Rupture Resolution Rating System (3RS): Development and validation

Objective: Our aim was to examine the reliability and validity of the Rupture Resolution Rating System (3RS), an observer-based measure of alliance ruptures and resolution processes. Method: We used the 3RS to rate early sessions from 42 cases of cognitive behavior therapy. We compared the 3RS to a...

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Vydáno v:	Psychotherapy research Ročník 29; číslo 3; s. 306 - 319
Hlavní autoři:	Eubanks, Catherine F., Lubitz, Jessica, Muran, J. Christopher, Safran, Jeremy D.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	England Routledge 04.05.2019 Taylor & Francis Ltd
Témata:	Adult Aged aliança terapêutica alleanza terapeutica Alliances Behavior modification Cognition & reasoning Cognitive behavioral therapy Cognitive Behavioral Therapy - methods Cognitive-behavioral factors Conflict Convergent validity Dropping out esito della psicoterapia Female Humans Interrater reliability Male Medical treatment Mental Disorders - therapy Middle Aged Outcome Assessment, Health Care - methods Outcome Assessment, Health Care - standards Patients pesquisa de processo Predictive validity Process Assessment, Health Care - methods Process Assessment, Health Care - standards process research Psychometrics - methods Psychometrics - standards Psychotherapy psychotherapy outcome Ratings & rankings Reliability Reproducibility of Results resultado psicoterapêutico ricerca sul processo rotture rupturas ruptures Self report Social behavior Social factors Structural analysis Therapeutic Alliance Therapeutic alliances Therapist patient relationships Therapists Therapy Validity Variables Young Adult 心理治療結果斷裂歷程研究治療同盟 therapeutic alliance process research ruptures psychotherapy outcome
ISSN:	1050-3307, 1468-4381, 1468-4381
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Shrnutí:	Objective: Our aim was to examine the reliability and validity of the Rupture Resolution Rating System (3RS), an observer-based measure of alliance ruptures and resolution processes. Method: We used the 3RS to rate early sessions from 42 cases of cognitive behavior therapy. We compared the 3RS to a simplified version of the Structural Analysis of Social Behavior (SASB), as well as patient and therapist self-reports of ruptures and the alliance. Results: Coders achieved high rates of interrater reliability on the frequency of confrontation and withdrawal ruptures and resolution strategies (ICCs = .85 to .98), as well as ratings of the therapist's contribution to ruptures and the extent to which ruptures were resolved (ICC = .92). Predictive validity analyses found that confrontation markers (d = .74), successful resolution (d = .67), and ratings of the therapist's contribution to ruptures (d = .61) predicted dropout from therapy. Analyses of convergent validity with the SASB failed to meet predictions; however, we observed theoretically coherent relations between 3RS and SASB variables. Confrontation rupture markers were significantly associated with patient self-report of rupture (d = 1.54) and therapist self-reported alliance (r = −.50, p = .002). Conclusions: This study provides evidence that the 3RS is a reliable and useful tool for examining psychotherapy process and predicting dropout. Clinical or methodological significance of this article: This study provides evidence of the reliability and validity of the 3RS, an observer-based measure of alliance ruptures and resolution processes. The 3RS can be used to identify problems in the therapeutic relationship that are associated with premature dropout from therapy.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 ObjectType-Undefined-3
ISSN:	1050-3307 1468-4381 1468-4381
DOI:	10.1080/10503307.2018.1552034