Rupture resolution in cognitive analytic therapy for adolescents with borderline personality disorder

Abstract

Background. Ruptures are potential change events in therapy that might result in positive or negative consequences for the therapeutic alliance and outcome. Alliance ruptures and premature drop-out are common with clients diagnosed with borderline personality disorder, limiting treatment effectiveness. Objective. To test a nine stage model of rupture resolution in cognitive analytic therapy (CAT) with adolescents. Method. The validation phase of task analysis was employed to test the rupture resolution model and to relate handling of ruptures to outcome using quantitative and qualitative analysis of transcripts. Eighteen ruptures and resolution attempts were intensively examined across three..