J. Christopher Muran's research while affiliated with Beth Israel Medical Center and other places
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Publications (11)
This chapter summarizes the empirical research on psychodynamic therapies focusing on 3 main questions: 1) what is the evidence for the efficacy of dynamic therapy? 2) what do we know about the role of the therapeutic alliance in dynamic therapy? 3) what do we know about the main mechanisms of change in dynamic therapy?
This article reviews and synthesizes the diverse contributions of the authors in this issue of In Session: Psychotherapy in Practice. It presents a schematization of direct and indirect interventions that therapists typically implement to address problems related to the tasks and goals of treatment, or the affective bond between therapist and clien...
This article outlines some of the main features of a research program on ruptures in the therapeutic alliance and reports some of the major findings to date. A rupture in the therapeutic alliance is a deterioration in the quality of the relationship between patient and therapist; it is an interpersonal marker that indicates a critical opportunity f...
The purpose of this book is to present current trends in understanding the self in the context of the psychotherapeutic situation. By confronting other perspectives and coming to understand them, we can clarify both similarities and differences in a more nuanced way and learn to enrich our point of view. We can move to a new, shared understanding o...
Citations
... In psychotherapy, rupture, and repair are complex processes that are central to the therapeutic process of MBT and the dynamic within the group and with the group therapist (35). Ruptures can range from tension between group members, between group members and the therapist, disagreements about different elements of therapy, etc. (36). Ruptures can be categorized in two subtypes: one being a confrontational type and the other a withdrawing one (37). ...
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... Ruptures have been defined in general terms as (1) any disagreements on how the patient and therapist work together (e.g., on tasks such as exploring thoughts and feelings, creating in-session exercises and betweensession experiments 1 ) and to what end (goals such as greater self-awareness, skill development, and/or decrease in symptom distress), and as 2) a deterioration in the bond (the extent to which the patient and therapist distrust or disrespect each other; see Safran & Muran, 1998, 2006. We have also defined them in terms of breakdowns in how patients and therapists negotiate their respective needs or desires (Muran, 2019;Muran & Eubanks, 2020). ...
... Alliance ruptures encompass any challenges in collaborating on therapy tasks/goals, deterioration in the therapeutic bond, and breakdown in negotiating client and therapist needs (Muran & Eubanks, 2020;Safran & Muran, 2000). They can be characterized by withdrawal or confrontation markers. ...
... The shared items indicate that even though factors 1 and 3 both describe a young person seemingly connected with their feelings, the nature of those emotions in each factor seems to differ. For factor 1, the items seem to describe an emotional connection encompassing some degree of collaboration and elaboration, while in factor 3 these emotions seem to describe confrontation ruptures in the alliance (Safran & Muran, 2000) or negative transference (Cregeen et al., 2017). ...
... Alliance ruptures refer to the breakdown of the collaboration between patients and therapists and resolution strategies serve to resolve such conflicts (Safran et al., 2002). Over the last 25 years, there has been a growing body of evidence that ruptures are common events, being reported by patients in 20%−45% of sessions, therapists in 40%−55% of sessions and third-party observers in 40%−75% of sessions (Muran & Safran, 2017). ...
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... These efforts aimed to operationally define specific patient and therapist states or behaviors involved in a change process, moving from rational and empirical discovery to model construction and validation, demonstrating sequential processes and their relation to outcomes. Greenberg and Newman (1996) (Watson, 1996) and alliance rupture repair (Safran & Muran, 1996). There have been more recent reviews of this research paradigm (Benítez-Ortega & Garrido-Fernández, 2016;Elliott, 2010). ...
... Alliance can be defined as 'a proactive collaboration of clients and therapists across sessions and in moment-to-moment interactions' (Flückiger et al. 2018, p. 330). The concept is often studied in-depth and is traditionally used within the context of psychotherapy (Barber et al. 2013). Alliance is considered as a common factor contributing to the effectiveness of psychotherapy regardless of theoretical background such as psychoanalytical or cognitive behavioural therapy (Wampold 2015). ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/487463039836161-1493231653514_Q64/Jacques-Barber.jpg)
![[object Object]](https://i1.rgstatic.net/ii/profile.image/278623169859637-1443440348996_Q64/Kevin-Mccarthy-17.jpg)
![[object Object]](https://i1.rgstatic.net/ii/profile.image/765558706434049-1559534827759_Q64/Jack-Keefe.jpg)
... As such, in the counselling practice, the counsellor"s self as a social construction connotes that he/she is shaped through interaction with the client, the world each of them brings into the encounter, and the broader social, cultural, historical, and political context in which the therapy takes place (Muran, 2001). Health and illness as socially constructed indicate that they are not regarded as "facts," but narratives. ...
