Home > Resolving therapist-client tensions may promote recovery.

Drug and Alcohol Findings. (2018) Resolving therapist-client tensions may promote recovery. London: Drug and Alcohol Findings. Drug and Alcohol Findings Research Analysis 5 p.

PDF (Alliance rupture repair: a meta-analysis)

URL: https://findings.org.uk/PHP/dl.php?file=Eubanks_C_...

Amalgamation of research findings commissioned by the American Psychological Association raises the intriguing possibility that experiencing the resolution of breakdowns or tensions (‘ruptures’) in the therapist–client relationship promotes client welfare even more than relationships with no ruptures. Evidence-based tips are given to help therapists resolve ruptures.

Key points from summary and commentary
• Commissioned by a task force of the American Psychological Association, this review amalgamated findings relating psychotherapy outcomes to tensions in the working relationship between client and therapist (‘alliance ruptures’) and restorations of this relationship (‘repairs’).
• Breakdowns of the therapist–client relationship followed by its restoration were associated fairly strongly with better client outcomes compared to unresolved ruptures or no ruptures. Training therapists to restore ruptures was associated with improved outcomes but not to a statistically significant degree, possible due to the paucity of research.
• Links between rupture-repair episodes and outcomes may or may not be causal. Nevertheless, the safest stance is for therapists to assume they are, and to remain alert to ruptures including subtle withdrawals from the therapeutic process and to seek to resolve them.

Item Type:Evidence resource
Drug Type:Alcohol or other drugs in general
Intervention Type:Psychosocial treatment method
Source:Drug and Alcohol Findings
Date:December 2018
Pages:5 p.
Publisher:Drug and Alcohol Findings
Corporate Creators:Drug and Alcohol Findings
Place of Publication:London
Subjects:HJ Treatment method > Psychosocial treatment method
HJ Treatment method > Counselling
HJ Treatment method > Treatment outcome
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
J Health care, prevention and rehabilitation > Treatment and maintenance > Patient attitude toward treatment
J Health care, prevention and rehabilitation > Treatment and maintenance > Provider / worker / staff attitude toward treatment
T Demographic characteristics > Counsellor / Therapist

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