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Ending Relationships01:28

Ending Relationships

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The dissolution of intimate relationships presents complex emotional and psychological challenges, particularly when emotional bonds are strong, the relationship is long-standing, and perceived alternatives are limited. This distress often intensifies in romantic breakups, where the initiator may experience greater turmoil than the rejected partner. Contributing factors include residual attachment, guilt over causing pain, and uncertainty about how to manage the situation. The stress is further...
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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
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The large ribosomal subunit has several important structures essential to translation. These include the peptidyl transferase center (PTC) - which is the site where the peptide bond is formed - and a large, internal, water-filled tube through which the nascent polypeptide moves. This latter structure is called the Peptide Exit Tunnel, and it begins at the PTC and spans the body of the large ribosomal subunit. During translation, as the nascent polypeptide chain is synthesized, it passes through...
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Updated: Mar 6, 2026

The Social Dimension of Stress: Experimental Manipulations of Social Support and Social Identity in the Trier Social Stress Test
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Supportive-expressive interventions in working through treatment termination.

Aviv Nof1, Liat Leibovich1, Sigal Zilcha-Mano1

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Supportive-expressive psychodynamic treatment helps patients address relationship themes. This guide offers strategies for managing termination-related regressions to sustain therapeutic gains.

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Area of Science:

  • Psychology
  • Psychotherapy Research

Background:

  • Supportive-expressive (SE) psychodynamic treatment is empirically supported.
  • It focuses on the Core Conflictual Relationship Theme (CCRT), involving wishes (W), responses from others (RO), and self-responses (RS).

Observation:

  • Effective SE treatment shows significant changes in RO and RS components.
  • Clinical observations indicate patient regression in RS during the termination phase, linked to separation conflicts.

Findings:

  • This article provides guidelines for initiating termination discussions, integrating supportive and expressive techniques.
  • Recommendations address timing, the 'clock-like reminder,' and 'symbolic listening to termination cues' to manage RS regression.

Implications:

  • The study offers practical advice for therapists on handling termination-phase regressions.
  • It suggests future research directions for refining termination frameworks in SE treatment.