Alliance evolutions over the course of short-term dynamic psychotherapy: A case study

Details

Ressource 1Download: 10.1080-14733145.2011.546160.pdf (412.20 [Ko])
State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_0A4E8A5D0D96
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Alliance evolutions over the course of short-term dynamic psychotherapy: A case study
Journal
Counselling and Psychotherapy Research
Author(s)
Michel Luc, Kramer Ueli, De Roten Yves
ISSN
1473-3145
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
11
Number
1
Pages
43-54
Language
english
Abstract
Background: Alliance evolutions, i.e. ruptures and resolutions over the course of psychotherapy, have been shown to be important descriptive features in different forms of psychotherapy, and in particular in psychodynamic psychotherapy. This case study of a client presenting elements of adjustment disorder undergoing short-term dynamic psychotherapy is drawn from a systematic naturalistic study and aims at illustrating, on a session-by-session-level, the processes of alliance ruptures and resolutions, by comparing both the client's and the therapist's perspectives. Method: Two episodes of alliance evolution were more fully studied, in relation to the evolution of transference, as well as the client's defensive functioning and core conflictual theme. These concepts were measured by means of valid, reliable observer-rater methods, based on session transcripts: the Defense Mechanisms Rating Scales (DMRS) for defensive functioning and the Core Conflictual Relationship Theme (CCRT) for the conflicts. Alliance was measured after each session using the Helping Alliance questionnaire (HAq-II). Results: The results indicated that these episodes of alliance rupture and resolutions may be understood as key moments of the whole therapeutic process reflecting the client's main relationship stakes. Illustrations are provided based on the client's in-session processes and related to the alliance development over the course of the entire therapy.
Keywords
case study , alliance , transference , defence mechanisms , psychodynamic psychotherapy
Open Access
Yes
Create date
20/04/2012 14:07
Last modification date
20/08/2019 12:32
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