Alliance ruptures in cognitive-behavioral therapy: A cognitive conceptualization.

Abstract:

:The therapeutic relationship is crucial to the ethical and effective practice of any psychotherapy. In Cognitive Behavior Therapy (CBT) as formulated by Aaron T. Beck, the generic elements of the relationship including expressed empathy, expressions of positive regard, agreement on goals, and agreement on tasks within a therapeutic bond were considered a necessary condition for change. Alliance ruptures can therefore have a detrimental effect on therapy if left unrepaired. This article contributes to the In-Session issue on rupture repairs by outlining the role of the alliance as a component of the therapeutic relationship in CBT and illustrates how ruptures can be identified and effectively resolved through detailed case examples. Given the central importance of using collaborative empiricism and Socratic dialogue for the therapeutic relationship in CBT, we demonstrate the distinctive role of these elements in repairing ruptures.

journal_name

J Clin Psychol

authors

Okamoto A,Kazantzis N

doi

10.1002/jclp.23116

subject

Has Abstract

pub_date

2021-01-29 00:00:00

eissn

0021-9762

issn

1097-4679

pub_type

杂志文章,评审
  • Do positive psychology exercises work? A replication of Seligman et al. (2005).

    abstract:OBJECTIVES:The current work replicated a landmark study conducted by Seligman and colleagues (2005) that demonstrated the long-term benefits of positive psychology exercises (PPEs). In the original study, two exercises administered over 1 week ("Three Good Things" and "Using your Signature Strengths in a New Way") were...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.21839

    authors: Mongrain M,Anselmo-Matthews T

    更新日期:2012-04-01 00:00:00

  • Neuropsychological test performance and hypnotic susceptibility.

    abstract::Treated 70 patients for alcohol dependency. Various degrees of cortical dysfunctioning were represented as measured by the Halstead-Reitan Neuropsychological Battery. The study's purpose was to determine whether there was a relationship between brain-behavior and hypnotic susceptibility as measured by the Stanford Hyp...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198309)39:5<804::aid-jclp2270390

    authors: Query WT,Carlson K,Dreyer S

    更新日期:1983-09-01 00:00:00

  • Function of Personal Growth Initiative on Posttraumatic Growth, Posttraumatic Stress, and Depression Over and Above Adaptive and Maladaptive Rumination.

    abstract:OBJECTIVES:The current study examined whether various types of rumination are distinguishable and the effects of personal growth initiative (PGI) on posttraumatic growth, posttraumatic stress, and depression through adaptive and maladaptive rumination. METHOD:Sample included 292 college students who experienced a pote...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.22423

    authors: Shigemoto Y,Low B,Borowa D,Robitschek C

    更新日期:2017-09-01 00:00:00

  • It's the destination and it's the journey: using multilevel modeling to assess patterns of change in psychotherapy.

    abstract:BACKGROUND:The pairing of analysis of variance (ANOVA)-based analyses with designs lacking multiple measurement of client change may lead to conclusions that are inconsistent with theoretical expectations about how change will occur. Multilevel modeling (MLM), when used with multiple assessments of client outcomes, pro...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章,评审

    doi:10.1002/jclp.21964

    authors: Kahn JH,Schneider WJ

    更新日期:2013-06-01 00:00:00

  • The interactive effects of counselor gender, physical attractiveness and status on client self-disclosure.

    abstract::Investigated client self-disclosure and client perception of counselors (as expressed in counselor evaluations) as a function of the sex, attractiveness and status of the counselor, and the sex of the client. Counselor gender and attractiveness were established by means of stimulus photographs; counselor status was de...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198201)38:1<84::aid-jclp22703801

    authors: Kunin CC,Rodin MJ

    更新日期:1982-01-01 00:00:00

  • Client Accounts of Corrective Experiences in Psychotherapy: Implications for Clinical Practice.

    abstract::The Patient Perceptions of Corrective Experiences in Individual Therapy (PPCEIT; Constantino, Angus, Friedlander, Messer, & Moertl, 2011) posttreatment interview guide was developed to provide clinical researchers with an effective mode of inquiry to identify and further explore clients' firsthand accounts of correcti...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.22432

    authors: Angus L,Constantino MJ

    更新日期:2017-02-01 00:00:00

  • Validity of two WPPSI short forms in outpatient clinic settings.

