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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

2538

PDF: 699

SUPPLEMENTARY MATERIAL: 116

HTML: 260
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

3826

PDF: 1878

HTML: 1135
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

2806

PDF: 1437

HTML: 2121
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

4512

PDF: 13591

HTML: 1470
"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

1328

PDF: 744

SUPPLEMENTARY MATERIAL: 197

HTML: 35
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

2417

PDF: 1584

HTML: 483
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

3051

PDF: 1396

HTML: 59
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

1413

PDF: 883

HTML: 14
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

4586

PDF: 1948

SUPPLEMENTARY MATERIAL: 885

HTML: 56
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

1417

PDF: 859

HTML: 91
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

1815

PDF: 1011

HTML: 32
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

4285

PDF: 2061

HTML: 39
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

4672

PDF: 1665

SUPPLEMENTARY MATERIAL: 225

HTML: 98
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

1356

PDF: 917

SUPPLEMENTARY MATERIAL: 266

HTML: 63
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

3594

PDF: 1391

HTML: 101
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

2845

PDF: 1267

HTML: 46
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

3799

PDF: 1276

HTML: 201
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

2916

PDF: 818

SUPPLEMENTARY MATERIAL: 296

HTML: 260
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

3144

PDF: 1423

HTML: 169
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

2306

PDF: 976

HTML: 65
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

3473

PDF: 1288

HTML: 11
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

2340

PDF: 1142

APPENDIX: 300

SUPPLEMENTARY MATERIALS: 285

HTML: 50
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

2494

PDF: 801

HTML: 31
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

2437

PDF: 868

HTML: 85
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

2298

PDF: 881

HTML: 44
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

1898

PDF: 1517
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

1248

PDF: 690

HTML: 93
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

2303

PDF: 1199
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

5970

PDF: 3518

HTML: 425
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

1170

PDF: 477

HTML: 175
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

3110

PDF: 1827

HTML: 382
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

6503

PDF: 1899

HTML: 206
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

4888

PDF: 1077

Appendix: 250

HTML: 47
Beyond self-criticism and dependency: structural functioning of depressive patients and its treatment

Guillermo de la Parra, Paula Dagnino, Camila ValdÃ©s, Mariane Krause

2017-04-19

https://doi.org/10.4081/ripppo.2017.236

2906

PDF: 1393

HTML: 463
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

3480

PDF: 1942

HTML: 331
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

13776

PDF: 3553

HTML: 107
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

7118

PDF: 3448

HTML: 1262
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

2774

PDF: 583

HTML: 188
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

3618

PDF: 781

HTML: 109
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

1375

PDF: 545

SUPPLEMENTARY MATERIAL: 226

HTML: 116
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

2743

PDF: 1590

HTML: 274
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

3030

PDF: 1014

HTML: 71
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

3099

PDF: 1779

HTML: 572
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

4495

PDF: 1268

HTML: 102
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

3292

PDF: 1922

APPENDIX: 430

HTML: 204
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

1770

PDF: 1283

HTML: 59
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

3279

PDF: 1340

HTML: 578
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

3350

PDF: 1799

HTML: 48
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

5472

PDF: 1292

HTML: 37

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