A comparison of pre-dropout and temporary rupture sessions in psychotherapy

Gülüm, I. Volkan; Soygüt, Gonca; Safran, Jeremy D.

doi:10.1080/10503307.2016.1246765

Cited by 17 publications

(11 citation statements)

References 62 publications

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“…Our findings show how important it is for therapists to be attentive to the nonverbal processes occurring during the sessions, in addition to the explicit words that are being said by patients. Ruptures that are not addressed and do not undergo a process of repair and resolution might have negative effects on therapy, such as deterioration and premature dropout (Eubanks et al, 2018; Gülüm et al, 2018). In addition to the content of the session, nonverbal synchrony may serve as an additional layer helping identify and assess confrontation ruptures using an automatic approach that does not require the investment of high cost, time, or effort.…”

Section: Discussionmentioning

confidence: 99%

Nonverbal synchrony as a marker of alliance ruptures.

et al. 2021

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Findings from the past 5 decades of empirical research on the working alliance suggest its importance in psychotherapy. Recent studies have sought to identify markers of the alliance, of which one of the most promising candidates is nonverbal synchrony. Delving into processes that constitute the alliance, such as alliance ruptures, may shed light on underlying mechanisms of the association between nonverbal synchrony and the therapeutic relationship. The present study examines whether nonverbal synchrony can serve as a marker of alliance ruptures. To achieve this aim, 418 sessions of 75 therapeutic dyads were coded for ruptures, using the Rupture Resolution Rating System, and for nonverbal synchrony, using motion energy analysis. A mixed-method analysis, integrating multilevel nested models with a case study analysis, was implemented. The results of the multilevel nested models suggest that nonverbal synchrony is significantly associated with confrontational ruptures, whereas withdrawal ruptures showed no such association. The findings of the case analysis suggest that moments of especially high nonverbal synchrony during a rupture are those in which the therapist made great efforts to be attentive to the patient when the patient acted in a confrontational manner. The findings of the present study demonstrate the potential of nonverbal synchrony to serve as a marker of confrontational ruptures. The findings support the social glue assumption, according to which therapists may seek higher levels of nonverbal synchrony with patients to maintain a strong alliance in the face of difficulties.

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Section: Discussionmentioning

confidence: 99%

Nonverbal synchrony as a marker of alliance ruptures.

et al. 2021

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“…For the long term, as more studies will be accumulated that show nonverbal synchrony as a marker of the alliance, it will be possible to develop an in-session automatic feedback system that will give the therapist, as well as the patient, feedback on the nonverbal markers of the alliance (Delgadillo et al, 2017). This is especially important for withdrawal ruptures in the alliance, which studies have shown that patients and therapists are often not aware of or decide not to report (Eubanks et al, 2019), and at the same time might have negative effects on the treatment, such as premature dropout (Eubanks et al, 2018; Gülüm et al, 2018). A live in-session feedback feature could alert the therapist when such ruptures go unnoticed.…”

Section: Discussionmentioning

confidence: 99%

Nonverbal Synchrony and the Alliance in Psychotherapy for Major Depression: Disentangling State-Like and Trait-Like Effects

Cohen

Ramseyer

Tal

et al. 2021

Clinical Psychological Science

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Given the importance of the alliance in psychotherapy, nonverbal synchrony has been suggested as a promising automatic objective marker of its levels and development. Accumulating research presents mixed results regarding the association between alliance and nonverbal synchrony. In the current study, we propose that one of the reasons for the inconsistencies is that previous studies did not disentangle trait-like characteristics from state-like changes occurring throughout treatment. To test this, we had 86 patients enrolled in an ongoing randomized controlled trial, along with their therapists, report their alliance levels after every session. Nonverbal movement synchrony was quantified by motion energy analysis for each of the 16 sessions of treatment. Findings suggest a significant association between nonverbal synchrony and the state-like effect of patient-reported alliance ( p < .0001) but not for the trait-like effect. The results confirm the importance of disentangling the state-like and trait-like components because they may have distinct effects.

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“…The idea of offering CBM-I prior to existing therapy protocols may be even more attractive for populations with increased levels of hostility. That is, patients with increased hostility levels are at an increased risk to engage in hostile interactions with therapists (von der Lippe et al, 2008), which negatively impacts working alliance (Gülüm et al, 2018). One study showed that working alliance positively mediated the relationship between low levels of hostility and treatment outcome in dialectical behavior therapy for borderline personality disorder (Hirsh et al, 2012).…”

mentioning

confidence: 99%

Interpretation bias modification for hostility: A randomized clinical trial.

Teffelen¹,

Lobbestael²,

Voncken³

et al. 2021

Journal of Consulting and Clinical Psychology

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A comparison of pre-dropout and temporary rupture sessions in psychotherapy

Abstract: A striking implication is that the frequency of positive and negative psychotherapist behaviors, ruptures, and session content is more likely to decrease in the pre-dropout sessions than in the temporary rupture sessions.

Cited by 17 publications

References 62 publications

Nonverbal synchrony as a marker of alliance ruptures.

Nonverbal synchrony as a marker of alliance ruptures.

Nonverbal Synchrony and the Alliance in Psychotherapy for Major Depression: Disentangling State-Like and Trait-Like Effects

Interpretation bias modification for hostility: A randomized clinical trial.

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