal of Consulting and Clinical Psychology]]></source>
<year>1991</year>
<volume>59</volume>
<page-range>12-9</page-range></nlm-citation>
</ref>
<ref id="B28">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Juan]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez Penedo]]></surname>
<given-names><![CDATA[J.M.]]></given-names>
</name>
<name>
<surname><![CDATA[Etchebarne]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Roussos]]></surname>
<given-names><![CDATA[A. J.]]></given-names>
</name>
</person-group>
<source><![CDATA[El método de investigación cualitativa consensual (Consensual Qualitative Research, CQR): Una herramienta para la investigación cualitativa en psicología clínica. Anuario de investigaciones en Psicología]]></source>
<year>2011</year>
<volume>XVIII</volume>
<page-range>47-56</page-range><publisher-name><![CDATA[Facultad de Psicología - UBA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B29">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Klein]]></surname>
<given-names><![CDATA[D. N.]]></given-names>
</name>
<name>
<surname><![CDATA[Schwartz]]></surname>
<given-names><![CDATA[J. E.]]></given-names>
</name>
<name>
<surname><![CDATA[Santiago]]></surname>
<given-names><![CDATA[N. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Vivian]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Vocisano]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Castonguay]]></surname>
<given-names><![CDATA[L. G.]]></given-names>
</name>
<name>
<surname><![CDATA[Keller]]></surname>
<given-names><![CDATA[M. B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Therapeutic alliance in depression treatment: controlling for prior change and client characteristics]]></article-title>
<source><![CDATA[Journal of Consulting and Clinical Psychology]]></source>
<year>2003</year>
<volume>71</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>997-1006</page-range></nlm-citation>
</ref>
<ref id="B30">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lambert]]></surname>
<given-names><![CDATA[M. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Burlingame]]></surname>
<given-names><![CDATA[G. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Umphress]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
<name>
<surname><![CDATA[Hansen]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Vermeersch]]></surname>
<given-names><![CDATA[D. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Clouse]]></surname>
<given-names><![CDATA[G. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Yanchar]]></surname>
<given-names><![CDATA[S. C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The reliability and validity of the outcome questionnaire. Clinical questionnaire]]></article-title>
<source><![CDATA[Clinical Psychology and Psychotherapy]]></source>
<year>1996</year>
<volume>3</volume>
<page-range>249-58</page-range></nlm-citation>
</ref>
<ref id="B31">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lutz]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Hofmann]]></surname>
<given-names><![CDATA[S. G.]]></given-names>
</name>
<name>
<surname><![CDATA[Rubel]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Boswell]]></surname>
<given-names><![CDATA[J. F.]]></given-names>
</name>
<name>
<surname><![CDATA[Shear]]></surname>
<given-names><![CDATA[M. K.]]></given-names>
</name>
<name>
<surname><![CDATA[Gorman]]></surname>
<given-names><![CDATA[J. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Barlow]]></surname>
<given-names><![CDATA[D. H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patterns of early change and their relationship to outcome and early treatment termination in patients with panic disorder]]></article-title>
<source><![CDATA[Journal of Consulting and Clinical Psychology]]></source>
<year>2014</year>
<volume>82</volume>
<page-range>287-97</page-range></nlm-citation>
</ref>
<ref id="B32">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[D. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Garske]]></surname>
<given-names><![CDATA[J. P.]]></given-names>
</name>
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[M. K.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relation of the therapeutic alliance with outcome and other variables : A meta-analytic review]]></article-title>
<source><![CDATA[Journal of Consulting and Clinical Psychology]]></source>
<year>2000</year>
<volume>68</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>438-50</page-range></nlm-citation>
</ref>
<ref id="B33">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mergenthaler]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Gril]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Descripción de las reglas para la transcripción de sesiones de psicoterapia]]></article-title>
<source><![CDATA[Revista Argentina de Clínica Psicológica]]></source>
<year>1996</year>
<volume>5</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>163-76</page-range></nlm-citation>
</ref>
