Rupture and Repair: Using Leader Errors in Psychodynamic Group Psychotherapy

Rutan, J. Scott

doi:10.1080/00207284.2020.1808471

Cited by 6 publications

(9 citation statements)

References 21 publications

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“…That edition focused on linking the process of rupture and repair to three contemporary theories of group therapy (Bateman et al, in press; Gant, in press; Segalla, in press). Rutan (in press) reviewed the different ways that group leaders can cause ruptures in group therapy. Eubanks et al (in press) explored how ruptures occur within supervision groups, and how one can rely on an observational system to identify and study ruptures in groups.…”

Section: Ruptures and Repairs: The Special Issue Of The International...mentioning

confidence: 99%

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Ruptures and repairs in group psychotherapy: Introduction to the special issue.

Marmarosh¹

2021

Group Dynamics: Theory, Research, and Practice

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Objectives: All relationships experience tensions and ruptures, but not all ruptures are acknowledged and repaired. Individual therapy researchers have shown that repairing ruptures in the therapy relationship is associated with an increased alliance, decreased dropout, and positive treatment outcome. Until recently, there has been less attention paid to ruptures in group psychotherapy. The current special issue is devoted to theory, assessment, research, and practice regarding ruptures and repairs in group treatment. Methods: Group researchers applied self-report and observational assessment methods to identify and study ruptures in group psychotherapy and group supervision. Designs of the studies included longitudinal analysis, case studies, meta-analysis, and a practice review. Results: Studies in this special issue identified that the alliance is related to outcomes and that different types of alliance ruptures, including microaggressions, occur in group therapy. Alliance ruptures manifest themselves at different levels of group interactions (member to member, member to leader, and member to group), which reflects the complex nature of this multiperson therapeutic context. Conclusions: The implications for practice are addressed as well as a call for future research to examine different types of ruptures in group therapy. Group member and leader factors influence the nature of the ruptures. The complexity of the group context suggests that repair processes that take into account levels of interactions in groups. Findings from these studies lay the foundation for future research needed to understand the impact of ruptures in groups. Highlights and Implications• Ruptures and repairs in group therapy can be measured using self-report assessments and through observer coding of group therapy sessions.• Ruptures in group therapy are more complex than in individual therapy given the multiple relationships within a group. Ruptures can occur between leaders and members, between members and members, and between members and the group-as-a-whole. They can also occur between coleaders.• Research is needed to understand the group, member, and leader factors that influence the process of rupture and repair. The type of group, stage of development, level of cohesion, and climate are group factors that will likely influence rupture repairs.• The level of experience, empathy, personality, and attachment style of the leader will likely influence the leader's capacity to identify ruptures and strategies for repair.

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Section: Ruptures and Repairs: The Special Issue Of The International...mentioning

confidence: 99%

“…Some ruptures reflect a minor tension such as a member forgetting the name of a new member. Other ruptures can be very painful and disrupt the entire group process such as a leader saying a racist or sexist remark during the group session (Rutan, in press).…”

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confidence: 99%

Ruptures and repairs in group psychotherapy: Introduction to the special issue.

Marmarosh¹

2021

Group Dynamics: Theory, Research, and Practice

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“…The therapeutic alliance is a complex concept in dyadic interactions, let alone group format (Rutan, 2021). This is a hard-won sense that "we are on the same side; we share a common goal."…”

Section: Therapeutic Alliance Group Cohesion and Group Culturementioning

confidence: 99%

“…It may be difficult to align the start dates of all patients accordingly, to fill a group, or to truly understand the established relationships in a group. If a patient ends up being placed in a group that does not fit them, this can be a painful experience for all (Rutan, 2021).…”

Section: Beyond the Theoretical Perspective: Clinician Decisions In G...mentioning

confidence: 99%

“…The therapeutic alliance is a complex concept in dyadic interactions, let alone group format (Rutan, 2021). This is a hard‐won sense that “we are on the same side; we share a common goal.” We are “allied.” The word alliance comes from the Latin, alligare, which translates as “to bind.” As Bordin (1979) noted long ago, the alliance includes a relational bond, an agreement on goals, and an agreement on tasks.…”

Section: Beyond the Theoretical Perspective: Relational Dynamics In G...mentioning

confidence: 99%

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Beyond treatment modalities: Clinical decisions and relational dynamics that facilitate change in group treatments

Doorn

Horne

2022

J Clin Psychol

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This commentary on six articles comprising this Journal of Clinical Psychology: In Session issue on the therapeutic process in group psychotherapy brings together relevant clinical challenges and opportunities concerning the unique processes of change in group treatments. As illustrated by these six inspiring group therapy cases, therapy groups may vary widely in content and context. To balance the rich clinical illustrations of successful group treatments and the different theoretical formulations offered in these case studies, we highlight the processes that these treatments appear to have in common. Specifically, we describe the clinical considerations about the group format and the group members. We also reflect on the relational dynamics as they play out within the complex interplay between group leaders and group members; the facilitation of the corrective emotional experience as a change mechanism in group therapy, as well as the relational challenges and opportunities inherent in group treatments more generally. It is hoped that in this issue, clinicians will not only be inspired by the clinical description of successful change processes in group treatments but will also be reminded of the therapeutic nuances and opportunities of this multilayered treatment format.

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The MATRIX: A deliberate practice approach for clinical supervision in the public sector.

Bar¹,

Doron²,

Bronstein³

et al. 2023

Psychological Services

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Clinical supervision is an essential component of psychotherapeutic practice. However, the literature suggests that the provision of supervision in the public sector has been declining significantly over the past two decades, suggesting that many health care professionals are receiving neither the guidance nor support needed to deliver safe and effective care. Identifying the distinct challenges of supervision in the public sector and proposing prospective solutions is, therefore, a burning issue. In this article, we introduce a novel analytical framework for clinical supervision-the MATRIX-striving to address the unique demands of psychotherapy in the public sector. Various applications of this framework are thoroughly presented and further exemplified using a case illustration. We conclude by discussing the contribution of MATRIX-aided supervision to the acquisition of expert performance in psychotherapy, while also addressing its limitations. Impact StatementMost mental health care systems around the world are facing a chronic lack of resources and are struggling to provide their employees with appropriate supervision. Hence, there is a growing concern that many health care professionals are not receiving the support needed to deliver safe and effective treatment. This article introduces a novel aiding tool for clinical supervision-the MATRIX, striving to optimize the cost-effectiveness of supervisory process. Various applications of this tool are presented, as well as its unique benefits for psychotherapy in public settings.

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Rupture and Repair: Using Leader Errors in Psychodynamic Group Psychotherapy

Cited by 6 publications

References 21 publications

Ruptures and repairs in group psychotherapy: Introduction to the special issue.

Ruptures and repairs in group psychotherapy: Introduction to the special issue.

Beyond treatment modalities: Clinical decisions and relational dynamics that facilitate change in group treatments

The MATRIX: A deliberate practice approach for clinical supervision in the public sector.

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