This book examines therapeutic failures in psychotherapy. It will be a resource to psychotherapists in practice and therapists in-training, as well as students and professionals in psychology and mental health in general.

Nicola Gazzola is Professor of Counselling Psychology in the Faculty of Education at the University of Ottawa, Canada. His main research interests are in the domains of clinical supervision, the experience of the therapist in the process of therapy, and counselling identity, including the collective identity of the profession of counselling as well as the individual professional identity of the counsellor.

Shigeru Iwakabe is Professor of Clinical Psychology at Ritsumeikan University in Osaka, Japan. He conducts psychotherapy research on client emotional processes from an integrative perspective. His research interests include training and professional development in psychotherapy, case study research methods, psychotherapy integration, and cultural and social issues related to the practice of psychotherapy.

Sarah Knox is Professor in the Department of Counselor Education and Counseling Psychology at Marquette University, Milwaukee, WI, USA. The vast majority of her research is qualitative, and specifically uses consensual qualitative research (CQR). She focuses primarily on the psychotherapy relationship and process, training and supervision, and advising relationships and processes.

1. Improving our understanding of therapeutic failure: A review 2. The melody of ruptures: identifying ruptures through acoustic markers 3. Deadlock in psychotherapy: A phenomenological study of eight psychodynamic therapists' experiences 4. The beginning of the end: a comparison of treatment completers and early dropouts in trainee-provided time-limited cognitive behavioral therapy 5. Failure to respond to the patient's coaching: a case study of premature termination in psychodynamic psychotherapy 6. Alliance rupture and repair processes in psychoanalytic psychotherapy: multimodal in-session shifts from momentary failure to repair 7. Failure in psychotherapy: a qualitative comparative study from the perspective of patients diagnosed with depression 8. Therapist dishonesty across theoretical orientations 9. How Graduate-student or Recent Graduate Psychotherapists Experience and Manage Errors in Psychotherapy 10. The self-critical patient in clinical supervision: a qualitative study of therapists' alliance struggles and emotional reactions in short-term psychodynamic psychotherapy for depression 11. The final session of psychodynamic psychotherapy for satisfied and unsatisfied clients who initiate the end of treatment 12. Contrasting two improved and two unimproved cases of patients with medically unexplained physical symptoms after multicomponent treatment 13. What are the sources of feelings of incompetence in experienced therapists? 14. Psychotherapy failures: to err is human