LAUSR

Objective This study aimed to examine rupture–repair (R–R) episodes in a sample of adult World Trade Center responders (N = 32) who engaged in integrative psychotherapy for the treatment of posttraumatic stress disorder (PTSD) in an outpatient clinic. Method Participants rated therapeutic alliance after each session, and presence of R–R episodes was calculated throughout the course of treatment. We predicted that patients who experienced R–R episodes would have significantly better treatment outcomes than those who did not. Results ANCOVA analyses indicated that the presence or absence of R–R episodes was not meaningfully related to treatment outcome, with the exception of the Goals & Task domain of alliance, which was meaningfully related to improved outcome. Conclusions Attending to disagreements regarding treatment Goals & Task may be uniquely important for individuals with PTSD.