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Therapeutic relationship and communication
Clinical interview
Therapeutic relationship and communication
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The therapist and client relationship is important in effective therapy. The therapeutic relationship must be built upon before any technique and theory will be effective. Communicating real empathy and showing a genuine interest in the client will begin a solid therapeutic foundation. However, the therapist must “have the ability to stay outside the system while maintaining some emotional attachment to its members” (Patterson, Williams, Edwards, Chamow, & Grauf-Grounds, 2009, p. 107). This paper reviews and critiques an interview I recorded of a couple that pertains to clutter building up around the house. The goal of this activity was to seek out information using various questioning techniques and basic interviewing skills, and then write a paper critiquing this writer’s performance.
Basic Interviewing Skills
Basic interviewing skills include the therapist attending or joining with the client. This behavior includes orienting oneself physically and psychologically with the client. The therapist must practice these skills to build on the therapeutic relationship. Successful joining with the client begins with making the client feel understood, respected and cared for by attending to what the client is saying, acknowledging what is being said by the nodding of the head, and exhibiting appropriate body language throughout the session. Joining should begin at the moment of contact with the client. The therapist must immediately make an effort to put the client at ease by listening and maintaining good eye contact. Successful joining gives the therapeutic relationship a good foundation. However, unsuccessful joining may make the client feel unable to confide or trust in the therapist or therapeutic relationship.
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... 1997). Ranking questions require the client to rank others, based on various qualities. And lastly, rating questions provide the therapist with an estimate of how the client perceives something based on a scale of 1 to 10.
This has been an informative lesson and a wonderful class. I have learned so much about therapy and myself. I am looking forward to working with others and practicing the skills I have learned throughout this course.
Works Cited
Brown, J. E. (1997, January, 1997). The question cube: a model for developing question repertoire in training couple and family therapists [Journal]. Journal of Marital and Family Therapy, 23(1), 27-40.
Patterson, J., Williams, L., Edwards, T. M., Chamow, L., & Grauf-Grounds, C. (2009). Essential skills in family therapy from the first interview to termination (2 ed.). New York, NY: The Guilford Press.
While her therapist helps her with her father, the therapist unintentionally improves her relationship with her husband. At Southeastern Louisiana University’s common read, Smith explains, “I think I was able to meet him [her husband] because I cleared up a lot of silly stuff through therapy” (Smith). This confirmation allows the reader to receive a higher understanding of the effect therapy impacted Tracy K. Smith.
Gladding, S. T. (2010). Family therapy: History, theory, and practice (5th Ed.). Boston, MA: Pearson
Almeida, R. V., Dolan-Del, V. K., & Parker, L. (2008). Transformative family therapy: Just families in a just society. Boston: Pearson/Allyn and Bacon.
Nichols, M. P. (2010). Family therapy concepts and methods (9 ed.). Boston, MA: Allyn & Bacon.
Kottler, A. J., (2010). On being a therapist. San Francisco, CA: John Wiley & Sons.
Structural family therapist have exemplified within the context relational therapies that uncovers stressors in relationship between individuals (Vetere, 2001). Structural family therapy has been known to be called “interventive approach” because of the “intensity” to encourage clients to change (Hammond & Nichols, 2014).
Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
Gladding, S. T. (2011). Family Therapy: History, Theory, and Practice, Fifth Edition. Upper Saddle River, New Jersey: Pearson Education, Inc.
Duty, G. (2010, December 10). Family Systems Therapy. Lecture presented at Principles of Counseling Class Notes, Bethany.
3. Interviewing skills, which are used daily in the field of social work. Questioning clients is a very important part in assessing the client. Learning how to use open-ended as well as close-ended questions at the appropriate times is crucial when assessing the client. Asking questions is a powerful tool in focusing conversational attention and guiding interaction with others. There are many creative possibilities in using interviewing skills.
Nichols, M. P. (2011). The essentials of family therapy. Boston, Ma.: Allyn and Bacon. (Original work published 5th)
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
Gehart, D. (2014). Mastering competencies in family therapy: A practical guide to theories and clinical case documentation. Belmont, CA: Brooks/Cole.
This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.
The counseling session began with the introductions where I introduced myself as the counselor and later introduced my client. This stage is important in any counseling session since it is the time of exploration and focusing according to Gerard Egan as quoted by Wright (1998) in his essay on couselling skills. It is in this session that I was able to establish rapport and trust with my client in order to come up with a working and fruitful relationship with him. During this stage I made use of skills like questioning, where I would pose a question directly to my client, sometimes I would choose to just listen to what the client wanted to speak out while in some instances I would be forced to paraphrase the question if I felt the client did not understand the question I had asked previously. There were also other times when I would reflect through silence. During such a period, I got time to study the client and the information he had given. This being a difficult area, since some clients may not be able to volunteer information to you as the counselor, I decided to assure the client of confidentiality of any information he was willing to share with me with a few exceptions which I also told him about. Being open to him about the only times the information may not be confidential was part of my building rapport and establishing trust with him. I therefore, decided to ask the client what information he wanted to share with me and lucky enough he was ready to speak to me about different issues that he was going through.