@article{ref1,
title="Are rupture-repair episodes related to outcome in the treatment of trauma-exposed World Trade Center responders?",
journal="Counselling and psychotherapy research: linking research with practice",
year="2017",
author="Haugen, Peter T. and Werth, Aditi S. and Foster, Alyce L. and Owen, Jesse",
volume="17",
number="4",
pages="276-282",
abstract="OBJECTIVE  This study aimed to examine rupture-repair (R-R) episodes in a sample of adult World Trade Center responders (N = 32) who engaged in integrative psychotherapy for the treatment of posttraumatic stress disorder (PTSD) in an outpatient clinic.    Method  Participants rated therapeutic alliance after each session, and presence of R-R episodes was calculated throughout the course of treatment. We predicted that patients who experienced R-R episodes would have significantly better treatment outcomes than those who did not.    Results  ANCOVA analyses indicated that the presence or absence of R-R episodes was not meaningfully related to treatment outcome, with the exception of the Goals & Task domain of alliance, which was meaningfully related to improved outcome.    Conclusions  Attending to disagreements regarding treatment Goals & Task may be uniquely important for individuals with PTSD.<p /> <p>Language: en</p>",
language="en",
issn="1473-3145",
doi="10.1002/capr.12138",
url="http://dx.doi.org/10.1002/capr.12138"
}