Safran and Muran's classic theoretical framework of alliance rupture and repair suggests effective techniques for repairing alliance ruptures. Accumulating empirical evidence suggests that successful processes of rupture and repair result in better therapeutic outcome and reduced dropout rates. Although ruptures in the alliance in child psychotherapy are frequent, little is known about how to repair them. The present paper proposes a model for identifying and repairing ruptures in child psychotherapy based on Safran and Muran. It consists of four phases: I) identifying the rupture and understanding its underlying communication message, ii) indicating the presence of the rupture, iii) accepting responsibility over the therapists' part in the rupture and emphasizing the children's active role as communicators of their distress, and iv) resolving the rupture using change strategies and meta-communication by constructing a narrative story. The theoretical rationale of each phase is explained in detail, and practical clinical guidelines are provided. Empirical studies are needed to examine the effectiveness of the proposed framework.
|Number of pages||13|
|Journal||Research in Psychotherapy: Psychopathology, Process and Outcome|
|State||Published - 2019|
Bibliographical noteFunding Information:
Funding: the writing of this paper was supported by the Israel Science Foundation (ISF).
©Copyright A. Nof et al., 2019.
- Alliance ruptures and repairs
- Child psychotherapy
- Negotiation of alliance rupture
- Therapeutic alliance
ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health