Developing a method for training clinical psychologists to recognize and repair alliance ruptures: a pilot study focusing on trainee experiences.
BMC psychology June 11, 2025 Asaka Kawamura, Mina Fukuda, Shuntaro Aoki et al.
A training program for therapists, designed to strengthen therapeutic alliances and prevent ruptures, showed promise in a pilot study with graduate students. The program included self-observation, mindfulness, and reflection on reinforcement patterns. After training, the percentage of respondents who felt "hooked" dropped from 65% and 50% at two pre-tests to 17% post-training, while those who felt "engaged well" rose from 22% and 36% to 84%. Positive feedback highlighted "noticing captivity objectively" (24%), "relating with intention" (21%), and "not being upset" (14%). The first two components were effective, but the third component requires refinement. Limitations include lack of objective awareness measures and potential social desirability bias.