<ref id="B34">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Muran]]></surname>
<given-names><![CDATA[J. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Safran]]></surname>
<given-names><![CDATA[J. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Gorman]]></surname>
<given-names><![CDATA[B. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Samstag]]></surname>
<given-names><![CDATA[L. W.]]></given-names>
</name>
<name>
<surname><![CDATA[Eubanks-Carter]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Winston]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The relationship of early alliance ruptures and their resolution to process and outcome in three time-limited psychotherapies for personality disorders]]></article-title>
<source><![CDATA[Psychotherapy Theory, Research, Practice, Training]]></source>
<year>2009</year>
<volume>46</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>233-48</page-range></nlm-citation>
</ref>
<ref id="B35">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roussos]]></surname>
<given-names><![CDATA[A. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez Penedo]]></surname>
<given-names><![CDATA[J. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Muiños]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A time-series analysis of therapeutic alliance, interventions, and client&#8217;s clinical status in an evidence-based single-case study: Evidence for establishing change mechanisms in psychotherapy]]></article-title>
<source><![CDATA[Psychotherapy Research]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B36">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rubel]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Lutz]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Schulte]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patterns of change in different phases of outpatient psychotherapy: A stage-sequential pattern analysis of change in session reports]]></article-title>
<source><![CDATA[Clinical Psychology and Psychotherapy]]></source>
<year>2013</year>
<volume>22</volume>
<page-range>1-14</page-range></nlm-citation>
</ref>
<ref id="B37">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Safran]]></surname>
<given-names><![CDATA[J. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Muran]]></surname>
<given-names><![CDATA[J. C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Has the concept of the therapeutic alliance outlived its usefulness?]]></article-title>
<source><![CDATA[Psychotherapy : Theory, Research, Practice, Training]]></source>
<year>2006</year>
<volume>43</volume>
<page-range>286-91</page-range></nlm-citation>
</ref>
<ref id="B38">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Safran]]></surname>
<given-names><![CDATA[J. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Muran]]></surname>
<given-names><![CDATA[J. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Eubanks-Carter]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Repairing alliance ruptures]]></article-title>
<source><![CDATA[Psychotherapy]]></source>
<year>2011</year>
<volume>48</volume>
<page-range>80-7</page-range></nlm-citation>
</ref>
<ref id="B39">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Safran]]></surname>
<given-names><![CDATA[J. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Muran]]></surname>
<given-names><![CDATA[J. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Proskurov]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alliance, negotiation and rupture resolution]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Levy]]></surname>
<given-names><![CDATA[R. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Ablon]]></surname>
<given-names><![CDATA[J. Stuart]]></given-names>
</name>
</person-group>
<source><![CDATA[Handbook of evidence based psychodynamic therapy]]></source>
<year>2009</year>
<page-range>201-25</page-range><publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Human Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B40">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Safran]]></surname>
<given-names><![CDATA[J. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Muran]]></surname>
<given-names><![CDATA[J. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Samstag]]></surname>
<given-names><![CDATA[L. W.]]></given-names>
</name>
<name>
<surname><![CDATA[Stevens]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Repairing alliance ruptures]]></article-title>
<source><![CDATA[Psychotherapy]]></source>
<year>2001</year>
<volume>38</volume>
<page-range>406-12</page-range></nlm-citation>
</ref>
<ref id="B41">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Safran]]></surname>
<given-names><![CDATA[J. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Muran]]></surname>
<given-names><![CDATA[J. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Samstag]]></surname>
<given-names><![CDATA[L. W.]]></given-names>
</name>
<name>
<surname><![CDATA[Stevens]]></surname>
