In this study, we aimed to examine how moment-to-moment interpersonal behaviors of warmth and dominance in patients and therapists, as well as interpersonal complementarity, are related to withdrawal and confrontation ruptures as sessions unfold. Sixteen psychotherapy sessions from eight independent therapeutic dyads were sampled for the highest level of alliance ruptures from a naturalistic psychotherapy data set featuring evidence-based psychodynamic psychotherapy for patients with interpersonal problems and personality pathology. Interpersonal behaviors, complementarity, and alliance ruptures were generated every 30 s within each session. Subgrouping within group iterative multiple model estimation (S-GIMME) was used to identify an idiographic network structure for each session and examine generalizability at the nomothetic and subgroup levels. Nomothetically, patients' dominance negatively predicted therapists' dominance concurrently, but positively predicted therapists' dominance with a 30-s lag; additionally, therapists' dominance predicted their own concurrent warmth. At the subgroup level, therapists being less dominant than typical predicted more concurrent withdrawal ruptures. Idiographic modeling revealed a high degree of heterogeneity in how interpersonal behaviors are associated with ruptures. More confrontation ruptures concurrently predicted higher dominance complementarity in one subgroup. This study demonstrated the interconnection between patients' and therapists' in-session behaviors as well as the role of therapists' behaviors in momentary rupture development. This study highlights the importance of attuning and responding to individualized, momentary therapeutic contexts in navigating ruptures, and emphasizes the value of idiographic relational network approaches to aid in psychotherapy research and case conceptualization. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

---

心理治疗中的瞬间人际行为、人际互补和联盟破裂之间的具体关系和同义关系。

在这项研究中，我们旨在研究患者和治疗师的瞬间温暖和支配的人际交往行为，以及人际互补性，如何与治疗过程中的退缩和对抗破裂相关。来自 8 个独立治疗对的 16 个心理治疗课程从自然主义心理治疗数据集中抽取了最高水平的联盟破裂样本，该数据集以针对人际问题和人格病理学患者的基于证据的心理动力学心理治疗为特色。在每个会话中每 30 秒产生一次人际行为、互补性和联盟破裂。组迭代多模型估计 (S-GIMME) 内的子组用于识别每个会话的具体网络结构，并检查在 nomothetic 和子组级别的普遍性。理论上，患者的优势同时负面预测治疗师的优势，但正向预测治疗师的优势，滞后 30 秒；此外，治疗师的支配地位预示着他们自己同时的温暖。在亚组层面，治疗师的主导地位不如典型预测的更多并发戒断破裂。个性化模型揭示了人际行为如何与破裂相关联的高度异质性。更多的对抗破裂同时预测了一个亚组中更高的优势互补性。这项研究证明了患者和治疗师在治疗期间的行为之间的相互联系，以及治疗师的行为在瞬间破裂发展中的作用。这项研究强调了适应和应对个性化、导航破裂的瞬时治疗背景，并强调具体关系网络方法在心理治疗研究和案例概念化中的价值。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。