How to Deal with Ruptures in the Therapeutic Alliance

[@hannalevenson9015]

Nicely done! I'm passing it on to my students for viewing. We are now going to be using the 3RS Manual in class to code the patient's presentation and develop plan for the therapist's response. Best, Hanna Levenson

[@kaht3]

I find it concerning that you make no mention at all of the need for the therapist to consider their contribution or responsibility for a rupture.

[@BojanPeric-kq9et]

Nice talking. In reality, as long as a therapist has enough new potential clients, rupture and drop outs are not important at all. Therapists always keep money, even if they didn't provide any service. It is often said it is for their time. To rephrase it: therapists are nothing more than payed friends or to be explicit: emotional prostitutes. Thus, therapists are usually clueless about ruptures and have zero interest in repairing it. Therapist willing to repair rupture is probably desperately low on clients and cash. I have no other SANE explanation for that phenomena, and I have my experience how much I was worthless to therapist even as a source of money (she told me that many times). Sp, in this short video you informed people that clients are responsible for every rupture and that therapists are saints. You could add more of resistance games as the explanation.

[@goldbrick2563]

This is true, thank you for your sober comment. If the therapist has integrity, they'd want to repair the rupture. If not, like you said, they can simply go onto another client

[@BojanPeric-kq9et]

@@goldbrick2563 for most parts there is no accountability and responsibility for therapists, thus no penalties. Imagine "10 ruptured clients in a year and your insurance premium will double". Next year, again doubling. That would sort out things very quickly and that is why there will be no such law anywhere in the world.