Abstract

RIBEIRO, Eugénia; COUTINHO, Joana; SOUSA, Zita  and  MACHADO, Catarina. Psychotherapeutic alliance ruptures and verbal expression of client's needs: a case study. Rev. bras. ter. comport. cogn. [online]. 2011, vol.13, n.1, pp. 71-86. ISSN 1517-5545.

We present a case study whose main goal was to explore the relationship between therapeutic alliance's ruptures and the client's verbal expression of needs in psychotherapy. We intensively analyzed an unsuccessful case of a client with Panic Disorder with Agoraphobia. The sessions were analyzed using the Ruptures Resolution Rating System (3R's) and the Sistema de Observação de Responsividade Terapêutica . The results indicate that an increase in the Verbal Expression of Needs (EVN) is associated with a decrease of the ruptures three and four sessions later and that an increase in ruptures is associated with an increase of EVN four sessions later. There was a more clear association between the confrontation ruptures, particularly the expression of dissatisfaction about therapeutic activities, and a specific type of EVN:the client's expression of direct requests related to therapy

Keywords : ruptures in therapeutic alliance; verbal expression of needs; case study.

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