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Importance of a therapeutic alliance
Importance of a therapeutic alliance
Importance of a therapeutic alliance
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“The Way of being” “If I can be sensitively aware of and acceptant toward my own feelings, then the likelihood is great that I can form a helping relationship towards another (Rogers, 2004 p.51). Rogers believed individuals can become aware of their difficulties in addition to having the competence, as well as the tendency to move towards psychological well being (Corey, 2009). Within Rogers theory three core conditions for positive therapeutic outcome were identified, Congruence; unconditional positive regard; and empathy. These three conditions are not only necessary but also sufficient for client growth (Rogers, 1957). A PCT's way of being while working with ACOA's, addresses his/her presence in the room, in order to establish an atmosphere in which personality change can occur (Cheston, 2000). Firstly, the PCT need to demonstrate “congruence” Rogers, came to believe this is the most fundamental of the core conditions . This demands that the therapist make him/herself …show more content…
Glasser, embraces what Rogers (1957) referred to as the necessary and sufficient conditions for change. Unconditional positive regard, congruency, and empathy, (Wubbolding, 2000). In CT/RT empathy and positive regard accepts the client for what they are and who they can be. In addition the therapist attempts to see the client’s world through their eyes. Congruence implies that the therapist has some degree of mental health, see their control as internal and can relate to others in a healthy and direct way. The therapist gets involved by connecting with the client every way they can. If this can be accomplished then the skills of the therapist as a teacher can become crucial (Wubbolding, 2000). The therapist uses the relationship to help the ALCOA to relate positively to the people they want in their quality world (Corey,
In B. L. Duncan, S. D. Miller, B.E. Wampold, & M.A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 143-166). Washington, DC: American Psychological Association.
Together, therapist and patient examine not only a situation that the client was involved in, but also the client’s experience of the event. This is done in the relational context of the therapeutic relationship, allowing experiences to evolve and for deepening and articulation to cause change.
As this book points out, and what I found interesting, the therapeutic relationship between therapist and client, can be even more important than how the therapy sessions are conducted. A therapists needs to be congruent. This is important because a client needs a sense of stability. To know what is expected from him or her while being in this transitional period of change. In some cases this congruency may be the only stability in his life, and without it, there is no way of him trusting in his t...
...ential impediment to postmodern and CBT interventions is practitioner incompetence. Psychological harm to clients is a potential danger of interventions implemented by untrained or inexperienced therapists. Likewise, the attitude and professional maturity of the practitioner are crucial to the value of the therapeutic process. In both approaches, whether taking on the role of teacher or collaborator, the therapist’s stance is one of positive regard, caring, and being with the client. While techniques and therapeutic styles may vary between and within the postmodern and CBT counseling approaches, they both enlist the client’s diligent participation and collaboration throughout the stages of therapy to accomplish positive therapeutic outcomes.
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...
...ate with their therapists. “A systematic relationship between the therapists' personal reactions to the patient and the quality of their communication, diagnostic impressions, and treatment plans” (Horvath & Greenberg, ). While positive attitudes from the therapists are more likely to result in a successful treatment, negative attitudes will not develop the necessary cooperation from the clients side to successfully reach the goal of the therapy.
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
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.
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.
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
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
These points of view control the positive brain, science or comprehensive quality emotional wellness. Our therapy incorporates our clients to appreciate life and to accomplish mental strength. “In all things I have shown you that by working hard in this way we must help the weak and remember the words of the Lord Jesus, how he himself said, ‘It is more blessed to give than to receive’” (Acts 20:35, ESV). Our culture is to help people with mental issues to learn from their problems. Therefore, we have to have patience, compassion and believe whole-heartedly in honesty. We lead by example, whether it comes from our director, and she is telling us ways to engage with our patients or the face-to-face sessions while putting ourselves in the shoes our
Through the psychoanalytic therapeutic approach, the counselor analyses the client and the occurring problem as well as teach the client how to comprehend the behavior and how it is related to the client’s past experiences. Focusing on the Adlerian approach, the counselor’s role becomes to create mutual trust and respect as well as identifying previous mistaken goals as well as teaching and encouraging the client to a brighter future. The client-therapist relationship becomes mutual towards determining goals and is built on equality. The role of the counselor with the focus of CBT is as a teacher. The counselor teaches the client to change his or her cognition to create a better cognitive schema and a more positive view in the future. However, the relationship is collaborative, meaning that the counselor helps the client identifying the problem and how to solve it. Lastly, the postmodern approaches, creates a collaborative partnership. However, the client-therapist relationship is different in the postmodern approaches compared to psychoanalytic therapy, Adlerian therapy, and CBT, where it is a teaching environment, with the counselor being the expert. In the postmodern approaches, the client is the expert on his or her life and takes control over developing a future-oriented goal with assistance from the counselor. Creating an
He condensed the psychological conditions needed down to six conditions and proceeds to explain each of them in more detail. Along with the detailed description, Roger also includes clinical examples for emphasis. The conditions the Rogers describe align with the humanistic approach in that Rogers determines that empathy and positive regard by the therapist towards the clients is necessary for the psychotherapy to be effective. The therapy described by Rogers is relevant today, nine years after the article was written. Clients more than ever today want to know that their therapist understands and has compassion for them and their condition.