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Acceptance and commitment therapy and the therapeutic relationship: Rupture and repair
Journal of Clinical Psychology ( IF 2.5 ) Pub Date : 2021-01-28 , DOI: 10.1002/jclp.23114
Robyn D Walser 1, 2, 3 , Manuela O'Connell 4
Affiliation  

The therapeutic relationship is an essential part of effective therapy. Therapists facing a rupture in this alliance are challenged to mend the discord in a forward moving and effective treatment service. In acceptance and commitment therapy (ACT) the alliance is characterized by client and therapist working together, using the core processes of ACT, creating a vital and moment‐by‐moment collaborative experience. As a transdiagnostic, behavioral intervention, acceptance, and mindfulness processes and commitment and behavioral change processes are used to create meaningful and engaged lives. ACT's core methods promote psychological flexibility in response to problems in living, psychopathology, and enhancement of general well‐being. However, flexibility in session can be lost to therapeutic ruptures. In ACT, processes such as defusion, perspective‐taking, choice, and values play a role in restoring a cooperative, engaged alliance repair. We will explore the therapeutic relationship within the ACT model and present its perspective on rupture and repair in psychotherapy.

中文翻译:

接受与承诺疗法与治疗关系:破裂与修复

治疗关系是有效治疗的重要组成部分。在这个联盟中面临破裂的治疗师面临着在向前推进和有效的治疗服务中修补不和谐的挑战。在接受和承诺疗法 (ACT) 中,该联盟的特点是来访者和治疗师一起工作,使用 ACT 的核心流程,创造一种重要的、每时每刻的协作体验。作为一种跨诊断,行为干预、接受和正念过程以及承诺和行为改变过程被用来创造有意义和参与的生活。ACT 的核心方法促进心理灵活性,以应对生活、精神病理学和提高总体幸福感方面的问题。然而,治疗性破裂可能会失去会话的灵活性。在ACT中,诸如defusion之类的过程,观点采择、选择和价值观在恢复合作、参与的联盟修复中发挥作用。我们将探索 ACT 模型中的治疗关系,并展示其对心理治疗中的破裂和修复的看法。
更新日期:2021-02-07
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