Alliance rupture-repair processes in intensive short-term dynamic psychotherapy: Working with resistance

Allan A. Abbass, Joel M. Town

Résultat de recherche: Articleexamen par les pairs

7 Citations (Scopus)

Résumé

Intensive short-term dynamic psychotherapy (ISTDP) was developed to manage treatment impasses preventing the experiencing of feelings related to childhood attachment interruptions, such as parental loss. According to ISTDP theory, certain categories of patients will exhibit habitual patterns of responding within the treatment relationship (called defenses) to certain anxiety-provoking thoughts and feelings. Such defensive behaviors interrupt awareness of one's own feelings, self-directed compassion and engagement in close human attachments, including the bond with the therapist. Rupture-repair sequences in ISTDP are primarily considered in the context of a patient's defenses and the responses a therapist has to these defenses. By understanding and clarifying these defenses, this risk of subsequent misalliance, that is negative shifts or ruptures in the alliance, are minimized. In this paper we summarize ISTDP theory and technique through the use of clinical vignettes to illustrate defense management as a rupture-repair equivalent in ISTDP.

Langue d'origineEnglish
Pages (de-à)398-413
Nombre de pages16
JournalJournal of Clinical Psychology
Volume77
Numéro de publication2
DOI
Statut de publicationPublished - févr. 2021

Note bibliographique

Publisher Copyright:
© 2021 Wiley Periodicals LLC

ASJC Scopus Subject Areas

  • Clinical Psychology
  • Arts and Humanities (miscellaneous)

PubMed: MeSH publication types

  • Case Reports
  • Journal Article

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