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Research in Psychotherapy: Psychopathology, Process and Outcome

Editor-in-Chief: Mariagrazia Di Giuseppe | Scientific Director: Vittorio Lingiardi | eISSN 2239-8031 - pISSN 2499-7552

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  • Are we on the same page? Examining client-therapist alliance congruence and psychological well-being

    John Robert Rilveria
    2026-07-31
    https://doi.org/10.4081/ripppo.2026.896
    362
    PDF: 262
    HTML: 14
  • Beyond the mask of deference: exploring the relationship between ruptures and transference in a single-case study

    Francesca Locati, Pietro De Carli, Emanuele Tarasconi, Margherita Lang, Laura Parolin
    2016-10-19
    https://doi.org/10.4081/ripppo.2016.212
    2832
    PDF: 1455
    HTML: 2126
  • Repairing alliance ruptures in psychotherapy with adults: a scoping review

    Alberto López-Vásquez, Nicolás González-Araneda, Stephanie Vaccarezza, Catherine F. Eubanks, Paula Errázuriz
    2026-04-30
    https://doi.org/10.4081/ripppo.2026.892
    2811
    PDF: 815
    SUPPLEMENTARY MATERIAL: 154
    HTML: 340
  • Perfectionism and therapeutic alliance: a review of the clinical research

    Racheli Miller, Mark J. Hilsenroth, Paul L. Hewitt
    2017-04-13
    https://doi.org/10.4081/ripppo.2017.264
    3864
    PDF: 1901
    HTML: 1136
  • A thematic analysis of therapists' perspectives on therapeutic alliance rupture moments

    Gonca Soygüt, İsmail Volkan Gülüm
    2016-10-19
    https://doi.org/10.4081/ripppo.2016.235
    4545
    PDF: 13609
    HTML: 1476
  • "Maybe you don’t know what answers I want": unresolved alliance ruptures preceding dropout in short-term psychoanalytic psychotherapy with depressed adolescents

    Manuela Jose Difronzo, Lisa Thackeray, Sally O'Keeffe, Ana Calderon, Nick Midgley
    2025-03-30
    https://doi.org/10.4081/ripppo.2025.841
    1384
    PDF: 783
    SUPPLEMENTARY MATERIAL: 203
    HTML: 36
  • Balancing clinical risk with countertransference management protects alliance

    Joào F. Barreto, Paula Mena Matos
    2017-10-27
    https://doi.org/10.4081/ripppo.2017.279
    2452
    PDF: 1617
    HTML: 486
  • Facilitative interpersonal skills are relevant in child therapy too, so why don’t we measure them?

    Jordan Bate, Angelica Tsakas
    2022-05-09
    https://doi.org/10.4081/ripppo.2022.595
    3119
    PDF: 1428
    HTML: 61
  • The role of oxytocin as an indicator of outcome and therapeutic alliance

    Chiara Durante, Giulia Di Vincenzo, Alessandra Minutoli, Giampaolo Nicolais, Valeria Carola
    2025-06-24
    https://doi.org/10.4081/ripppo.2025.842
    1445
    PDF: 907
    HTML: 15
  • A systematic review of patient-therapist synchrony as an indicator of emotion regulation in psychotherapy: an integrated approach Patient-therapist synchrony and emotion regulation

    Federica Ameli, Federico Abbarchi Minucci, Ludovica Zanini, Gioele Calmi, Grazia Fernanda Spitoni
    2025-09-30
    https://doi.org/10.4081/ripppo.2025.866
    1438
    PDF: 1080
    SUPPLEMENTARY MATERIAL: 274
    HTML: 65
  • Validation of the client satisfaction questionnaire: a pilot psychometric analysis in Portuguese routine practice

    Sara Silva, Isabel Basto, João Salgado, Carla Cunha
    2023-07-27
    https://doi.org/10.4081/ripppo.2023.687
    3641
    PDF: 1407
    HTML: 106
  • Patient personality and therapist responses in the psychotherapy of adolescents with depressive disorders: toward the Psychodynamic Diagnostic Manual - third edition

