What is it about?

We show that across three samples, what are often defined as ruptures in the relationship are likely natural decreases in the relationship intensity that occur between sessions and not within them. This raises major questions of many studies that define changes in the relationship from the end of one session to the end of the next. It also suggests a different process, of ebb and flow, that is relatively normative in psychotherapy.

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Why is it important?

Our data challenge previous attempts to measure what are called ruptures in the therapeutic relationship and instead suggest that between sessions, feelings about the relationship often decline, likely naturally.

Perspectives

This is a culmination of many years of work, thinking about the differences of processes that occur within and between sessions of psychotherapy

Jonathan Huppert
Hebrew University of Jerusalem

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This page is a summary of: Reevaluating ruptures and repairs in alliance: Between- and within-session processes in cognitive–behavioral therapy and short-term psychodynamic psychotherapy., Journal of Consulting and Clinical Psychology, September 2020, American Psychological Association (APA),
DOI: 10.1037/ccp0000598.
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