    abstract::Investigated the validity of two- and four-subtest short forms for the WPPSI in an outpatient clinic population of 116 children aged 4 and 5 years. The short forms differed in ability to approximate the Full Scale IQ. Both short forms correlated highly with the Full Scale IQ and accounted for a high percentage of vari...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198311)39:6<961::aid-jclp2270390

    authors: Haynes JP,Atkinson D

    更新日期:1983-11-01 00:00:00

  • Premenstrual mood changes and maternal mental health in pregnancy and the postpartum period.

    abstract::To investigate the relationship between premenstrual mood changes and maternal mental health in the perinatal period, a prospective questionnaire survey of 1,329 women was carried out. Women with a premenstrual mood changes (irritability) before pregnancy showed significantly higher Zung's Self-rating Depression Scale...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4679(199704)53:3<225::aid-jclp5

    authors: Sugawara M,Toda MA,Shima S,Mukai T,Sakakura K,Kitamura T

    更新日期:1997-04-01 00:00:00

  • Poverty and mental health: how do low-income adults and children fare in psychotherapy?

    abstract::Poverty is associated with an increased risk for psychological problems. Even with this increased risk for mental health problems and need for care, many low-income adults and families do not receive treatment because of logistical, attitudinal, and systemic barriers. Despite significant barriers to obtaining care, re...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.21951

    authors: Santiago CD,Kaltman S,Miranda J

    更新日期:2013-02-01 00:00:00

  • Parental psychological control, adolescent self-criticism, and adolescent depressive symptoms: A latent change modeling approach in Belgian adolescents.

    abstract:OBJECTIVE:At the level of both between-person differences and within-person changes across time, parental achievement-oriented psychological control may influence the development of adolescent self-criticism, which in turn may increase vulnerability for adolescent depression. METHOD:In a two-wave prospective study of ...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.22632

    authors: Bleys D,Soenens B,Claes S,Vliegen N,Luyten P

    更新日期:2018-10-01 00:00:00

  • Exploring change mechanisms in EMDR applied to "small-t trauma" in short-term dynamic psychotherapy: research questions and speculations.

    abstract::This article represents a process of preliminary search and discovery regarding the active mechanisms in Eye Movement Desensitization and Reprocessing (EMDR) when used in Short-Term Dynamic Psychotherapy (STDP). Patients' (N = 7) responses to EMDR interventions were categorized as either "trauma" or "resolution" respo...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.10103

    authors: McCullough L

    更新日期:2002-12-01 00:00:00

  • Immediate antecedents to adolescents' offenses.

    abstract::The current research examined importance ratings by adolescent offenders of immediate antecedents to their offenses. One hundred and fifteen adolescent offenders consecutively admitted to an inpatient psychiatric unit for court-ordered assessment completed the High Risk Situations Questionnaire for Young Offenders (HR...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4679(199706)53:4<355::aid-jclp8

    authors: Howell AJ,Reddon JR,Enns RA

    更新日期:1997-06-01 00:00:00

  • Stress inoculation therapy with anxiety and stress disorders of acute psychiatric inpatients.

    abstract::Twenty-six consecutive inpatient psychiatric admissions with severe stress and anxiety disorders were assigned to three treatment groups: stress inoculation therapy; a combination of stress inoculation and medication therapy; and medication therapy. The dependent measures indicate that stress inoculation therapy was s...

    journal_title:Journal of clinical psychology

    pub_type: 临床试验,杂志文章

    doi:10.1002/1097-4679(198611)42:6<864::aid-jclp2270420

    authors: Holcomb WR

    更新日期:1986-11-01 00:00:00

  • Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic.

    abstract::Patterns of symptomatic and functional change associated with behavioral health consultant (BHC) intervention in an integrated family medicine clinic were investigated among 338 primary care patients under routine conditions without exclusion. Patients were referred to the BHC by primary care providers (PCPs) and part...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.20539

    authors: Bryan CJ,Morrow C,Appolonio KK

    更新日期:2009-03-01 00:00:00

  • Emotion regulation difficulties in social anxiety disorder and their specific contributions to anxious responding.