    Annalisa Tanzilli, Flavia Fiorentino, Marianna Liotti, Gabriele Lo Buglio, Ivan Gualco, Vittorio Lingiardi, Carla Sharp, Riccardo Williams
    2024-03-27
    https://doi.org/10.4081/ripppo.2024.752
    2367
    PDF: 1007
    HTML: 73
  • Differentiating self-disclosure interventions from self-involving interventions based on the assessment of the short-term therapeutic effects: preliminary results

    Fabio Monticelli, Chiara Massullo, Antonino Carcione, Lucia Tombolini, Flaminia Guerra, Marianna Liotti, Cecilia Monticelli, Elena Gasperini, Marianna Russo, Samanta Novaretto, Letizia La Vista, Paola Mallozzi, Claudio Imperatori, Chiara Del Brutto, Benedetto Farina
    2025-02-10
    https://doi.org/10.4081/ripppo.2025.800
    4377
    PDF: 2084
    HTML: 43
  • Factors of treatment success in psychotherapy: a within-therapist analysis of early session processes

    Yan Zhu, Mark J. Hilsenroth
    2025-07-22
    https://doi.org/10.4081/ripppo.2025.848
    1893
    PDF: 1043
    HTML: 35
  • A Microanalytical Look at Mutual Regulation in Psychotherapeutic Dialogue: Dialogic Discourse Analysis (DDA) in Episodes of Rupture of the Alliance

    Claudio Martinez Guzman, Alemka Tomicic, Lorena Medina, Mariane Krause
    2015-03-01
    https://doi.org/10.4081/ripppo.2014.153
    2323
    PDF: 1216
  • Transference interpretation and psychotherapy outcome: a systematic review of a no-consensus relationship

    Meltem Yilmaz, Kutlu Kağan Türkarslan, Ludovica Zanini, Dilara Hasdemir, Grazia Fernanda Spitoni, Vittorio Lingiardi
    2024-05-02
    https://doi.org/10.4081/ripppo.2024.744
    4913
    PDF: 1740
    SUPPLEMENTARY MATERIAL: 233
    HTML: 109
  • It takes two to tango: a qualitative meta-synthesis on processes of psychotherapy dropout from the Single Case Archive

    Liza Notaerts, Melissa De Smet, Martin Finn, Kimberly Van Nieuwenhove, Vicky Hennissen, Reitske Meganck
    2025-12-03
    https://doi.org/10.4081/ripppo.2025.876
    1483
    PDF: 892
    HTML: 95
  • Dropout from cognitive behavioural treatment in a case of bulimia nervosa: The role of the therapeutic alliance

    Diego Sarracino, Alice Garavaglia, Emanuela S. Gritti, Laura Parolin, Marco Innamorati
    71-84
    2014-01-12
    https://doi.org/10.4081/ripppo.2013.138
    1924
    PDF: 1533
  • Trajectories of alliance ruptures in the psychotherapy of adolescents with borderline personality pathology: timing, typology and significance

    Nathalie Schenk, Ronan Zimmermann, Lukas Fürer, Mariane Krause, Sindy Weise, Michael Kaess, Susanne Schlüter-Müller, Klaus Schmeck
    2019-07-30
    https://doi.org/10.4081/ripppo.2019.348
    3140
    PDF: 1872
    HTML: 386
  • How secure is the secure base? Romantic attachment, emotion regulation, and psychotherapists’ role as secure base figures

    Helena Carvalho, Gil Nata, Paula Mena Matos
    2024-04-22
    https://doi.org/10.4081/ripppo.2024.733
    2906
    PDF: 1286
    HTML: 49
  • The assessment of therapist responsiveness in psychotherapy research: a systematic review

