Ruptures in the therapeutic alliance are common. If left unresolved, they can lead patients to drop out, among other poor outcomes.   Repairing therapeutic ruptures is an important process that is relevant for practitioners of all theoretical orientations.   This volume collects the work of 12 teams of scholars and clinicians, each of whom is expert in a different therapeutic context or theoretical approach, to describe clinical challenges in resolving common therapeutic ruptures.   The authors use case studies to describe realistic, complex clinical examples of rupture and provide strategies and principles therapists can use to help navigate these challenges more successfully with their patients.   As therapists and patients work together their alliance can come under strain, sometimes because of disagreements over therapeutic goals, and sometimes due to a lack of trust and respect. These moments of stress where the relationship has ruptured are challenges, but also opportunities for growth.  

This book draws on performance research from the cognitive and emotion sciences to help therapists negotiate the difficult emotional challenges they face in psychotherapy.   Therapists perform under pressure regularly, especially when encountering patients who evoke challenging emotions that mark ruptures in the patient–therapist alliance. Authors Chris Muran and Catherine Eubanks synthesize decades of accumulated clinical knowledge and experience to provide psychotherapists, supervisors, and trainees with effective strategies for recognizing and repairing ruptures. In doing so, they demonstrate how therapists from diverse theoretical orientations can transform ruptures from potential breaking points into opportunities for strengthening alliances with patients and improving outcomes.   Clinical illustrations show therapists how to negotiate basic and self‑conscious emotions and navigate individual and cultural differences. This book also reviews strategies and principles for therapist self-care and training via supervision to help therapists better regulate their emotions and become good models for their patients. This book also includes the complete Rupture Resolution Rating System (or 3RS) manual, a popular assessment tool for measuring alliance ruptures and repair strategies.

The 2-volume APA Handbook of Psychotherapy comprehensively presents the field based on the primary ways in which professionals practice psychotherapy and affect such practice through theory, research, and training.  50 authoritative chapters capture the most representative ways in which psychotherapists characterize the driving forces behind their foundational therapeutic approaches. Therapists may: Administer psychotherapy according to a specific theoretical orientation, applying this model across most patients and contexts. Use a specific, "named" therapy to primarily treat patients suffering from a particular disorder. Draw on research evidence to administer psychotherapy in a way that can include, but also transcend, specific theoretical. orientations and disorder-specific interventions. Generate data and draw on varied forms of research psychotherapy in a participant-driven and contextually responsive manner. These chapters represent the latest thinking and evidence on the most relevant topics across the "big four" psychotherapy domains of theory, research, practice, and training. All four parts are written for researchers, practitioners, scholars, and trainers, with the major difference among the sections being their emphasis on, and order of, discussing the "big four" elements.