ArticleResearch in psychotherapy (Milano)2019
Ruptures, repairs, and reflections: contributions of Jeremy Safran.
Article in Research in psychotherapy (Milano), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 7 citations in OpenAlex.
- Therapeutic alliance in guided internet-delivered cognitive behavioural therapy: a thematic analysis of patients with non-cardiac chest pain.BMC psychology · 2026Trial
- The legacy of Jeremy Safran.Research in psychotherapy (Milano) · 2019Article
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2 authors at 2 institutions in 1 country.
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Abstract
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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