    Giovanna Esposito, Francesco Cuomo, Angela Di Maro, Raffaella Passeggia
    2024-06-19
    https://doi.org/10.4081/ripppo.2024.751
    3089
    PDF: 884
    SUPPLEMENTARY MATERIAL: 300
    HTML: 265
  • What do you expect from psychological care? A qualitative study of depressed patients’ expectations treated in mental healthcare settings Depressed patients' psychological care expectations

    Ana Karina Zúñiga Caiseo, Guillermo De la Parra, Lucía Núñez, Mariane Krause
    2025-03-26
    https://doi.org/10.4081/ripppo.2025.839
    3546
    PDF: 1331
    HTML: 15
  • The sister concepts of the working alliance and the real relationship: on their development, rupture, and repair

    Charles J. Gelso, Kathryn V. Kline
    2019-07-30
    https://doi.org/10.4081/ripppo.2019.373
    3531
    PDF: 1974
    HTML: 333
  • Introducing the QACP: development and preliminary validation of an instrument to measure psychotherapist’s core competencies

    Michele Settanni, Monica Bronzini, Giuseppe Carzedda, Giuseppe Godino, Maria Luisa Manca, Luisa Martini, Gianluca Provvedi, Francesco Quilghini, Alberto Zucconi, Gianni Francesetti
    2022-08-01
    https://doi.org/10.4081/ripppo.2022.599
    3849
    PDF: 1305
    HTML: 202
  • Ruptures and repairs of group therapy alliance. An untold story in psychotherapy research

    Gianluca Lo Coco, Giorgio A. Tasca, Paul L. Hewitt, Samuel F. Mikail, Dennis M. Kivlighan, Jr.
    2019-04-19
    https://doi.org/10.4081/ripppo.2019.352
    7285
    PDF: 3520
    HTML: 1270
  • Developing a prototype for relationship therapy psychoanalysis: an empirical study with the Psychotherapy Process Q-set

    Laura Bonalume, Laura Corbelli, Mattia Ferro, Anna Lisa Mazzoleni, Maria Pia Roggero
    2023-03-24
    https://doi.org/10.4081/ripppo.2023.674
    2538
    PDF: 818
    HTML: 32
  • Facilitative interpersonal skills in benign versus challenging therapy situations in trainee therapists: a pilot study

    Kim de Jong, Johanna Wilkens, Timothy Anderson, Kane Steggles
    2024-08-26
    https://doi.org/10.4081/ripppo.2024.804
    2844
    PDF: 611
    HTML: 198
  • Holding the treatment frame: borderline features, personality functioning, and psychotherapy dropout in a youth mental health service

    Francesca De Salve, Chiara Rossi, Osmano Oasi, Lara Malvini, Maria Meliante, Mauro Percudani, Irene Messina
    2026-04-30
    https://doi.org/10.4081/ripppo.2026.893
    1290
    PDF: 494
    HTML: 176
  • Cooperation within the therapeutic relationship improves metacognitive functioning: preliminary findings

    Benedetto Farina, Marianna Liotti, Claudio Imperatori, Lucia Tombolini, Elena Gasperini, Paola Mallozzi, Marianna Russo, Giorgia Simoncini Malucelli, Fabio Monticelli
    2023-11-08
    https://doi.org/10.4081/ripppo.2023.712
    2466
    PDF: 883
    HTML: 87
  • Facets of the psychotherapy relationship: a metaphorical approach

    Tomáš Řiháček, Jan Roubal, Katarína Motalová
    2021-01-14
    https://doi.org/10.4081/ripppo.2020.468
    2364
    PDF: 897
    HTML: 50
  • Development and preliminary validation of the Clinician Affective REsponse (CARE) scale

    Alberto Stefana, Paolo Fusar-Poli, Joshua Langfus, Eduard Vieta, Eric Youngstrom
    2024-03-21
    https://doi.org/10.4081/ripppo.2024.736
    2439
    PDF: 1178
    APPENDIX: 313
    SUPPLEMENTARY MATERIALS: 289
    HTML: 52
  • A psychodynamic contribution to the understanding of anger - The importance of diagnosis before treatment

