ArticlePsychotherapy research : journal of the Society for Psychotherapy Research2019
Rupture Resolution Rating System (3RS): Development and validation.
Article in Psychotherapy research : journal of the Society for Psychotherapy Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Therapeutic alliance in individual adult psychotherapy: a systematic review of conceptualizations and measures for face-to-face- and online-psychotherapy.Frontiers in psychology · 2024Pooled it
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- The effect of alliance-focused training on a cognitive-behavioral therapy for personality disorders.Journal of consulting and clinical psychology · 2018Trial
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- A topological data analysis method for revealing dynamic changes in psychotherapy microprocesses.Frontiers in psychology · 2025Article
- Effects of deliberate practice and structured feedback in psychotherapy training (DeeP): a study protocol of a randomized-control-trial.BMC psychology · 2024Article
- Sexual Orientation Microaggression Rating Scale (SOMRS): Development and association with alliance ruptures.Psychotherapy (Chicago, Ill.) · 2024Article
- The assessment of therapist responsiveness in psychotherapy research: a systematic review.Research in psychotherapy (Milano) · 2024Article
- Responding to Key Process Markers as a Focus of Psychotherapy Training and Practice.Clinical psychology in Europe · 2024Article
- The complexity of interpersonal physiology during rupture and repair episodes in the treatment of borderline personality disorder: a proof-of-concept multimethod single case study of verbal and non-verbal interactional dynamics.Frontiers in psychology · 2024Article
- "You can't really have a relationship with them because they just ask you questions": understanding adolescent dropout - an empirical single case study.Frontiers in psychology · 2024Article
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- V-episodes in the alliance: A single-case application of multiple methods to identify rupture repair.Psychotherapy (Chicago, Ill.) · 2023Article
- Digital twins and the future of precision mental health.Frontiers in psychiatry · 2023Article
- Renegotiating tasks or goals as rupture repair: A task analysis in a cognitive-behavioral therapy for personality disorder.Psychotherapy research : journal of the Society for Psychotherapy Research · 2023Article
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4 authors.
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Abstract
objectiveOur aim was to examine the reliability and validity of the Rupture Resolution Rating System (3RS), an observer-based measure of alliance ruptures and resolution processes.
methodWe used the 3RS to rate early sessions from 42 cases of cognitive behavior therapy. We compared the 3RS to a simplified version of the Structural Analysis of Social Behavior (SASB), as well as patient and therapist self-reports of ruptures and the alliance.
resultsCoders achieved high rates of interrater reliability on the frequency of confrontation and withdrawal ruptures and resolution strategies (ICCs = .85 to .98), as well as ratings of the therapist's contribution to ruptures and the extent to which ruptures were resolved (ICC = .92). Predictive validity analyses found that confrontation markers (d = .74), successful resolution (d = .67), and ratings of the therapist's contribution to ruptures (d = .61) predicted dropout from therapy. Analyses of convergent validity with the SASB failed to meet predictions; however, we observed theoretically coherent relations between 3RS and SASB variables. Confrontation rupture markers were significantly associated with patient self-report of rupture (d = 1.54) and therapist self-reported alliance (r = -.50, p = .002).
conclusionsThis study provides evidence that the 3RS is a reliable and useful tool for examining psychotherapy process and predicting dropout. Clinical or methodological significance of this article: This study provides evidence of the reliability and validity of the 3RS, an observer-based measure of alliance ruptures and resolution processes. The 3RS can be used to identify problems in the therapeutic relationship that are associated with premature dropout from therapy.
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