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- Será a relação terapêutica suficiente? O papel de tarefas e ruturas em psicoterapiaPublication . Ribeiro, Pedro Rodrigues; Neto, David DiasResearch shows that the therapeutic relationship consistently has a moderate, positive impact on the efficacy of psychotherapy and on change. However, there is ongoing discussion about the association between the relationship and techniques in the change process, with evidence that techniques have a positive impact on both the process and the relationship. At the same time, we see an increase in the influence of identifying and repairing ruptures as a relational task and a contribution to the quality of the relationship and the efficacy of therapy. The purpose of this work is to determine whether the therapeutic relationship is sufficient and to examine the roles of techniques and ruptures in the therapeutic process, thereby expanding theoretical and empirical knowledge. In the first study, we propose a different view of the Therapeutic Relationship by integrating the Real Relationship, Therapeutic Alliance, and Client’s Attachment to Therapist in a sample of 373 adults in individual therapy. Using an exploratory principal components analysis, the results show a five-component structure, illustrating different patients’ needs and perspectives on the relationship, as well as the therapist's perceptions of the relationship and their interactions with patients. We conclude with implications for research and clinical practice. In the second study, we question the role and weight of techniques in the Therapeutic Alliance, in individual therapy. Based on the literature, we conducted a systematic review analyzing 53 articles, organized by specific therapeutic strategies and their relative weight in the alliance. Results show a total of 37 techniques: 14 had a positive impact on the alliance’s effect size, and 23 didn’t affect the alliance’s effect size, illustrating that techniques can affect the alliance and the process outcome. We conclude with implications for research and clinical practice. In the third study, we proceeded with the analysis of a 19-session brief intervention with an adult patient in individual therapy in a case study context. Using a reflexive thematic analysis methodology, this analysis is grounded in our perspective on the therapeutic relationship and in the identification and repair of ruptures in the alliance. The results show themes related to the patient’s specific needs, the therapist's techniques, and a set of alliance ruptures, indicating a good partnership throughout the intervention and an openness and flexibility to repair ruptures in the relationship. We conclude with implications for research and clinical practice. The contributions of these studies and works allow us to say that, regarding therapeutic process and change, the therapeutic relationship influences the change in interaction with techniques and rupture repair. We conclude with suggestions for the next steps that, ultimately, can contribute to enhancing therapists’ training and research in the field of psychotherapy.