Praxical.Psych
Process & feedback

Rupture and repair log

Identify alliance ruptures, classify them, and record the repair attempt and its outcome.

Whenever the alliance strains — which is often, and more often than trainees notice.12 fields

How this document is used well

Ruptures are ordinary. Safran and Muran distinguish withdrawal ruptures (moving away — compliance, vagueness, intellectualising, sudden agreeableness) from confrontation ruptures (moving against — complaint, contempt, challenge). Withdrawal is the more dangerous of the two precisely because it feels like a good session.

Stage of repairWhat the therapist does
NoticeAttend to the marker; name your own felt shift as data
DisembedStep out of the enactment rather than continuing to play your part
InviteExplicitly raise it: "something changed between us just then"
TolerateSurvive the patient’s anger or withdrawal without retaliating or collapsing
Validate the kernelFind and acknowledge what is accurate in the complaint — there almost always is something
ExploreLink to the wider pattern only after the immediate rupture has been met

Complete it

Nothing you type leaves this browser. Do not enter real patient information.

Shows why each item is asked
The rupture
Type*
Markers observed
The repair
Repair strategy

Immediate repairs restore the alliance quickly. Exploratory repairs are slower and, with the right patient, are the treatment.

How defensive was I, honestly?
Not at allVery—

5 required fields outstanding: Type; What I said or did immediately before; What I felt …

Educational use only

Praxical.Psych is a teaching tool. It is not medical, clinical, psychological or legal advice, not a diagnosis, not treatment, not supervision, and not a credential. Nothing here creates a clinician–patient or solicitor–client relationship. Every patient, case, transcript and simulated session is fictional. Clinical and legal requirements vary by jurisdiction and change over time — verify anything that bears on a real decision against your own regulator, statute and current professional guidance, and consult a qualified professional.

Do not enter real patient information. If you or someone else is in crisis: US & Canada 988 · UK & Ireland 116 123 · Australia 13 11 14 · elsewhere findahelpline.com · immediate danger, your local emergency number.

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Before you begin

What Praxical.Psych is, and is not

Praxical.Psych is an educational tool. It teaches the theory, evidence base and clinical method of psychotherapy at the level of an advanced survey course, and it lets you rehearse a complete session in a simulator.

It is not medical, clinical, psychological or legal advice. It cannot diagnose or treat anyone, and it does not state the law where you practise — requirements differ by jurisdiction and change. Nothing here creates a clinician–patient or solicitor–client relationship.

  • Every patient, transcript and case in this app is fictional — a composite written for teaching. None depicts a real person.
  • Praxical.Psych is not therapy, not a substitute for supervision, and not a credential. Competence to practise comes from training, supervised hours and licensure.
  • Scores from the instruments here are for learning how they behave. They are not a diagnosis and not a risk assessment, and must not inform a decision about a real person.
  • Do not enter real patient information. Everything you type stays in this browser, but that is not the same as a compliant clinical record system.
If you are in crisis

In the US and Canada, call or text 988. In the UK and Ireland, call 116 123 (Samaritans). Elsewhere, find a local line at findahelpline.com. In immediate danger, use your local emergency number.

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