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Updated: Aug 5, 2026
09:53
Predicting Catalyst Extrudate Breakage Based on the Modulus of Rupture
Published on: May 13, 2018
Collaborative working models of alliance rupture repair: A theory-building case study
Christian Sell1, Jenny L Eis1, Matthias Volz2
1International Psychoanalytic University Berlin, Berlin, Germany.
Summary
Successful psychotherapy relies on a collaborative working model for rupture repair. This model involves a shared framework and intuitive negotiation of emotional intensity between therapist and patient.
Area of Science:
- Psychotherapy Research
- Clinical Psychology
- Psychoanalysis
Background:
- Rupture repair is a critical component of psychotherapy, yet its underlying mechanisms are not fully understood.
- Understanding how therapists and patients navigate ruptures is essential for improving therapeutic outcomes.
Purpose of the Study:
- To examine the dyadic processes involved in successful and unsuccessful rupture repair within psychodynamic psychotherapy.
- To develop a theory explaining the mechanisms of effective rupture repair.
Main Methods:
- An explanatory sequential mixed-method design was employed.
- Observer-rated rupture and repair were analyzed across 81 video-recorded psychotherapy sessions.
- Grounded theory coding, informed by sensitizing concepts, was used to analyze sessions from high- and low-repair phases identified via control charting.
Main Results:
- A core category of a 'collaborative working model of rupture repair' emerged.
- Successful repair phases were characterized by a shared interactional framework and intuitive negotiation of emotional intensity.
- Unsuccessful repair phases coincided with the inability to apply this model, linked to altered transference-countertransference dynamics.
Conclusions:
- Developing and sustaining a collaborative working model is crucial for navigating therapeutic impasses.
- The therapeutic alliance should be understood as an emergent, dyadic process.
- Effective rupture repair enhances the overall success of psychotherapy.
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