    abstract:OBJECTIVE:Recent theories emphasize the contribution of emotion regulation (ER) difficulties to psychopathology. The present study sought to identify patterns of ER difficulties in social anxiety disorder (SAD) and to test the predictive value of these difficulties for actual anxious responding during the anticipation ...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.22135

    authors: Helbig-Lang S,Rusch S,Lincoln TM

    更新日期:2015-03-01 00:00:00

  • Tavern patrons and the MacAndrew Alcoholism Scale: self-reported drinking behavior in relation to the MMPI L and K scales.

    abstract::This study investigated the ability of the MacAndrew Alcoholism (MAC) Scale to distinguish between alcoholics and nonalcoholics using self-ratings from patrons of taverns (N = 128); while only about 14% of the variance in the MAC Scale was accounted for by the self-rating (alcoholic/nonalcoholic) scale, the MAC Scale ...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(199009)46:5<687::aid-jclp2270460

    authors: Ciancio C,Saltstone R,Fraboni M

    更新日期:1990-09-01 00:00:00

  • The Existential Concerns Questionnaire (ECQ)-Development and Initial Validation of a New Existential Anxiety Scale in a Nonclinical and Clinical Sample.

    abstract:OBJECTIVE:Existential anxiety (EA) is a construct that refers to fears that are provoked by core threats of human existence, such as death, meaninglessness, and fundamental loneliness. The objective of this study was to develop an EA measure that can be used in research and clinical practice. METHOD:The Existential Co...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.22474

    authors: van Bruggen V,Ten Klooster P,Westerhof G,Vos J,de Kleine E,Bohlmeijer E,Glas G

    更新日期:2017-12-01 00:00:00

  • Methodological pluralism: a framework for psychotherapy research.

    abstract::A new level of sophistication is advocated for psychotherapy research--methodological pluralism. This pluralism recognizes the number of unexamined and untested assumptions that are embedded within any method, including traditional scientific methods. These assumptions restrict the questions that can be asked and the ...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4679(199912)55:12<1453::aid-jcl

    authors: Slife BD,Gantt EE

    更新日期:1999-12-01 00:00:00

  • Helping children and adults cope with parental infidelity.

    abstract::This article addresses the impact of discovered marital infidelity on the couple's young children, adolescents, and adult children. It distinguishes between two types of infidelity, affairs and womanizing, and suggests differential treatments for each. Treatment must address the impact of the secrecy, which is always ...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.20193

    authors: Lusterman DD

    更新日期:2005-11-01 00:00:00

  • Clinical assessment of self-injury: a practical guide.

    abstract::In this article, the author provides a practice-friendly guide to the psychological assessment of self-injury, such as self-inflicted cutting, burning, hitting, and excoriation of wounds. The crucial distinction between self-injury and suicide is emphasized. The author presents a structure for the assessment of self-i...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.20413

    authors: Walsh B

    更新日期:2007-11-01 00:00:00

  • Personality deviancy and prison incarceration.

    abstract::This investigation was designed to study personality differences among prison inmates that could be attributed to the number of felony offenses and the length of incarceration. MMPI profiles of 93 inmates of a medium security prison were obtained and analyzed. Special attention was directed to the five MMPI variables ...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(197604)32:2<279::aid-jclp2270320

    authors: Bauer GE,Clark JA

    更新日期:1976-04-01 00:00:00

  • Web-Based Self-Help for Preventing Mental Health Problems in Universities: Comparing Acceptance and Commitment Training to Mental Health Education.

    abstract:OBJECTIVE:This study sought to test the feasibility of a web-based Acceptance and Commitment Training (ACT) prototype prevention program called ACT on College Life (ACT-CL). METHOD:A sample of 234 university students was randomized to either the ACT-CL website or a mental health education (MHE) website. RESULTS:Findi...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/jclp.22254

    authors: Levin ME,Hayes SC,Pistorello J,Seeley JR

    更新日期:2016-03-01 00:00:00

  • A two-year prospective study of psychache and its relationship to suicidality among high-risk undergraduates.

