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Cyclical Maladaptive Pattern (CMP)

Cyclical Maladaptive Pattern (CMP)
💡 Clarification 👥 Interpersonal

Strupp's formulation of a repeated interpersonal cycle that begins with the client's expectation and ends by confirming the very outcome they fear.

Step-by-step guide

  1. Identify the client's expectation of others
  2. Identify the client's habitual response
  3. Identify the effect on others
  4. Show how the outcome confirms the expectation
  5. Explore alternative responses in the therapeutic relationship

When to use

  • When interpersonal cycles repeat
  • When the alliance can be used as a live laboratory
  • When the client feels trapped in relational outcomes

Key phrases

The way you protect yourself may help create the response you fear.

Follow-up questions

What do others do after you withdraw?
How does that confirm the old expectation?

Alternative phrasings

This is a cycle, not a personal failure.
Let us map the loop.

Warnings

  • ⚠️ Avoid blaming the client
  • ⚠️ Hold both vulnerability and agency
  • ⚠️ Use concrete examples

Source: Strupp, H. Time-Limited Dynamic Psychotherapy

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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.