Assessing alliance ruptures and resolutions: Reliability and validity of the Collaborative Interactions Scale-revised version
- 27 October 2017
- journal article
- research article
- Published by Informa UK Limited in Psychotherapy Research
- Vol. 29 (3), 279-292
- https://doi.org/10.1080/10503307.2017.1414331
Abstract
Objective: This study presents the revised version of the Collaborative Interactions Scale (CIS) [Colli, A., & Lingiardi, V. (2009). The Collaborative Interactions Scale: A new transcript-based method for the assessment of therapeutic alliance ruptures and resolutions in psychotherapy. Psychotherapy Research, 19(6), 718–734.], an observer-rated measure for the assessment of therapeutic-alliance ruptures and resolutions. Intensive use of the previous scale resulted in three criticisms: (i) excessive time required to perform evaluations, (ii) the low occurrence of some items, and (iii) the scale’s low capacity to capture some patient–therapist interactions in fine detail. In this study, we aimed to describe the scale revision process and evaluate interrater reliability and scale validity by comparing sessions of patients with and without personality disorders (PDs). Method: Three raters conducted a blind evaluation of a sample of 60 sessions (180 segments; 3607 narrative units) with 30 patients (15 had a PD diagnosis and 15 had a DSM-5 clinical syndrome diagnosis without a PD). Results: Interrater reliability results ranged from acceptable to excellent and were comparable to those of the former version. Patients with PDs showed a greater number of alliance ruptures and a smaller number of collaborative processes than patients without PDs. Moreover, therapists presented more negative interventions with the PD sample than with the non-PD sample. Conclusions: The results indicate that the revised CIS is a reliable rating system that is useful for both empirical research and clinical assessments. Clinical or methodological significance of this article: The CIS-R is a reliable rating system that is suitable for both empirical research and clinical assessment. It is useful for recognizing rupture and resolution processes, both in clinical everyday practice and in psychotherapists’ training. Application of the CIS-R promotes clinical reflection on the therapeutic action used to manage ruptures in a session.Keywords
This publication has 66 references indexed in Scilit:
- Exploring In‐Session Focus on the Patient–Therapist Relationship: Patient Characteristics, Process and OutcomeClinical Psychology & Psychotherapy, 2011
- Repairing alliance ruptures.Psychotherapy, 2011
- The relationship of early alliance ruptures and their resolution to process and outcome in three time-limited psychotherapies for personality disorders.Psychotherapy, 2009
- Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive-compulsive personality disorders.Journal of Consulting and Clinical Psychology, 2006
- Patterns of Alliance Development and the Rupture-Repair Hypothesis: Are Productive Relationships U-Shaped or V-Shaped?Journal of Counseling Psychology, 2004
- A review of therapist characteristics and techniques negatively impacting the therapeutic alliance.Psychotherapy, 2001
- Patterns of working alliance development: A typology of client's working alliance ratings.Journal of Counseling Psychology, 2000
- Personality Maladjustment, Defenses, and Psychopathological Symptoms in Nonclinical SubjectsJournal of Personality Disorders, 1995
- Investigation of what clients and counselors do not say in brief therapy.Journal of Counseling Psychology, 1992
- Patient and therapist introject, interpersonal process, and differential psychotherapy outcome.Journal of Consulting and Clinical Psychology, 1990