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Despite outcome research demonstrating that a rupture-repair process in the therapeutic relationship can be beneficial, there is a lack of qualitative research on ruptures and how they are repaired. This study explored parallel accounts of therapeutic ruptures produced by clients and therapists during long-term psychodynamic therapy. Interviews were conducted with four client-therapist dyads and were analysed using Interpretative Phenomenological Analysis. Themes found included: clients' experience of the danger of emotional experience (Negative emotions as dangerous); accounts of the discovery during therapy being a
DONNA HASKAYNE ClinPsyD completed her Clinical Psychology Doctorate at the University of Birmingham and currently works at the Tamarind Centre, a forensic medium secure hospital in Birmingham and Solihull Mental Health Foundation Trust. She has an MSc in Forensic Psychology from the University of Birmingham and a BSc in Psychology from the University of Bath. Alongside former colleagues, she has previously published work on the effectiveness of psychodrama interventions within a prison setting. Address for correspondence: Department of Clinical Psychology, School of Psychology, University of Birmingham, Edgbaston, Birmingham B15 2TT. []
MICHAEL LARKIN PhD is a Senior Lecturer in Psychology, on the University of Birmingham's doctoral training course for Clinical Psychology. His first degree was in English Literature and Psychology, and he has a PhD in Psychology. He has a specific interest in phenomenological and cultural approaches to psychology, and in the relationship between culture and experience.
RACHEL HIRSCHFELD ClinPsyD is a clinical psychologist at Devon House, Specialist Psychotherapies Service, Birmingham and Solihull Mental Health Foundation Trust. Alongside psychotherapeutic work she develops process and outcome evaluation and research for the service. She has previously published in Psychology and Psychotherapy: Research, Theory and Practice and the Clinical Psychology Forum. She is also training on the Training in Contemporary Psychoanalytic Psychotherapy at the West Midlands Institute for Psychotherapy.
difficult and gradual experience (Therapeutic discovery; gradual and hard work; to and fro); the experience of the hurdles within the therapeutic relationship (The struggle; not knowing; control and power); then followed by a connection (The positive connection; emotional sensitivity; shining a light). The results are discussed in relation to a number of core concepts in psychodynamic therapy.