<given-names><![CDATA[C. L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Repairing alliance ruptures]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Norcross]]></surname>
<given-names><![CDATA[J. C.]]></given-names>
</name>
</person-group>
<source><![CDATA[Psychotherapy relationships that work]]></source>
<year>2002</year>
<page-range>235-54</page-range><publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Oxford University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B42">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sharf]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Primavera]]></surname>
<given-names><![CDATA[L. H.]]></given-names>
</name>
<name>
<surname><![CDATA[Diener]]></surname>
<given-names><![CDATA[M. J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dropout and therapeutic and therapeutic alliance: A meta-analysis of adult individual psychotherapy]]></article-title>
<source><![CDATA[Psychotherapy Theory, Research, Practice, Training]]></source>
<year>2010</year>
<volume>47</volume>
<page-range>637-45</page-range></nlm-citation>
</ref>
<ref id="B43">
<nlm-citation citation-type="">
<collab>SFBT</collab>
<collab>Research Committee</collab>
<source><![CDATA[Solution focused therapy treatment manual for working with individuals research committee of the solution focused brief therapy association]]></source>
<year>2007</year>
</nlm-citation>
</ref>
<ref id="B44">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stiles]]></surname>
<given-names><![CDATA[W. B.]]></given-names>
</name>
<name>
<surname><![CDATA[Glick]]></surname>
<given-names><![CDATA[M. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Osatuke]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Hardy]]></surname>
<given-names><![CDATA[G. E.]]></given-names>
</name>
<name>
<surname><![CDATA[Shapiro]]></surname>
<given-names><![CDATA[D. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Agnew-Davies]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Barkham]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patterns of alliance development and the rupture-repair hypothesis: Are productive relationships u-shaped or v-shaped?]]></article-title>
<source><![CDATA[Journal of Counseling Psychology]]></source>
<year>2004</year>
<volume>51</volume>
<numero>81-92</numero>
<issue>81-92</issue>
</nlm-citation>
</ref>
<ref id="B45">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Strauss]]></surname>
<given-names><![CDATA[J. L.]]></given-names>
</name>
<name>
<surname><![CDATA[Hayes]]></surname>
<given-names><![CDATA[A. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[S. L.]]></given-names>
</name>
<name>
<surname><![CDATA[Newman]]></surname>
<given-names><![CDATA[C. F.]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[G. K.]]></given-names>
</name>
<name>
<surname><![CDATA[Barber]]></surname>
<given-names><![CDATA[J. P.]]></given-names>
</name>
<name>
<surname><![CDATA[Beck]]></surname>
<given-names><![CDATA[A. T.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive-compulsive personality disorders]]></article-title>
<source><![CDATA[Journal of Consulting and Clinical Psychology]]></source>
<year>2006</year>
<volume>74</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>337-45</page-range></nlm-citation>
</ref>
<ref id="B46">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Swift]]></surname>
<given-names><![CDATA[J. K.]]></given-names>
</name>
<name>
<surname><![CDATA[Callahan]]></surname>
<given-names><![CDATA[J. L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Decreasing treatment dropout by addressing expectations for treatment length]]></article-title>
<source><![CDATA[Psychotherapy Research]]></source>
<year>2011</year>
<volume>21</volume>
<page-range>193-200</page-range></nlm-citation>
</ref>
<ref id="B47">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Swift]]></surname>
<given-names><![CDATA[J. K.]]></given-names>
</name>
<name>
<surname><![CDATA[Greenberg]]></surname>
<given-names><![CDATA[R. P.]]></given-names>
</name>
<name>
<surname><![CDATA[Tompkins]]></surname>
<given-names><![CDATA[K. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Parkin]]></surname>
<given-names><![CDATA[S. R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment refusal and premature termination in psychotherapy, pharmacotherapy, and their combination: A meta-analysis of head-to-head comparisons]]></article-title>
<source><![CDATA[Psychotherapy]]></source>
<year>2017</year>
<volume>54</volume>
<page-range>47-57</page-range></nlm-citation>
</ref>
<ref id="B48">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Von Bergen]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[De la Parra]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[OQ.45.2 Cuestionario para evaluación de resultados y evolución en psicoterapia: adaptación, validación e indicaciones para su aplicación e interpretación]]></article-title>
<source><![CDATA[Terapia Psicológica]]></source>
<year>2002</year>
<volume>20</volume>
<page-range>161-76</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
