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<p>Tension and crises in the therapeutic alliance (alliance ruptures) occur in every psychotherapy and carry a&#xa0;high risk of treatment dropout and unfavorable outcomes. At the same time they offer an important opportunity as the ability to successfully address them is crucial for therapeutic success. Therapists often find it difficult to adequately perceive ruptures or to discuss them in a&#xa0;constructive way. It is not uncommon for them to respond with subtle hostility and bring their own past relationship experiences, vulnerabilities and unmet relational needs into the therapeutic relationship. This article presents the modified alliance-focused-training with doubling (MAFT-D) as a&#xa0;specific training approach designed to enhance therapists’ competencies in managing tension and crises. In MAFT‑D therapists practice mindfully perceiving tension and putting their observations into helpful words, using video recordings of therapy sessions, role playing and the doubling technique. The content is illustrated by a&#xa0;detailed case example. The particular importance of emotional connectedness, an authentic nonauthoritative stance, a&#xa0;culture of acceptance and curiosity and the reflection on one’s own vulnerabilities and biographical relationship experiences as an integral principle of the training is emphasized.</p>

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Modifiziertes Allianz-Fokussiertes Training mit Doppeln: ein Fallbeispiel

  • 期刊论文

  • 发表日期：

    2025年12月16日

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  • Antje Gumz

摘要

Tension and crises in the therapeutic alliance (alliance ruptures) occur in every psychotherapy and carry a high risk of treatment dropout and unfavorable outcomes. At the same time they offer an important opportunity as the ability to successfully address them is crucial for therapeutic success. Therapists often find it difficult to adequately perceive ruptures or to discuss them in a constructive way. It is not uncommon for them to respond with subtle hostility and bring their own past relationship experiences, vulnerabilities and unmet relational needs into the therapeutic relationship. This article presents the modified alliance-focused-training with doubling (MAFT-D) as a specific training approach designed to enhance therapists’ competencies in managing tension and crises. In MAFT‑D therapists practice mindfully perceiving tension and putting their observations into helpful words, using video recordings of therapy sessions, role playing and the doubling technique. The content is illustrated by a detailed case example. The particular importance of emotional connectedness, an authentic nonauthoritative stance, a culture of acceptance and curiosity and the reflection on one’s own vulnerabilities and biographical relationship experiences as an integral principle of the training is emphasized.