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Alliance rupture and repair in conjoint family therapy: an exploratory study.

机译:联合家庭疗法中的联盟破裂和修复:一项探索性研究。

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In this article, we introduce a methodology for studying alliance rupture and repair in conjoint family therapy. Using the System for Observing Family Therapy Alliances (Friedlander, Escudero, & Heatherington, 2006), we identified rupture markers and repair interventions in a session with a single mother and her 16-year-old "rebellious" daughter. The session was selected for analysis because a severe rupture was clinically evident; however, by the end of the session, there was an emotional turnaround, which was sustained in the following session and continued until the successful, mutually agreed upon termination. The first rupture occurred when the psychotherapist suggested that the mother explore, in an individual session, how her "personal stress" may be affecting her daughter. The observational analysis showed repeated rupture markers, that is, confrontation and withdrawal behavior, hostile within-family interactions, and a seriously "split" alliance in family members' expressed feelings toward the psychotherapist. The time-stamped behavioral stream showed that the psychotherapist focused first on safety, then on enhancing his emotional connection with each client, and finally on helping mother and daughter understand each other's behavior and recognize their shared isolation.
机译:在本文中,我们介绍了一种在联合家庭疗法中研究联盟破裂和修复的方法。使用观察家庭治疗联盟的系统(Friedlander,Escudero和Heatherington,2006年),我们在与单亲母亲和她16岁的“叛逆”女儿的一次会谈中确定了破裂标记和修复干预措施。选择该疗程进行分析是因为临床上有严重破裂的迹象;但是,在本届会议结束时,出现了情绪上的转机,在下届会议中一直持续到直到双方共同商定的成功终止为止。第一次破裂发生在心理治疗师建议母亲在单独的环节中探讨她的“个人压力”如何影响女儿时。观察性分析显示了反复破裂的标志,即对抗和退缩行为,家庭内部的敌对互动,以及家庭成员对心理治疗师表达的感情中严重的“分裂”同盟。带有时间戳记的行为流表明,心理治疗师首先侧重于安全性,然后着重于增强与每个服务对象的情感联系,最后着重于帮助母女理解彼此的行为并认识他们的共同孤立。

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