Decades of work by Jeremy Safran and his colleagues have established that ruptures in the therapeutic alliance are not necessarily obstacles to the treatment, and that the process of repairing these events has the potential to deepen the therapeutic relationship and promote change. The field of alliance rupture research has largely focused on therapists’ role in repairing ruptures or patient characteristics associated with greater rupture frequency, with little research on how the patient contributes to rupture repair. This study examines the predictive relationship between patients’ attachment and the report of the rupture resolution process over the course of treatment. Patients’ attachment was measured with the Patient Attachment Coding System (PACS), which assesses patients’ attachment as different ways of communicating about present internal experience during the session. Alliance ruptures were measured via self-report items on a postsession questionnaire. Results show that secure in-session attachment is associated with higher ratings of rupture repair, according to both patients and therapists, and that the link between secure in-session attachment and repair increased when ruptures were more intense.

中文翻译：

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安全的会话中附件预测破裂解决：协商一个安全的基础。

杰里米·萨夫兰 (Jeremy Safran) 及其同事数十年的工作表明，治疗联盟的破裂不一定是治疗的障碍，修复这些事件的过程有可能加深治疗关系并促进变革。联盟破裂研究领域主要集中在治疗师在修复破裂中的作用或与较大破裂频率相关的患者特征上，很少研究患者如何促进破裂修复。本研究检查了患者依恋与治疗过程中破裂解决过程报告之间的预测关系。使用患者依恋编码系统 (PACS) 测量患者的依恋，它将患者的依恋评估为在会议期间就当前内部体验进行交流的不同方式。联盟破裂是通过会后问卷中的自我报告项目来衡量的。结果表明，根据患者和治疗师的说法，安全的会话中附着与更高的破裂修复评级相关，并且当破裂更严重时，安全会话中附着和修复之间的联系增加。