Resolving Therapeutic Impasses

08:30–09:00 Registration
 

09:00–10:00 Introduction

• Therapeutic impasses and alliance ruptures: definition and examples
• Therapeutic alliance: A reconceptualization from a relational perspective
• Empirical taxonomies of rupture types
• A taxonomy of therapeutic alliance rupture interventions

10:00–10:30 Coffee break
 

10:30–11:20 General features of a relational/constructivist perspective

• Constructivism versus realism
• Two versus one-person psychologies
• Therapeutic enactments
• Interventions as relational events
• Beginner's mind
• Mindfulness and the inner discipline of the therapist

11:20–11:30 Mini-break
 

11:30–12:30 Therapeutic metacommunication and stage process models of change

• General principles of metacommunication
• Specific principles of metacommunication
• Confrontation versus withdrawal ruptures
• Task analysis research on resolution processes

12:30–13:30 Lunch break
 

13:30–14:30  Research on brief relational therapy

• Randomized clinical trial for personality disordered patients
• Identifying treatment resistant patients
• A pilot intervention study for treatment resistant patients

14:30–15:00 Coffee break
 

15:00–16:00  Therapist affect regulation and the negotiation of therapeutic impasses

• Theoretical background
• Developmental reseach
• Research on patient-therapist affect coordination and the alliance
• Research on therapist interpersonal schemas and impasse resolution

16:00–16:45 Panel discussion

Professor Safran and a group of psychotherapists representing different therapeutic orientations reflect on today’s lectures.

         
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