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Importance of the therapeutic relationship
Elements of a Successful Therapeutic Relationship introduction
Elements of a Successful Therapeutic Relationship introduction
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Is Empathy a prerequisite for a good Therapeutic relationship? If so, what is the optimal degree of Empathy required for a positive Therapeutic outcome? In the recent years, much emphasis is placed on understanding what "ingredients" in Therapeutic relationship contribute to a positive outcome. Many researchers have attempted to separate essential aspects of the Therapeutic relationship. Rogers (1957) quoted three essential aspects that were vital to attain a "psychological climate" in where a client could reorganize himself. These aspects were characterized as genuineness in the relationship, acceptance of the client (warmth), and accurate empathic understanding of the clients’ phenomenal world. Findings of previous studies show that these three aspects are separate and can be measured independently (Bergin, 1967; Truax, Wargo, Frank, Imbe, Battle, Hoehn-Saric, & Stone 1966). Therapeutic relationship is defined as the collaboration and attachment between the client and therapist that focuses on meeting the health care needs of the client (Bordin, 1979). In this relationship, the therapist without prejudice shows Empathy, insight, understanding and acceptance of the client. Duan and Hill (1996) defined Empathy as “feeling into” the experience of the client. Over the years, the research evidence keeps piling up, and indicating a high degree of Empathy in a Therapeutic relationship is possibly one of the most potent factors in bringing about positive outcomes in the therapy (Clark, 2010; Greenberg, Watson, Elliot, & Bohart, 2001 & Hartley, 1995). However, recently the focus has been diverted to the aspects of the Therapeutic relationship, which includes Empathy as a predominant factor. The main purpose of this study was to examine ... ... middle of paper ... ...therapeutic relationship. Furthermore, it also implies that empathy could be a prerequisite for a positive change in therapy. Upholding of professional boundaries are as equally integral to the outcome of a good therapeutic relationship. Since a client by default in vulnerable it is the therapist responsibility to sustain a professional relationship. Findings also revealed that empathy is not the only factor for predicting a positive therapeutic relationship, there are other factors like the experience of the therapist, genuineness, trust and unconditional positive regard which also contributes to positive therapeutic relationship. Future researchers could consider the other factors to work on. Perhaps not overstating the overall picture, “accurate” empathy does play a significant role in therapeutic relationship by benefiting both the therapist the client in a way.
The article I read was “Empathy and Cultural Competence: Reflections from Teachers of Culturally Diverse Children” by Michaela W. Colombo. After reading this article I will be talking about what the article is about, me thoughts on the article, and how the article relates to NAEYC’s code of ethics.
confirmatory factor analysis of the Interpersonal and Social Empathy Index. Journal Of The Society For Social Work And Research, 4(3)
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...
Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by building a mutual relationship based on trust, understanding, and respect for the client.
Therapeutic relationships are an essential part of nursing; they are the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses states that nurses are responsible for “establishing, sustaining and concluding professional relationships with individuals/groups.” Throughout this essay, the importance of forming therapeutic relationships will be explained. The process of building a therapeutic relationship begins prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person.
Understanding the counseling session from the client’s perspective is a very important aspect in the development of a therapeutic relationship. A clinician must be an excellent listener, while being to pay attention to the client’s body language, affect and tone. The dynamics in the counseling session that is beneficial to the client include the recognition of the pain that the client is feeling. The detrimental part of this includes a misunderstanding of the real issues, a lack of consideration of the cultural aspects of the client, and a lack of clinical experience or listening skills. In this presentation, we will discuss the positive and negative aspects of the counseling session from the client’s perspective which includes the client’s attitudes, feelings, and emotions of the counseling session. We will next examine the propensity of the client to reveal or not reveal information to the counselor, and how transference, and counter-transference can have an effect on the counselor-client relationship.
As a counselor, the therapeutic relationship should be the main focus. It can be suggested that the most effective therapy begins with a warm and genuine relationship between the client and counselor. This relationship should be collaborative and based on respect, positive regard, acceptance, etc. Active listening skills, patience, empathy, and consistency represent some of the fundamental elements of establishing rapport.
Another noteworthy feature of this approach is the chance to empathize. In most forms of therapy, empathy is not used: why would you want to add more conflict to an already difficult situation? Well, as counterintuitive as it may seem, it does have standing. By definition empathy is the ability to understand the feelings of another person. In this context empathy serves as an indirect way for readers to relive and recall their own experiences.
Empathy has made an impact on social work practice in Sweden and it also plays an important role within the international field of the social work profession (IFSW, 2012; Akademikerförbundet SSR, 2006). The concept of empathy has a long history within the 10 social work literature (Lietz et al, 2011). Furthermore, it has for years been suggested that practitioners should develop their empathy skills in order to understand and respond appropriately when working with variety of populations and meeting people with social problems (ibid). Shulman (1999, as mentioned in Trevithick, 2009) divides empathy into three different sections that are necessary for social work practice; 1) reaching for feelings, which implies that the social worker needs to step into the client’s
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
t's problems. Instead, it should permit the client to feel that she has support to dive into emotions she might have been afraid to do so before entering client centered therapy. It is interesting to note according to Raskin et al. ( 2011), “Our basic practice [client centered therapy] remains true to the core conditions no matter who our client may be. We also assert that our ability to form an initial therapeutic relationship depends on our own openness to and appreciation of respect for all kinds of difference” (p. 183).
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
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).
Spiritual empathy is to be able to feel and understand what another person is feeling or trying to communicate. As social workers, we work with clients who are going through a life crisis. A life crisis would be anything that threatens the clients well being. Stress and anxiety can lead to health problems and damaging dysfunctional behaviors. To best serve our clients we have to show spiritual empathy. Spiritual methods of therapy are controversial among workers in the health field including social workers. Many are not comfortable using spiritual interventions. Being spiritually empathetic can help the social worker notice signs of spiritual need. I believe that spiritual empathy is crucial in order to help the client’s needs. In this paper I will go over the importance of spiritual empathy, recognize spiritual needs, and interventions.
Watson, J. C., Steckley, P. L. & McMullen E. J. (2013). The role of empathy in promoting change. Psychotherapy Research. 24(3), 286-298. doi: 10.1080/10503307.2013.802823