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Model for Dealing with Ruptures in the Therapeutic Alliance via Session by Session Feedback


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Rational model developed by Chris Laraway for using session-by-session feedback to deal with ruptures in the therapeutic alliance

Published in: Health & Medicine
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Model for Dealing with Ruptures in the Therapeutic Alliance via Session by Session Feedback

  1. 1. SECOND RATIONAL MODEL – 10/5/15 Non-Defensive Stance Non-blaming approach Validating client experience Exploring therapist contributions Establishing andcommunicating partnership Therapist Internal Work Reflection within session Reflection outside session Feedbackhighlightingblindspots Noticing traps/barriers Responsiveness Sensitivity to Feedback Sensitivity to small changes Drawing Creating a Culture of Feedback Importance at outset Providing rationale Creating safe environment Conveying openness Tailoring to client Triangulation Internal experience of session Outcome Statistical analyses Client experience Other sources of information (AST) Deciding to Pursue or Not Evaluating potential negative impact Deciding to raise with client Checking out with client Enabling/Empowering Negative Feedback Questioning 100% positive feedback Soliciting negative feedback Respondingpositivelyto negative feedback Clarification/Elaboration Exploration of experience Enquiring about emotions Linking to specifics Assessing area of difficulty Tolerating discomfort Task/Goals Validating client experience Re-visiting rationale Clarifying contradictions Re-negotiating Bond Noticing and commenting on process Client elaboration Client testing interpersonal hypotheses Successfully Failing Planned ending Not hindering further therapy Exploring options Re-Engagement