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Exploring Alliance Rupture Resolution Processes in Psychotherapy with Adolescents

Dwyer Hall, Holly; (2021) Exploring Alliance Rupture Resolution Processes in Psychotherapy with Adolescents. Doctoral thesis (D.Psych), UCL (University College London). Green open access

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Abstract

This thesis adds to a small but growing body of work exploring in session alliance rupture resolution processes with adolescents in psychotherapy using the Rupture Resolution Rating Scale (3RS). The reviewing of the theoretical and empirical literature shows important differences in how alliance rupture resolution processes might be conceptualised and further studied in work with adolescents from that of adult psychotherapy. Further factors specific to adolescence which are thought to impact on alliance development and how alliance rupture resolution processes are identified, will also be explored The findings from the empirical study suggest Withdrawal ruptures to be a common feature in psychotherapy with adolescents with depression, with patient confrontation marker behaviours slightly increasing in the middle and later therapy phases. Therapists respond less to Mixed Ruptures in the middle phases of treatment and use more Immediate resolution strategies such as Redirects and Changes Tasks and Goals in early treatment phases. Expressive/ Exploratory resolution strategies exploring the patient therapist relationship are most likely to be used in middle treatment phases and suggest a higher average degree of resolution, despite higher therapist contribution to ruptures. This exploratory study suggests the adolescent field would benefit from further qualitative study of the function of Withdrawal ruptures in adolescent psychotherapy.

Type: Thesis (Doctoral)
Qualification: D.Psych
Title: Exploring Alliance Rupture Resolution Processes in Psychotherapy with Adolescents
Event: UCL
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2021. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10133177
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