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Therapeutic relationship between practitioner and client
The relationship between the therapist and client is essential
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We are being asked to discuss the parameters of what we perceive as the relationship between ourselves and our supervisor. Relationship is such a key word, especially in the field we are placing ourselves in, as we have even learned through our theory classes, that it is through a foundation of trust that we can build a healthy relationship with our clients. In fact, Carl Rogers, and his Person-Centered Therapy, PCT, shares with us the right relationship between a therapist and patient that incorporates unconditional positive regard and acceptance, empathetic understanding and genuineness is both “necessary and sufficient for therapeutic change to occur”. (Corey, 2017, p. 173) Rogers believed the right relationship itself could map out the …show more content…
The relationship between a landlord and tenant is going to look different that the relationship between a doctor and a patient, and while I am very fond of PCT, I am also reminded that my supervisor, while she is a therapist, she is not my therapist. I believe, I am to look at her as a mentor, and a person who can offer direction regarding this journey, however, I believe it would not be wise to maintain boundaries on what I may share regarding my own life. Kottler give us the example in The Therapist in the Real World of considering the way you may be judged by what you disclose to your supervisor. If a supervisor expects full disclosure, and then evaluates you based on what you share, “depending on the judgement formed, you may or may not be recommended for licensure, promotion, expanded responsibilities, or a future position.” (Kottler, 2015, p. 259) So, while you may feel overwhelmed at times, and filled with fear and doubt, it may be wise to not verbally vomit that out all over your supervisor, because what one person may view as authenticity and a moment of venting, another …show more content…
Kottler shares that clear boundaries should be established between the supervisor and supervisee. He tells us that in rare cases there are supervisors that reward those they supervise for sharing their greatest fears and uncertainties, and that those individuals grow and flourish under this completely safe environment. This he warns is an exception in the field, and not the rule. (Kottler, 215, p. 259) At my location I have a primary supervisor, and a secondary supervisor. The supervisor who interviewed me for the trainee position, has actually turned out to be my secondary supervisor. When we met during the interview, I felt comfortable with her, and felt that we would be a good fit. Another woman who used to volunteer at the medical clinic that I volunteer at, also was under this particular supervisor for her practicum, and she offered much praise regarding her. My primary supervisor, I was introduced to only recently, while I attending a group meeting prior to the start of my practicum. Thankfully even though my primary supervisor did not hire me for the position, I still sense that we will work well together. I find her to be an
This is a pivotal moment in Rex and Jeanette’s relationship. Throughout Rex’s drunken escapades Jeanette has been the only one to fight on behalf of Rex and say that he is still trying to do what is best for his family, so it’s important that Jeannette be the one to confront Rex about his drinking problem and how it is affecting their family. Even though other members of the family, like Brian, allow their frustration to show and have come close to confronting Rex, I don’t think that anyone else could successfully do so except Jeannette. This is because she has shown incredible and unwavering support for her father over the years and when Rex gets the impression that Jeanette’s support is starting to waver he knows that what he’s allowed his drinking to become, is deeply and negatively affecting those around him.
Roger holds the most power because of his encounter with Ralph, and what he wants to do with Ralph. Roger is willing to kill and he “sharpens a stick at both ends” (190). This quote shows how Roger is willing to kill and is ready to take over and be the tribe’s leader. After roger had sharpened the stick, the tribe feared him.
Stickley, T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18.
... be shown that we care about him and want to provide stability in his life. It’s importance for a therapist to share things about themselves and give their honest opinion in order to make the patient comfortable and trusting of them. (Comer, 2011, p. 43)
Though touching your patient and having multiple relationships with them aren’t the best way to go in my opinion, disclosing information to your patients is extremely beneficial. All therapists should learn to provide trust, comfort and an understanding to their patients, otherwise they are doing their job all wrong.
I pay particular attention to enactments, which expose intra-psychic dynamics between the therapist and client, as opportunities for relational remodeling. Combining these IST and attachment, a client can reintegrate affective responses and relational needs through mutual recognition in the therapeutic relationship. Furthermore, both approaches delve into the subjective and embodied processes of both client and therapist, which allows me to integrate interventions like mindfulness, deep breathing, DBT skills, and other behavioral coping skills that work in conjunction with the relational processes to empower clients to stabilize, regulate, and develop new ways to relate interpersonally. The use of these interventions are particularly helpful when working with clients with severe and chronic mental illnesses as it creates a safe, relational holding space for clients to develop necessary coping skills, especially when the therapy is
They argue that therapists should consider their own motivation to self-disclose and set boundaries. The therapists should never put their own needs above the client. They make sure to point out that self discourse alone cannot affect the outcome of treatment. Self-disclosure is effective only if it is used appropriately and only if it is used when it is necessary. The amount of information disclosed and when it is disclosed is also important. Therapists should draw a clear line with the amount of intimacy to include in their therapeutic disclosure to ensure that no inappropriate boundaries are crossed. The authors suggest two rules of thumb to follow when disclosing information which include: (a) “Why do I want to say what I am about to say” and (b) “What will be the likely impact of the client” (p. 567).
