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      Rupturas y resoluciones de la alianza terapéutica en un caso de apego inseguro Translated title: Ruptures and Resolutions of the Therapeutic Alliance in a Case of Insecure Attachment

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          Abstract

          Resumen: El presente estudio busca comprender el desarrollo de las rupturas y resoluciones de la alianza terapéutica en el caso de una consultante con orientación insegura en el apego. Se implementó una metodología de estudio de caso único de una psicoterapia breve orientada al focusing, individual. Se aplicó el Sistema de Calificación de Rupturas y Resoluciones (3RS; Eubanks, Muran y Safran, 2015) a las transcripciones de las sesiones y se extrajeron viñetas ilustrativas para determinar las temáticas de terapia relacionadas a las rupturas y resoluciones. Los resultados mostraron 16 marcadores de ruptura con una mayor prevalencia de “quejas o preocupaciones acerca de las actividades de la terapia”, el cual se vinculó temáticamente con dificultades de la consultante para realizar tareas de exploración emocional propuestas por el terapeuta. Asimismo, se observaron nueve intentos de resolución, siendo la estrategia más utilizada “el terapeuta ilustra una tarea o provee una base lógica para el tratamiento”. La discusión aborda las dificultades en la regulación emocional de la consultante asociadas al apego inseguro en la generación de las rupturas, así como la efectividad de los intentos de resolución ejercidos por el terapeuta, lo cual puede orientar sobre el trabajo terapéutico con este tipo de consultantes.

          Translated abstract

          Abstract: This study aims to understand the development of alliance ruptures and resolutions in an insecure-attached client. A single-case study was implemented in an individual brief focusing-oriented psychotherapy. Rupture Resolution Rating System was applied (3RS; Eubanks, Muran, & Safran, 2015) to therapy sessions transcripts, and illustrative vignettes were extracted to determine therapy issues related to ruptures and resolutions. The results show 16 ruptures markers with a higher prevalence of “complains/concerns about activities of therapy” marker, which was thematically related to difficulties of the client to perform emotional exploration activities offered by the therapist. Likewise, nine resolutions attempts were observed, being the most used strategy “the therapist illustrates a task or provides a rationale for treatment”. Attachment related difficulties on the emotional regulation of the client at ruptures occurrence are discussed, as well as effective resolution attempts by the therapist, which may serve as a guidance for therapeutic work with insecure-attached clients.

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          Most cited references57

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          Attachment styles among young adults: A test of a four-category model.

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            The generalizability of the psychoanalytic concept of the working alliance.

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              Working models of attachment: implications for explanation, emotion and behavior.

              Two studies examined attachment style differences in social perception. In Study 1, participants wrote open-ended explanations for hypothetical relationship events and described how they would feel and behave in response to each event. Compared with secure participants, preoccupied participants explained events in more negative ways; they also reported more emotional distress and behaviors that were likely to lead to conflict. Avoidant participants also provided negative explanations, but did not report emotional distress. Path analysis indicated that attachment style differences in behavior were mediated by explanation patterns and emotional distress. Study 2 was designed to replicate Study 1 and test the relative importance of attachment style and relationship quality to predicting each outcome. Results indicated that both variables were significant predictors of explanations, but only attachment style predicted emotional responses. These findings are consistent with the idea that adults with different working models of attachment are predisposed to think, feel, and behave differently in their relationships.
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                Author and article information

                Journal
                revpsicol
                Revista de psicología (Santiago)
                Rev. psicol.
                Universidad de Chile. Facultad de Ciencias Sociales. Departamento de Psicología (Santiago, , Chile )
                0716-8039
                0719-0581
                June 2022
                : 31
                : 1
                : 27-41
                Affiliations
                [1] Santiago de Chile orgnameUniversidad de Chile Chile mdufey@ 123456uchile.cl
                Article
                S0719-05812022000100027 S0719-0581(22)03100100027
                10.5354/0719-0581.2022.60312
                35f49d60-31d4-402b-88f5-a3254afb73f8

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 03 December 2020
                : 25 January 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 57, Pages: 15
                Product

                SciELO Chile

                Categories
                Sección regular

                ruptures resolutions,insecure attachment,focusing-oriented therapy,brief therapy,rupturas de la alianza,resoluciones de rupturas,alliance ruptures,apego inseguro,psicoterapia orientada al focusing,psicoterapia breve

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