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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Main Authors: Lisa Wallner Samstag, J. Christopher Muran
Format: Article
Language:English
Published: PAGEPress Publications 2019-04-01
Series:Research in Psychotherapy
Subjects:
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.
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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
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