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The Group Rupture Resolution Rating System (G-3RS): Therapeutic Alliance Ruptures and Repairs in Group Psychotherapy
Journal article   Peer reviewed

The Group Rupture Resolution Rating System (G-3RS): Therapeutic Alliance Ruptures and Repairs in Group Psychotherapy

Danielle Baldwin, Giorgio A Tasca, Camille Garceau, Justine Braham and Catherine F Eubanks
International journal of group psychotherapy, p.1
06/01/2026
PMID: 42224443

Abstract

Group therapy Psychometric evaluation Psychodynamics
We present the development and preliminary psychometric evaluation of the Group Rupture Resolution Rating System (G-3RS), an observer-based measure of therapeutic alliance ruptures and repairs in group therapy. The G-3RS is a companion to the 3RS, an observer-rating system for ruptures and repairs in individual therapy. The G-3RS incorporates different levels of group interactions: member-, therapist-, and group-initiated ruptures and repairs. Raters coded 62 sessions of 21 Group Psychodynamic Interpersonal Psychotherapy groups for binge eating disorder using the G-3RS. The G-3RS demonstrated good interrater reliability at most group-interaction levels, and preliminary evidence for convergent validity. Clinical examples illustrate ruptures and repairs at different levels of group therapy interactions. The G-3RS may help researchers and clinicians better understand ruptures and repairs within groups.We present the development and preliminary psychometric evaluation of the Group Rupture Resolution Rating System (G-3RS), an observer-based measure of therapeutic alliance ruptures and repairs in group therapy. The G-3RS is a companion to the 3RS, an observer-rating system for ruptures and repairs in individual therapy. The G-3RS incorporates different levels of group interactions: member-, therapist-, and group-initiated ruptures and repairs. Raters coded 62 sessions of 21 Group Psychodynamic Interpersonal Psychotherapy groups for binge eating disorder using the G-3RS. The G-3RS demonstrated good interrater reliability at most group-interaction levels, and preliminary evidence for convergent validity. Clinical examples illustrate ruptures and repairs at different levels of group therapy interactions. The G-3RS may help researchers and clinicians better understand ruptures and repairs within groups.
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https://doi.org/10.1080/00207284.2026.2664422View
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