Carl R. Rogers theorized that through providing a certain kind of relationship with the client, one in which empathy, unconditional positive regard and congruence were present, the client would “discover within himself the capacity to the relationship for growth, and change and personal development” . As a counselor empathy is essential as it allows me to enter my clients internal frame of reference, while still retaining a problem-solving stance. Entering the client’s internal frame of reference means I must consider the emotions and thoughts of the client, it is similarly vital not to get lost in the internal frame of reference as this creates the distinction between sympathy and empathy. Unconditional positive regard, also called acceptance is essential as it plays a role in creating a helping relationship in which the client feels safe to express any negative emotions or thoughts, while being...
Person-Centred Counselling established its origins in the late 1940 during a conference when Carl Rogers gave a talk entitled ‘New Concepts in Psychotherapy’. The summarisation of the talk resulted in the theory that the client in a counselling relationship should be at the center of the relationship and lead the counselling process. The Client, in effect became the expert on their life and/or problems. The fundamental belief is that an individual is capable of change, growth and fulfillment (self-concept). Person-Centred counselling looks at ‘the here and now’ and how to make changes that affect the future. Person-Centred Counselling generated a system known as the ‘Core Conditions Model’ which emphasized three key components: Empathy, Congruence and Acceptance.
It was also made very evident that individuals are connected to everybody else in the world in some way even when the connection is not made fully aware of. Jung stated that we are all connected through repetitive events in which we find meaningful. Research is starting to focus more on synchronicity, thus changing the way individuals view it when it comes to psychotherapy. Walt Whitman as well as Jung believe that once synchronicity is established in therapy, those experiences are then able to build off of each other. Overall, relational therapy might need to involve receptivity and sustained attention awareness in order to aide in the healing process while shifting through the therapeutic process. It was made very clear in this article that client-patient understanding is a very important concept of psychotherapy due to the fact that if the therapist cannot communicate with their patient, the problems in which the patient is suffering from cannot be solved. In addition, when therapists have a close connection with their patients, they are able to understand their feelings more than if not, therefore, they will be able to identify problems and find solutions to those problems. Synchronicity is strongly encouraged to be incorporated in psychotherapy due to the fact that such
To explain, the client should not be inferior to the counselor; the environment should be two people discussing an issue and ways to make a difference. A therapist should occasionally share similar experiences; therefore, sessions should make clients feel comfortable. To add, the client should feel safe due to the positive atmosphere the therapist brings to the session. The goal is to finally give the client a chance to be heard, regularly people are muted and feel like they are insignificant to society. Similarly, to Person-centered therapy where communication with the client is unconditionally positive. The therapist needs to genuinely care about the client needs for them to fully express themselves successfully. Furthermore, clients should be encouraging to make their own choices which model how to identify and use power responsibly. Hence, this will help the client feel more confident in everyday life when making a meaningful
Current research implies that an empathetic clinician-client relationship and interrelated ecosystems play the majority role in the success of therapy (Kilpatrick & Holland, 2009). The clinician’s ability to be present and actively perceive what the client is experiencing is of utmost importance in creating a therapeutic alliance. It is imperative that the clinician gains positive regard towards the client and their environment displaying honest acceptance towards the client no matter what issues are presented in session. This closely relates to a sincere presentation of genuineness that instills a feeling of honesty within the client and clinician (Kilpatrick & Holland, 2009). An experienced clinician builds upon the therapeutic
Stickley,T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18.
Reflecting on my work as a therapist, I recognize the importance of the therapeutic relationship. For instance, in EFT the therapist, “the therapeutic relationship, characterized by presence, empathy, acceptance, and congruence, helps clients to feel safe enough to face dreaded feelings and painful memories (Greenberg, 2014).
In the second part of the book Rogers speaks of his ideas of his theory of the person-centered approach to therapy. This is the part of the book that I felt really spoke to me. Person-centered theory is a lot of what I would like to do. I enjoy the ideas and concepts that Rogers presents in his theory. I think that it is extremely important to be able to take into consideration not only the diagnosis of the patient/client with whom you are working, but that it is more important to be able to take the time to sit back and to listen to them. I have realized in the year that I have been working in the psychiatric hospital how important it is for the patient/client to just sit back and listen to what it is they're saying to you. This however does not mean I am only hearing their words, but that I am listening at a much deeper level and actually he...