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Samstag LW, Muran JC. Ruptures, repairs, and reflections: contributions of Jeremy Safran. Res Psychother. 2019;22(1):376doi: 10.4081/ripppo.2019.376.
Samstag, L. W., & Muran, J. C. (2019). Ruptures, repairs, and reflections: contributions of Jeremy Safran. Research in psychotherapy (Milano), 22(1), 376. https://doi.org/10.4081/ripppo.2019.376
Samstag, Lisa Wallner, and Muran, J Christopher. "Ruptures, repairs, and reflections: contributions of Jeremy Safran." Research in psychotherapy (Milano) vol. 22,1 (2019): 376. doi: https://doi.org/10.4081/ripppo.2019.376
Samstag LW, Muran JC. Ruptures, repairs, and reflections: contributions of Jeremy Safran. Res Psychother. 2019 Apr 19;22(1):376. doi: 10.4081/ripppo.2019.376. eCollection 2019 Apr 19. PMID: 32913787; PMCID: PMC7451308.
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Res Psychother. 2019 Apr 19;22(1):376. doi: 10.4081/ripppo.2019.376. eCollection 2019 Apr 19.

Ruptures, repairs, and reflections: contributions of Jeremy Safran.

Research in psychotherapy (Milano)

Lisa Wallner Samstag, J Christopher Muran

Affiliations

  1. Department of Psychology, Long Island University, Brooklyn.
  2. Gordon F. Derner School of Psychology, Adelphi University, Garden City.
  3. Mount Sinai Beth Israel Psychotherapy Research Program, Mount Sinai School of Medicine, New York, NY, USA.

PMID: 32913787 PMCID: PMC7451308 DOI: 10.4081/ripppo.2019.376

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.

©Copyright L.W. Samstag and J.C. Muran, 2019.

Keywords: Alliance; Alliance ruptures; Metacommunication

Conflict of interest statement

Conflict of interest: the authors declare no potential conflict of interest.

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