    abstract:OBJECTIVES:Edwin Shneidman's theory of suicide was tested by examining the relationships of depression, hopelessness, and psychache with suicide ideation, longitudinally. DESIGN:Forty-one high-risk students who were suicide ideators completed questionnaires measuring depression, hopelessness, psychache, and suicide id...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.21869

    authors: Troister T,Holden RR

    更新日期:2012-09-01 00:00:00

  • The prevalence of borderline personality symptomatology among women with eating disorders.

    abstract::This study assessed the prevalence of borderline personality symptomatology among women with eating disorders. The Diagnostic Interview for Borderlines, Millon Clinical Multiaxial Inventory, and Borderline Syndrome Index were administered to 28 women in a hospital-based eating disorders program. Results revealed that ...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198907)45:4<603::aid-jclp2270450

    authors: Sansone RA,Fine MA,Seuferer S,Bovenzi J

    更新日期:1989-07-01 00:00:00

  • A longitudinal study of emotional experience, expressivity, and psychopathology in psychotherapy inpatients and psychologically healthy persons.

    abstract::The authors investigated changes of emotional experience and expressivity in 34 inpatients undergoing psychodynamic therapy and in 29 healthy persons who were assessed at parallel time intervals. Participants completed 2 measures of psychopathology (Symptom Checklist-90 Revised and Inventory of Interpersonal Problems-...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.20704

    authors: Leising D,Grande T,Faber R

    更新日期:2010-10-01 00:00:00

  • A combined factor analysis of the Millon Clinical Multiaxial Inventory and the MMPI in an offender population.

    abstract::The Millon Clinical Multiaxial Inventory (MCMI) is a recently introduced instrument designed to measure both symptomatology and long-standing patterns of personality disorder in clinical populations. Because it is designed to assess clients who are similar to those with whom the MMPI is often used (e.g., adjudicated o...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(199001)46:1<89::aid-jclp22704601

    authors: Ownby RL,Wallbrown FH,Carmin CN,Barnett RW

    更新日期:1990-01-01 00:00:00

  • Perceptual rotations on children's Rorschachs.

    abstract::Perceptual rotations are responses in which the percept is upside-down or sideways from the usual position. In a population of 79 children, ages 3 to 15, 75% male, referred to the school psychologist for personality assessment for emotional, behavior, or learning problems; 1 in 9 Rorschach protocols contained at least...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198909)45:5<809::aid-jclp2270450

    authors: O'Neill AM

    更新日期:1989-09-01 00:00:00

  • The addiction of overeating: self-help groups as treatment models.

    abstract::This article defines eating disorders and compares it to other addictions, gives a brief etiology, and presents two treatment models: Overeaters Anonymous and Weight Watchers International. The same personality factors that place individuals at risk for substance abuse are often found in individuals with eating disord...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4679(199802)54:2<163::aid-jclp5

    authors: Weiner S

    更新日期:1998-02-01 00:00:00

  • The Disruptive Behavior Scale: an objective assessment of unmanageable social behavior in adolescents.

    abstract::The Disruptive Behavior Scale, a 26-item behavioral checklist, provides an objective measure of socially unacceptable public secondary school behavior and may prove to be of value in determining public school exit and reentry plans for disruptive adolescents. The checklist may be completed in 15-25 minutes and does no...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(197804)34:2<426::aid-jclp2270340

    authors: Mendelsohn M,Erdwins C

    更新日期:1978-04-01 00:00:00

  • Thought Field Therapy-soothing the bad moments of Kosovo.

    abstract::Trauma in Kosovo was treated with Thought Field Therapy (TFT) during five separate trips by members of the Global Institute of Thought Field Therapy, in the year 2000. Clinicians from Sweden, the United Kingdom, and the United States were joined in Kosovo by four physicians who transported them to remote war-torn vill...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.1090

    authors: Johnson C,Shala M,Sejdijaj X,Odell R,Dabishevci K

    更新日期:2001-10-01 00:00:00