Nonverbal synchrony as a marker of alliance ruptures.

Keren Deres-Cohen; Tohar Dolev-Amit; Galit Peysachov; Fabian T. Ramseyer; Sigal Zilcha-Mano

doi:10.1037/pst0000384

Nonverbal synchrony as a marker of alliance ruptures.

Psychotherapy ◽

10.1037/pst0000384 ◽

2021 ◽

Vol 58 (4) ◽

pp. 499-509

Author(s):

Keren Deres-Cohen ◽

Tohar Dolev-Amit ◽

Galit Peysachov ◽

Fabian T. Ramseyer ◽

Sigal Zilcha-Mano

Keyword(s):

Alliance Ruptures ◽

Nonverbal Synchrony

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Supplemental Material for Nonverbal Synchrony as a Marker of Alliance Ruptures

Psychotherapy ◽

10.1037/pst0000384.supp ◽

2021 ◽

Keyword(s):

Alliance Ruptures ◽

Nonverbal Synchrony

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Session-to-session effects of alliance ruptures in outpatient CBT: Within- and between-patient associations.

Journal of Consulting and Clinical Psychology ◽

10.1037/ccp0000286 ◽

2018 ◽

Vol 86 (4) ◽

pp. 354-366 ◽

Cited By ~ 4

Author(s):

Julian A. Rubel ◽

Sigal Zilcha-Mano ◽

Viola Feils-Klaus ◽

Wolfgang Lutz

Keyword(s):

Alliance Ruptures

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Patterns of early change in interpersonal problems and their relationship to nonverbal synchrony and multidimensional outcome.

Journal of Counseling Psychology ◽

10.1037/cou0000376 ◽

2020 ◽

Vol 67 (4) ◽

pp. 449-461 ◽

Cited By ~ 2

Author(s):

Wolfgang Lutz ◽

Jessica N. Prinz ◽

Brian Schwartz ◽

Jane Paulick ◽

Desiree Schoenherr ◽

...

Keyword(s):

Interpersonal Problems ◽

Early Change ◽

Nonverbal Synchrony

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Ambivalence, resistance, and alliance ruptures in psychotherapy: It’s complicated.

Psychoanalytic Psychology ◽

10.1037/pap0000237 ◽

2019 ◽

Vol 36 (2) ◽

pp. 139-147 ◽

Cited By ~ 1

Author(s):

Adelya A. Urmanche ◽

João Tiago Oliveira ◽

Miguel M. Gonçalves ◽

Catherine F. Eubanks ◽

J. Christopher Muran

Keyword(s):

Alliance Ruptures

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Beyond the mask of deference: exploring the relationship between ruptures and transference in a single-case study

Research in Psychotherapy Psychopathology Process and Outcome ◽

10.4081/ripppo.2016.212 ◽

2016 ◽

Vol 19 (2) ◽

Cited By ~ 2

Author(s):

Francesca Locati ◽

Pietro De Carli ◽

Emanuele Tarasconi ◽

Margherita Lang ◽

Laura Parolin

Keyword(s):

Sequential Analysis ◽

Rating Scales ◽

Rating Scale ◽

Defense Mechanism ◽

Single Case ◽

Assessment Procedure ◽

Single Case Study ◽

Alliance Ruptures ◽

The Relationship

The relationship between transference and therapeutic alliance has been long discussed. It is only recently, however, that empirical evidence has provided support for a tight correspondence between several transference dimensions and rupture and resolution processes. In the present single-case study, we used alliance ruptures as a key dimension to understand patientâ€™s transference dynamics. This was achieved in a particular form of patientâ€™s behavior, i.e., patientâ€™s deference and acquiescent behavior, which describes a significant submission to assertions, skills, judgments and point of views of another person. Therapeutic process was measured by means of the Rupture Resolution Rating Scale, the Core Conflictual Relationship Theme and the Defense Mechanism Rating Scales, whereas therapeutic outcome was measured by means of the Shedler-Westen Assessment Procedure-200. Results of sequential analysis yielded a significant correspondence between rupture markers, characterized by avoidance and shifting of sessionâ€™s topic, and patientâ€™s narrations. Furthermore, a systematic correspondence between alliance ruptures and patientâ€™s avoidant functioning, which emerged both in transference relationship and in the quality of the defense structure, was found. Together, these findings indicate that patientâ€™s deference inhibits the expression of relational themes, with ruptures in alliance that seem to be supported by a strong defensive structure. In particular, patientâ€™s avoidance played a double role in the treatment. On the one hand, avoidance was the main characteristic of her transference structure, based on extreme intellectualization and emotional closure. On the other hand, it contributed to create an impasse in the treatment, based on a withdrawal ruptures model and on obsessive level defences.

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