    Paola Manfredi, Claudia Taglietti
    2022-06-30
    https://doi.org/10.4081/ripppo.2022.587
    6067
    PDF: 3833
    HTML: 439
  • Detecting alliance ruptures: the effects of the therapist’s experience, attachment, empathy and countertransference management skills

    Corinne Talbot, Rose Ostiguy-Pion, Esther Painchaud, Claudelle Lafrance, Jean Descôteaux
    2019-04-19
    https://doi.org/10.4081/ripppo.2019.325
    4927
    PDF: 2777
    HTML: 248
  • Antisocial personality disorder in group therapy, kindling pro-sociality and mentalizing

    Katharina T.E. Morken, Morten Øvrebø, Charlotte Klippenberg, Therese Morvik, Elisabeth Lied Gikling
    2022-11-07
    https://doi.org/10.4081/ripppo.2022.649
    6566
    PDF: 1927
    HTML: 216
  • New horizons in group psychotherapy research and practice from third wave positive psychology: a practice-friendly review

    Cheri L. Marmarosh, Steven Sandage, Nathaniel Wade, Laura E. Captari, Sarah Crabtree
    2022-11-04
    https://doi.org/10.4081/ripppo.2022.643
    14285
    PDF: 3684
    HTML: 112
  • Attachment insecurity predicts outcomes in an ACT-CBT group therapy for adults in a physical rehabilitation centre

    Danijela Maras, Louise Balfour, Monique Lefebvre, Giorgio A. Tasca
    2022-09-01
    https://doi.org/10.4081/ripppo.2022.634
    4950
    PDF: 1109
    Appendix: 255
    HTML: 51
  • Patient personality characteristics and therapeutic integration: treating borderline personality and emotionally dysregulated-dysphoric personality features

    Saryn R. Levy, Mark J. Hilsenroth, Francine Conway, Jesse Owen
    2022-06-30
    https://doi.org/10.4081/ripppo.2022.611
    3191
    PDF: 1535
    HTML: 173
  • Trans in treatment: a mixed-method systematic review on the psychotherapeutic experiences of transgender and gender diverse people Transgender people’s experiences of psychotherapy

    Selene Mezzalira, Nicola Carone, Vincenzo Bochicchio, Sofia Villani, Gianluca Cruciani, Maria Quintigliano, Cristiano Scandurra
    2025-02-28
    https://doi.org/10.4081/ripppo.2025.834
    4706
    PDF: 2004
    SUPPLEMENTARY MATERIAL: 892
    HTML: 59
  • The subjective experience of psychotherapists during moments of rupture in psychotherapy with adolescents

    Javier Morán, M. Francisca Díaz, Claudio Martínez, Carlos Varas, Roxana Parra Sepúlveda
    2019-04-19
    https://doi.org/10.4081/ripppo.2019.346
    2780
    PDF: 1614
    HTML: 277
  • If you believe that breaking is possible, believe also that fixing is possible: a framework for ruptures and repairs in child psychotherapy

    Aviv Nof, Tohar Dolev, Liat Leibovich, Judith Harel, Sigal Zilcha-Mano
    2019-04-19
    https://doi.org/10.4081/ripppo.2019.364
    3341
    PDF: 1950
    APPENDIX: 434
    HTML: 218
  • The relationship between defense mechanisms and attachment: a narrative review

    Rose Howell, Vera Békés
    2025-12-31
    https://doi.org/10.4081/ripppo.2025.879
    3849
    PDF: 849
    HTML: 125
  • Alliance challenges in the treatment of a narcissistic patient: the case of Alex

    Hemrie Zalman, Katie Aafjes-van Doorn, Catherine F. Eubanks
    2019-07-30
    https://doi.org/10.4081/ripppo.2019.351
    3134
    PDF: 1810
    HTML: 574
  • Professional burnout in therapists working with LGBTQ+ patients: associations with defenses and reflective functioning

