Just some info on ruptures:
Here's a less well known, but sobering statistic: clients report tensions or actual breakdowns in the therapeutic relationship in 19% to 42% of sessions. These figures rise to 41% to 100% of sessions when trained observers are used to identify “ruptures” between clients and therapists.
https://www.scottdmiller.com/i-was-w...psychotherapy/

So firstly, what do we mean by the term "alliance rupture"? In their excellent paper "Repairing alliance ruptures", Safran & colleagues helpfully define ruptures in the following way: "A rupture in the therapeutic alliance can be defined as a tension or breakdown in the collaborative relationship between patient and therapist." They go on to highlight "Although the term rupture may imply, to some, a dramatic breakdown in collaboration, ruptures vary in intensity from relatively minor tensions, which one or both of the participants may be only vaguely aware of, to major breakdowns in collaboration, understanding, or communication." I personally find the label "alliance tension" rather more helpful than the often over-dramatic "alliance rupture". It helps alert me to the fairly hidden nature of probably most of these difficulties.
Therapeutic alliance ruptures/tensions: description, frequency, causes & effects | Good Medicine

The therapist repairs a rupture in the therapeutic alliance with the patient by using one or more different procedures. In confrontation ruptures the patient shows problems in the alliance by expressing hostility or criticism toward the therapist. In withdrawal ruptures the patient manifests alliance problems by withdrawing from the therapeutic process or by deferring or expressing negative feelings indirectly.
http://www.commonlanguagepsychothera...ingrupture.pdf