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Haskayne, D. Larkin, M. Hirschfeld, R. (2014). What are the Experiences of Therapeutic Rupture and Repair for Clients and Therapists within Long-Term Psychodynamic Therapy?. Brit. J. Psychother., 30(1):68-86.

(2014). British Journal of Psychotherapy, 30(1):68-86


What are the Experiences of Therapeutic Rupture and Repair for Clients and Therapists within Long-Term Psychodynamic Therapy?

Donna Haskayne, ClinPsyD, Michael Larkin, Ph.D. and Rachel Hirschfeld, ClinPsyD

Despite outcome research demonstrating that a rupture-repair process in the therapeutic relationship can be beneficial, there is a lack of qualitative research on ruptures and how they are repaired. This study explored parallel accounts of therapeutic ruptures produced by clients and therapists during long-term psychodynamic therapy. Interviews were conducted with four client-therapist dyads and were analysed using Interpretative Phenomenological Analysis. Themes found included: clients' experience of the danger of emotional experience (Negative emotions as dangerous); accounts of the discovery during therapy being a

difficult and gradual experience (Therapeutic discovery; gradual and hard work; to and fro); the experience of the hurdles within the therapeutic relationship (The struggle; not knowing; control and power); then followed by a connection (The positive connection; emotional sensitivity; shining a light). The results are discussed in relation to a number of core concepts in psychodynamic therapy.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

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