Ruptures in the therapeutic alliance are common clinical experiences. If left unresolved, they can lead patients to drop out and to other poor outcomes.

Working Alliance Skills for Mental Health Professionals is intended for students in counseling and for professional level practitioners interested in learning how to establish and maintain the working alliance. The book can also be targeted to the broader mental health care community, including seasoned clinical psychology professionals, training programs in counseling and clinical psychology, and students in social work.

Therapeutic exercises to help couples nurture patience, forgiveness and humour. Here is a workbook containing the very best exercises that any couple can undertake to help their relationship function optimally; exercises to foster understanding, patience, forgiveness, humour and resilience in the face of the many hurdles that invariably arise when you try to live with someone else for the long term. Couples are guided to have particular conversations, analyse their feelings, explain parts of themselves to one another and undertake rituals that clear the air and help recover hope and passion. The goal is always to unblock channels of feeling and improve communication. Not least, doing exercises together is – at points – simply a lot of fun.

A half-century of psychotherapy research has shown that the quality of the therapeutic alliance is the most robust predictor of treatment success. This unique book provides a systematic framework for negotiating ruptures and strains in the therapeutic alliance and transforming them into therapeutic breakthroughs. Cutting-edge developments in psychoanalysis and other modalities are synthesized with original research and clinical wisdom gleaned from years of work in the field. The result is a practical and highly sophisticated guide that spells out clear principles of intervention while at the same time inspiring therapists toward greater creativity.

Introduction : Pressure in the therapeutic relationship -- The Science of performance under pressure -- The Science of the therapist under pressure -- From emotion to rupture -- From emotion to repair -- The Way to Therapist Training -- The Way to therapist Self-care -- Conclusion : In the pressure cooker.

First published in 2002, the landmark Psychotherapy Relationships That Work broke new ground by focusing renewed and corrective attention on the substantial research behind the crucial (but often overlooked) client-therapist relationship. This highly cited, widely adopted classic is now presented in two volumes: Evidence-based Therapist Contributions, edited by John C. Norcross and Michael J. Lambert; and Evidence-based Therapist Responsiveness, edited by John C. Norcross and Bruce E. Wampold. Each chapter in the two volumes features a specific therapist behavior that improves treatment outcome, or a transdiagnostic patient characteristic by which clinicians can effectively tailor psychotherapy. In addition to updates to existing chapters, the third edition features new chapters on the real relationship, emotional expression, immediacy, therapist self-disclosure, promoting treatment credibility, and adapting therapy to the patient's gender identity and sexual orientation. All chapters provide original meta-analyses, clinical examples, landmark studies, diversity considerations, training implications, and most importantly, research-infused therapeutic practices by distinguished contributors. Featuring expanded coverage and an enhanced practice focus, the third edition of the seminal Psychotherapy Relationships That Work offers a compelling synthesis of the best available research, clinical expertise, and patient characteristics in the tradition of evidence-based practice.

This book examines how psychotherapists can be appropriately responsive to clients' unique needs across a variety of therapeutic approaches by saying or doing the right thing at the right time. It reviews important broad concepts like attuning to clients' needs, examining the therapeutic relationship, clinicians as attachment figures, and repairing ruptures. Chapters review responsiveness in specific types of therapy, reviewing strategies for responding to specific client markers, cultural diversity considerations, guidance for training and supervision, and directions for future research.

Attachment theory is influencing how we understand interpersonal relationships and how psychotherapy can help facilitate change for those struggling in relationships. More recently, researchers and clinicians have applied attachment theory to group treatment, one of the most effective forms of psychotherapy to address interpersonal difficulties. This book highlights some of the bridges between attachment theory and contemporary approaches to group treatment. In addition to applying attachment theory to innovative treatments, each chapter addresses a specific way in which attachment impacts the members’ capacity for empathy and perspective taking; the development of cohesion in the group; the automatic fight-flight response during group interactions; members’ ability to tolerate diversity; and the leaders’ capacity to foster safety within the group. This book will help group leaders gain a richer understanding of attachment theory and attachment based techniques that will ultimately benefit their groups. This book was originally published as a special issue of the International Journal of Group Psychotherapy.

The essence of "plain old therapy," according to Jon G. Allen, is a mindful relationship between the patient and a trusted clinician who recognizes and understands the patient's trauma and connects with the nature and magnitude of his or her suffering. In Restoring Mentalizing in Attachment Relationships: Treating Trauma With Plain Old Therapy, Allen, a clinical psychologist with widely respected expertise in trauma, makes a research-based case for the virtues of the healing relationship created and nurtured through traditional psychotherapy. Though in recent years therapy has become just one of many treatment options for posttraumatic stress disorder and other trauma-related illnesses, the author argues that it remains the best. The book provides a conceptual framework for treating trauma patients and illuminates relationship factors that are empirically associated with positive outcomes. Patients who have suffered broken and dysfunctional attachments will benefit from its emphasis on trust, compassion, and true connection. Mental health clinicians of diverse theoretical orientations -- be they psychiatrists, psychologists, or social workers, in training or practice -- will benefit from its emphasis on what works, as will their patients.

A combination of social and economic factors have led to the current surge of interest in brief psychotherapy. But how do the time limitations affect the central relationship between therapist and client? How do therapist and client determine the focus of their work together? How does the therapist deal with ruptures in the working alliance and the pressure of termination issues?