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Ruptures, repairs, and reflections: contributions of Jeremy Safran
Lisa Wallner Samstag1, J Christopher Muran2,3
1Department of Psychology, Long Island University, Brooklyn.
Jeremy Safran
Area of Science:
- Psychotherapy research
- Clinical psychology
- Psychoanalytic theory
Background:
- The therapeutic alliance is central to psychotherapy.
- Jeremy D. Safran's work significantly advanced understanding of the alliance.
- His ambivalence towards the alliance spurred new models of rupture resolution.
Purpose of the Study:
- To summarize Safran's evolving views on the therapeutic alliance.
- To highlight the link between his ambivalence and rupture resolution models.
- To illustrate the challenges trainees face in managing alliance strains.
Main Methods:
- Literature review of Safran's work on the therapeutic alliance.
- Analysis of rupture resolution models as negotiated intersubjective processes.
- Presentation of a clinical case example demonstrating metacommunicative interventions.
Main Results:
- Safran's ambivalence fostered a deeper understanding of alliance ruptures.
- Rupture resolution involves critical, negotiated intersubjective processes.
- Metacommunicating about alliance strains can facilitate therapeutic shifts but may also create new ruptures.
Conclusions:
- Addressing alliance strains and ruptures is crucial for therapeutic progress.
- Training in managing these complex intersubjective dynamics is essential.
- Safran's work provides a framework for understanding and navigating therapeutic challenges.
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