Ruptures, repairs, and reflections: contributions of Jeremy D. Safran
Jeremy D. Safran’s contributions to our understanding of the complexities of the therapeutic relationship, and its role in the process of patient change in psychotherapy, have been profound. In this paper, we briefly summarize the evolution of his thinking about the alliance and highlight how his am...
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Format: | Article |
Language: | English |
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PAGEPress Publications
2019-04-01
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Series: | Research in Psychotherapy |
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Online Access: | https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/376 |
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author | Lisa Wallner Samstag J. Christopher Muran |
author_facet | Lisa Wallner Samstag J. Christopher Muran |
author_sort | Lisa Wallner Samstag |
collection | DOAJ |
description | Jeremy D. Safran’s contributions to our understanding of the complexities of the therapeutic relationship, and its role in the process of patient change in psychotherapy, have been profound. In this paper, we briefly summarize the evolution of his thinking about the alliance and highlight how his ambivalence about this construct contributed to his seminal work delineating rupture resolution models, defined as negotiated intersubjective processes between patient and therapist that are the very essence of the therapeutic process for some patients. Responding to strains in the alliance throughout the rupture resolution process is critical and is an aspect of the treatment model that trainees find most challenging. A clinical example is included to illustrate how Jeremy’s attempts at metacommunicating about his experience with a frustrated patient initiated a productive shift in the process that also contributed to additional ruptures, requiring a simultaneous focus on the strained alliance. |
first_indexed | 2024-12-11T12:07:24Z |
format | Article |
id | doaj.art-d5eaf359c3f242b5a0aed29603e6da9f |
institution | Directory Open Access Journal |
issn | 2499-7552 2239-8031 |
language | English |
last_indexed | 2024-12-11T12:07:24Z |
publishDate | 2019-04-01 |
publisher | PAGEPress Publications |
record_format | Article |
series | Research in Psychotherapy |
spelling | doaj.art-d5eaf359c3f242b5a0aed29603e6da9f2022-12-22T01:07:54ZengPAGEPress PublicationsResearch in Psychotherapy2499-75522239-80312019-04-0122110.4081/ripppo.2019.376Ruptures, repairs, and reflections: contributions of Jeremy D. SafranLisa Wallner Samstag0J. Christopher Muran1Department of Psychology, Long Island University, Brooklyn, New York, NYGordon F. Derner School of Psychology, Adelphi University, Garden City; Mount Sinai Beth Israel Psychotherapy Research Program, Mount Sinai School of Medicine, New York, NYJeremy D. Safran’s contributions to our understanding of the complexities of the therapeutic relationship, and its role in the process of patient change in psychotherapy, have been profound. In this paper, we briefly summarize the evolution of his thinking about the alliance and highlight how his ambivalence about this construct contributed to his seminal work delineating rupture resolution models, defined as negotiated intersubjective processes between patient and therapist that are the very essence of the therapeutic process for some patients. Responding to strains in the alliance throughout the rupture resolution process is critical and is an aspect of the treatment model that trainees find most challenging. A clinical example is included to illustrate how Jeremy’s attempts at metacommunicating about his experience with a frustrated patient initiated a productive shift in the process that also contributed to additional ruptures, requiring a simultaneous focus on the strained alliance.https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/376AllianceAlliance rupturesMetacommunication |
spellingShingle | Lisa Wallner Samstag J. Christopher Muran Ruptures, repairs, and reflections: contributions of Jeremy D. Safran Research in Psychotherapy Alliance Alliance ruptures Metacommunication |
title | Ruptures, repairs, and reflections: contributions of Jeremy D. Safran |
title_full | Ruptures, repairs, and reflections: contributions of Jeremy D. Safran |
title_fullStr | Ruptures, repairs, and reflections: contributions of Jeremy D. Safran |
title_full_unstemmed | Ruptures, repairs, and reflections: contributions of Jeremy D. Safran |
title_short | Ruptures, repairs, and reflections: contributions of Jeremy D. Safran |
title_sort | ruptures repairs and reflections contributions of jeremy d safran |
topic | Alliance Alliance ruptures Metacommunication |
url | https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/376 |
work_keys_str_mv | AT lisawallnersamstag rupturesrepairsandreflectionscontributionsofjeremydsafran AT jchristophermuran rupturesrepairsandreflectionscontributionsofjeremydsafran |