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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Bibliographic Details
Published in:Psychotherapy research Vol. 29; no. 3; pp. 306 - 319
Main Authors: Eubanks, Catherine F., Lubitz, Jessica, Muran, J. Christopher, Safran, Jeremy D.
Format: Journal Article
Language:English
Published: England Routledge 04.05.2019
Taylor & Francis Ltd
Subjects:
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
Online Access:Get full text
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Summary: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.
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ISSN:1050-3307
1468-4381
1468-4381
DOI:10.1080/10503307.2018.1552034