1st Edition

Navigating Ruptures, Repairs, and Termination Within the Therapeutic Process

By Judy Z. Koenigsberg Copyright 2024
    268 Pages 6 B/W Illustrations
    by Routledge

    268 Pages 6 B/W Illustrations
    by Routledge

    This book explores the importance of the therapeutic relationship, the tensions or disagreements that may emerge during a therapy session, and how they can be repaired.

    Dr. Koenigsberg introduces a two-part transtheoretical, psycholinguistic model which focuses on the connection between ruptures and the termination phase of therapy, emphasizing the verbal and nonverbal nuances of language, to understand what is happening in the therapeutic alliance. With a reliance on psycholinguistic elements, this model can guide therapists who wish to reduce the premature termination of patients from therapy. Written in an accessible format, it provides case examples, including the patient’s and therapist’s inner experiences, and defines and describes the phases of therapy so that difficult transitions in the therapeutic process can be navigated with skill and compassion.

    This text is essential for providing early career as well as more seasoned therapists with excellent strategies to repair their therapeutic relationships with clients.

    Foreword by Stanley B. Messer, PhD, Distinguished Professor Emeritus, Rutgers University, and Former Dean of the Graduate School of Applied and Professional Psychology, Rutgers University

    Part I. Ruptures and Repairs

    1  What Are Therapeutic Relationship Ruptures?                                                  

    2  Ruptures and Repairs in the Therapeutic Relationship:  Diagnostic and Theoretical


    Part II. Termination

    3 Definition, Types, and Duration of the Termination Process


    4 Termination Across Different Diagnoses and Theories


    Part III. A Transtheoretical Model


    5 The Irt - CARE Transtheoretical, Psycholinguistic Model of Ruptures and Repairs


    6 The Irt - CARE Transtheoretical, Psycholinguistic Model of Termination:  The Termination or the Ending Process of Therapy


    Judy Z. Koenigsberg, PhD, a clinical psychologist, licensed in Illinois,  who has practiced integrated psychology for 30 years. Dr. Koenigsberg holds graduate degrees in psychology and linguistics. After earning her PhD from Northwestern University, Dr. Koenigsberg was employed as a clinical psychologist at the University of Chicago. Later, she taught research methodology to graduate students in the social sciences at Loyola University, Chicago. Her recent books, Anxiety Disorders: Integrated Psychotherapy Approaches and Depressive Disorders: Integrated and Unified Psychotherapy Approaches, are published by Routledge/ Taylor & Francis. Judy’s articles in psychology and sociology have been published in peer reviewed journals, and her course, “Listening to the language of Your Patients: Integrating Psycholinguistic Concepts into Clinical Practice,” is designed for mental health practitioners.

    ‘Judy Koenigsberg contributes significantly to the discourse on rupture repair, something dear to my heart. She does so in a unique and unified way, proposing a transtheoretical, psycholinguistic model that should prove useful to therapists across levels and traditions. Her book is rich with clinical detail and wisdom.’

    J. Christopher Muran, PhD                                                                                                                                       Dean and Full Professor, The Gordon F. Derner School of Psychology, Adelphi University                         Principal Investigator, Mount Sinai Beth Israel Psychotherapy Research Program

    ‘As in her previous books on anxiety and depression, Dr. Koenigsberg returns to explore and emphasize the primacy of the therapeutic relationship and the potential vulnerabilities.

    In her very well referenced book she discusses ruptures and termination with a transtheoretical eye to the commonalities of these issues in all dyadic psychotherapies. New therapists, in particular, will find the review of therapeutic strategies very helpful.’

    Judith Tanner, M.D., Clinical Assistant Professor of Psychiatry and Behavioral Sciences, Northwestern University

    ‘Judy Koenigsberg has written an outstanding volume that cannot help but advance the therapeutic enterprise. While reading it, I found myself constantly thinking about my own patients and how relevant and helpful the material in this book is to the therapy I conduct. At its core, it sensitizes therapists to the occurrence of both obvious and subtle ruptures and, most significantly, gives them excellent strategies to repair them. This book deserves to be disseminated widely among therapists of all professional backgrounds and theoretical persuasions and to patients and potential patients as well.’

    Stanley B. Messer, PhD, Distinguished Professor Emeritus and Former Dean of the Graduate School of Applied and Professional Psychology, Rutgers University