    Gianluca Cruciani, Jacopo Tracchegiani, Maria Quintigliano, Selene Mezzalira, Cristiano Scandurra, Nicola Carone
    2025-12-31
    https://doi.org/10.4081/ripppo.2025.880
    1318
    PDF: 714
    HTML: 98
  • Why did she leave? Development of working alliance in a case of psychotherapy for depression

    Petr Doležal, Michal Čevelíček, Tomáš Řiháček, Jan Roubal, Roman Hytych, Lucia Ukropová
    2019-07-30
    https://doi.org/10.4081/ripppo.2019.354
    1806
    PDF: 1298
    HTML: 61
  • Relational skills and self-awareness outcomes in psychotherapy trainees

    Elitsa Tilkidzhieva, Salvatore Gullo, Jutta Fiegl, Andrea Jesser, Omar Carlo Gioacchino Gelo
    2026-08-31
    https://doi.org/10.4081/ripppo.2026.898
    136
    PDF: 78
    HTML: 7
  • Defense mechanisms and social mentalities in grandiose narcissism: an empirical investigation

    Annalisa Tanzilli, Marianna Liotti, Davide Guarino, Gabriele Lo Buglio, Francesco Dentale, Michele Vecchione, Vittorio Lingiardi
    2025-12-31
    https://doi.org/10.4081/ripppo.2025.882
    1452
    PDF: 574
    SUPPLEMENTARY MATERIAL: 234
    HTML: 124
  • Ruptures, repairs, and reflections: contributions of Jeremy Safran

    Lisa Wallner Samstag, J. Christopher Muran
    2019-04-19
    https://doi.org/10.4081/ripppo.2019.376
    3392
    PDF: 1831
    HTML: 50
  • Impact of personality disorder comorbidity on cognitive-behavioral therapy outcome for mood and anxiety disorders: results from a university training clinic

    Christopher B. Harte, Raymond C. Hawkins II
    2016-10-19
    https://doi.org/10.4081/ripppo.2016.210
    3313
    PDF: 1355
    HTML: 580
  • Beyond self-criticism and dependency: structural functioning of depressive patients and its treatment

    Guillermo de la Parra, Paula Dagnino, Camila Valdés, Mariane Krause
    2017-04-19
    https://doi.org/10.4081/ripppo.2017.236
    2941
    PDF: 1416
    HTML: 466
  • Group dynamic-relational therapy for perfectionism

    Samuel F. Mikail, Paul L. Hewitt, Gordon L. Flett, Sabrina Ge
    2022-09-01
    https://doi.org/10.4081/ripppo.2022.635
    4550
    PDF: 1295
    HTML: 104
  • Advancement in the child attachment interview and the child and adolescent reflective functioning scale using a PDM-2 framework: case reports

    Fabiola Bizzi, Francesca Locati, Laura Parolin, Shmueli Goetz Yael, Emanuela Brusadelli
    2022-03-04
    https://doi.org/10.4081/ripppo.2022.586
    5538
    PDF: 1327
    HTML: 38
  • The catcher in the mind: validation of the brief-mentalized affectivity scale for adolescents in the Italian population

    Marianna Liotti, Alice Fiorini Bincoletto, Fabiola Bizzi, Marta Tironi, Simone Charpentier Mora, Donatella Cavanna, Guido Giovanardi, Elliot Jurist, Anna Maria Speranza, Vittorio Lingiardi, Annalisa Tanzilli
    2023-12-31
    https://doi.org/10.4081/ripppo.2023.709
    3092
    PDF: 1041
    HTML: 77
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Keywords

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  • A psychodynamic contribution to the understanding of anger - The importance of diagnosis before treatment
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  • Effectiveness of Jungian psychotherapy in supervised training settings
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  • Repairing alliance ruptures in psychotherapy with adults: a scoping review
    248
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Patient experiences in receiving virtual psychotherapy: a qualitative study
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Examining the factor structure of the 40-item Defense Style Questionnaire among adults with depression: an individual participant data meta-analysis
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Research in Psychotherapy: Psychopathology, Process and Outcome

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