Abstract
Navigating a therapeutic process with any patient can be difficult. There is a chance
that the process will go smoothly with very few problematic and uncomfortable encounters.
However, there are times when the process is affected by a therapeutic rupture, where both
patient and therapist have contributed to a breakdown in communication between the two.
Inevitably, either party would need to take responsibility for the rupture, so that hurts can
be worked through, and the relationship can be repaired. I explore the process of rupture
and repair in a therapeutic process, through the presentation of a therapeutic case, where I
unwittingly induced a rupture. Further, I explore how therapeutic awareness, expressive
engagement with a patient, and wearing the necessary attribution, can repair the therapeutic
relationship when a rupture has occurred.