Ruptures in the therapeutic alliance are common clinical experiences. If left unresolved, they often lead patients to drop out and to other poor outcomes. As a therapist and patient work together, their alliance can come under strain, often because of disagreements in how to work together and toward what goals or due to a lack of trust and respect. These moments of stress, where the relationship has ruptured, are challenges but also opportunities for growth. Repairing these ruptures is an important change process that is relevant for all therapies. This volume collects the work of 12 teams of scholars and clinicians, each expert in a different therapeutic context or theoretical approach, to describe clinical challenges that resonate with readers' own experiences. The authors use case studies to describe realistic, complex clinical examples of rupture and provide strategies and principles therapists can readily integrate into their work to help them navigate these challenges more successfully with their patients.
Catherine F. Eubanks, PhD is Associate Professor of Psychology at Yeshiva University. Dr. Eubanks received her PhD in clinical psychology from Stony Brook University and completed a postdoctoral fellowship at the Beth Israel Psychotherapy Research Program, where she serves as associate director and collaborates on research on the therapeutic alliance. Dr. Eubanks's research interest is the psychotherapy process and outcome, particularly with patients with personality disorder diagnoses. The goals of her research program are to identify therapist skills and characteristics that are linked to effectiveness across various theoretical orientations and to explore how therapists' skills can be enhanced through training. Lisa Wallner Samstag, PhD is Professor in the Clinical Psychology Doctoral Program at Long Island University and has been a faculty member in the Department of Psychology since 1999. Dr. Samstag is author and co-author of numerous psychotherapy research studies and papers, with a particular focus on the development of the therapeutic relationship, including identifying ruptures in the working alliance and other factors that contribute to poor outcome and premature termination. She is the Research Director and a Clinical Supervisor in the Psychological Services Center at the Brooklyn Campus of LIU and serves as Associate Editor/Book Review Editor of the journal Psychotherapy. Dr. Samstag's specialties include psychotherapy research, clinical research, and developmental research. J. Christopher Muran, PhD is Associate Dean and Professor at the Gordon F. Derner School of Psychology at Adelphi University, where he serves as training director for the doctoral program in clinical psychology. Dr. Muran is also Principal Investigator and Director of the Brief Psychotherapy Research Program at Mount Sinai Beth Israel, which has been supported by grants from the National Institute of Mental Health. Dr. Muran has published extensively on changes in the self and the therapeutic relationship and has presented on the national and international stage. He is a fellow of the American Psychological Association, former editor of the international journal Psychotherapy Research, and past president of the Society for Psychotherapy Research.
