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Core Conflictual Relationship Theme (CCRT)

Core Conflictual Relationship Theme (CCRT)
💡 Clarification 👥 Interpersonal

Luborsky's structured method for identifying a repeated relationship theme through Wish, Response of Other, and Response of Self.

Step-by-step guide

  1. Collect relationship episodes
  2. Identify the client's wish in each episode
  3. Identify the response of the other
  4. Identify the response of self
  5. Find the repeated theme
  6. Formulate W-RO-RS with the client

When to use

  • When the client's relational pattern repeats
  • When treatment focus needs empirical grounding
  • When several episodes can be compared

Key phrases

You want closeness, expect rejection, and then withdraw.

Follow-up questions

What did you want from them?
How did they respond?
How did you respond?

Alternative phrasings

This is the relationship theme we keep seeing.
Let us code the episode: W, RO, RS.

Warnings

  • ⚠️ Do not reduce the client to a formula
  • ⚠️ Use concrete episodes, not global impressions
  • ⚠️ Check the formulation collaboratively

Source: Luborsky, L. (1984); Luborsky & Crits-Christoph

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Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.