Evidence map›Paper›PMID 33909341›Full record

ArticleClinical psychology & psychotherapy2022

Operationalizing alliance rupture-repair events using control chart methods.

Lauren M Lipner, J Christopher Muran, Catherine F Eubanks, Bernard S Gorman, Arnold Winston

Registry-linked trialAbstract read
In one paragraph

Article in Clinical psychology & psychotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06356961 (Routine Outcome Monitoring and Feedback Informed Therapy in Italy), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06356961 narecruitingnot on this mapstarted 2025, after this paper: background citation

Routine Outcome Monitoring and Feedback Informed Therapy in Italy: 1st Italian RCT Large Population Study (PRIN - Italian Minister of Universities and Research Project)

TypeinterventionalSponsorUniversity of BergamoRan2025 to 2025Enrolled180ConditionsFeedback, PsychologicalArms(Feedback Informed Therapy) with Clinical Support Tools and ah hoc training, Feedback and ROM (basic)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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 · 2023
    Article
  4. Confessions of a New York rupture researcher: An insider's guide and critique.Psychotherapy research : journal of the Society for Psychotherapy Research · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lauren M LipnerBrief Psychotherapy Research Program, Mount Sinai Beth Israel, New York, New York, USA.ORCID https://orcid.org/0000-0003-3894-7892
J Christopher MuranBrief Psychotherapy Research Program, Mount Sinai Beth Israel, New York, New York, USA.
Catherine F EubanksBrief Psychotherapy Research Program, Mount Sinai Beth Israel, New York, New York, USA.
Bernard S GormanDerner School of Psychology, Adelphi University, Garden City, New York, USA.
Arnold WinstonDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Funding

Resolving Ruptures in Therapeutic AllianceR34MH071768 · NIMH · BETH ISRAEL MEDICAL CTR (NEW YORK) · PI MURAN, JOHN CHRISTOPHER · 2006 to 2008
$681k
NIMH NIH HHS MH071768NIMH NIH HHS R34 MH071768
6 · The paper itself

Abstract

This study aimed to determine how control charts-a form of time-series line graphs-can be implemented in psychotherapy research to indirectly identify probable rupture-repair episodes that are associated with psychotherapy outcome. There is no current standard in psychotherapy research with regard to how to use control charts to identify rupture-repair events. Control charts were generated for each patient (N = 73) using patient-rated Working Alliance Inventory (WAI) scores obtained at the end of every session in a 30-session therapy protocol of either brief relational therapy (BRT) or cognitive behavioural therapy (CBT). Empirically derived cut-off points were used to identify rupture and repair based on each dyad's control chart. Coded rupture-repair episodes were correlated with outcome measures to assess for their relationships. The results of these analyses provide preliminary support for the utility of control charts in psychotherapy research for the indirect identification of probable rupture repair events that are associated with psychotherapy outcome.

Indexed as

Cognitive Behavioral TherapyTherapeutic AllianceHumansOutcome Assessment, Health CareProfessional-Patient RelationsPsychotherapyallianceoutcome & methodsprocessrupture

Identifiers

PMID33909341
PMCPMC11240222

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.