Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive-compulsive personality disorders.

Journal Article (Journal Article)

Participants were 30 adult outpatients diagnosed with avoidant personality disorder or obsessive-compulsive personality disorder who enrolled in an open trial of cognitive therapy for personality disorders. Treatment consisted of up to 52 weekly sessions. Symptom evaluations were conducted at intake, at Sessions 17 and 34, and at the last session. Alliance variables were patients' first alliance rating and "rupture-repair" episodes, which are disruptions in the therapeutic relationship that can provide corrective experiences and facilitate change. Stronger early alliances and rupture-repair episodes predicted more improvement in symptoms of personality disorder and depression. This work points to potentially important areas to target in treatment development for these personality disorders.

Full Text

Duke Authors

Cited Authors

  • Strauss, JL; Hayes, AM; Johnson, SL; Newman, CF; Brown, GK; Barber, JP; Laurenceau, J-P; Beck, AT

Published Date

  • April 2006

Published In

Volume / Issue

  • 74 / 2

Start / End Page

  • 337 - 345

PubMed ID

  • 16649878

Pubmed Central ID

  • PMC3268072

International Standard Serial Number (ISSN)

  • 0022-006X

Digital Object Identifier (DOI)

  • 10.1037/0022-006X.74.2.337


  • eng

Conference Location

  • United States