Emotional and interpersonal instability are core features of borderline personality disorder (BPD) and can pose a challenge for the therapeutic relationship. In dialectical behavior therapy (DBT) for BPD, ruptures in the therapeutic alliance are considered through a behavioral lens that examines the client's relational learning history, the function and context of the rupture, as well as the patterns of emotional processing difficulties that underlie interpersonal conflict. In this article, we use the case of Rachel to illustrate how alliance‐focused approach can be integrated with DBT case formulation to enhance treatment planning and the successful negotiation of alliance ruptures.

中文翻译：

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辩证行为治疗早期的联盟破裂与修复：以雷切尔为例

情绪和人际关系不稳定是边缘型人格障碍 (BPD) 的核心特征，可能对治疗关系构成挑战。在 BPD 的辩证行为疗法 (DBT) 中，治疗联盟的破裂是通过行为视角来考虑的，该视角检查来访者的关系学习历史、破裂的功能和背景，以及导致人际冲突的情绪处理困难的模式. 在本文中，我们使用 Rachel 的案例来说明如何将联盟重点方法与 DBT 案例制定相结合，以加强治疗计划和联盟破裂的成功谈判。