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Related Experiment Video

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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood

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Published on: February 11, 2017

Applying the Rupture Resolution Rating System to emotion-focused couple therapy.

Avital Sherlow-Levin¹, Ben Shahar², Rhonda Goldman³

¹Psychology Department, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Journal of Marital and Family Therapy

|June 18, 2024

Summary

Alliance ruptures and their repair are crucial in therapy. This study adapted a system to assess ruptures in couple therapy, finding differences linked to treatment outcomes and partner roles.

Keywords:

alliance alliance rupture couple therapy emotion‐focused therapy

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Area of Science:

Psychology
Couple Therapy
Psychotherapy Research

Background:

Alliance ruptures and repair significantly impact individual therapy outcomes.
Understanding these dynamics in couple therapy is limited due to challenges working with conflicting parties.
A lack of specific instruments hinders research on couple therapy alliance ruptures and repairs.

Purpose of the Study:

To adapt the Rupture Resolution Rating System (3RS) for assessing ruptures and repairs in couple therapy.
To examine ruptures and repairs at both within-system (partner-partner) and between-system (partner-therapist) levels.
To explore the association between rupture-repair dynamics and therapy outcomes for couples experiencing emotional injury.

Main Methods:

Adapted the Rupture Resolution Rating System (3RS) for couple therapy.
Coded therapy sessions from one couple with good outcome and one with poor outcome.
Analyzed rupture-repair events at within-system and between-system levels.

Main Results:

Rupture-repair events were frequent at both within-system and between-system levels.
The couple with a poor outcome exhibited more frequent ruptures with the therapist.
Injured partners reported higher frequencies of ruptures compared to injurer partners.

Conclusions:

The adapted 3RS effectively captures alliance ruptures and repairs in couple therapy.
Therapeutic alliance ruptures, particularly with the therapist, are linked to poorer couple therapy outcomes.
Partner roles (injured vs. injurer) influence rupture frequencies, suggesting differential alliance dynamics.