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Example of a therapeutic alliance
Advantages of therapeutic alliance
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Understanding the components of building an effective helping relationship is fundamental. The therapeutic alliance evolves from an effective helping relationship. In family therapy the alliance, exist among the individuals, subgroups, and whole family. It is imperative for the family and clinician to have a positive relationship in order progress towards resolution of the presenting problem. In the alliance, the clinician and family work as a team. The alliance can have an impact on the outcome of therapy. Positive alliances increase the likelihood of resolution and positive outcome in therapy. A negative alliance will yield a less than expectable outcome. The therapeutic alliance hinges on the bond that is created between the client and clinician. Having a positive therapeutic alliance and solid theoretical rationale a family therapist can join hands with his or her client(s) and together can achieve goals. Therapeutic Alliance in Family Therapy: Together We Can When delving into the components and benefits of the therapeutic alliance one must fully understand the definition of the alliance. The therapeutic alliance is best defined as the mutually investment of the therapist and the client in the pursuit of the client’s goals. The implications for the therapist in developing this alliance go beyond the empathic, genuine, and respectful helping relationship. Within the realm of therapeutic alliance, the therapist is in essence creating personal and emotional relationship with the client within the confines of their ethical standards of practice. For family therapist the therapeutic alliance can seem complicated. Family therapist must create the alliance with each member of a family as well as each subgroup within the family.... ... middle of paper ... ...em to conform to a specific mold. What is means is that the therapist and family express a “together we can” approach to therapy and the outcome. Within the therapeutic alliance, the clinician-client relationship can be critical to the outcome of therapy. If a client does not feel that his or her feelings, expressions, and or thoughts matter to the therapist, there is no alliance much less a relationship. When a client feels invested in it can certainly change the outcome of therapy. For instance if a client has come to therapy with feelings of inadequacy, lack of visibility and indifference if the therapist treats him or her in the same manner it is highly unlikely the client will return to this clinician. A study (Friedlander, Bernardi, and Lee, 2010) shows that outcomes were more negative when clients felt clinician lack of engagement and involvement in session.
Structural therapy focuses on the family as a whole. It is concerned about how the issues effect the family relationships and connections. This theory concentrates on how well the understanding is amongst the family members and counselor. The members of the family are prompted to understand how the issues were created, where did the issues come from, when the issues started effecting their family, and what the family needs to overcome their issues. Its focus is to help others understand and improve negative behavior. The structural therapy concentrates on the interaction and boundaries of families with separating the whole family into smaller groups. The subsystems will create a clearer understanding of what issues are hurting their family environment (Gladding, S. T. 2010). The counselor is concerned about the members interaction because this reveals how strong the relationships and connections are in the home. The boundaries are important because they create an understanding that there are limits and order, and the boundaries can be diffused, rigid, or clear (Gladding, S. T. 2010). The counselor is expected to identify techniques so members can understand which boundaries are clear, positive, and healthy (Gladding, S. T. 2010).
Watson, J.C., & Gellar, S.M. (2005). The relation among the relationship conditions, working alliance, and outcome in both process-experiential and cognitive-behavioral psychotherapy. Psychotherapy Research 15(1-2), 25-33.
Experiential Family Therapy is a therapy that encourages patients to address subconscious issues through actions, and role playing. It is a treatment that is used for a group of people in order to determine the source of problem in the family (Gurman and Kniskern, 2014). Experiential Family Therapy has its strengths and weaknesses. One of the strengths of this therapy is that, it focuses on the present and patients are able to express their emotions on what is happening to them presently. The client will have time to share everything about his/her life experiences one on one without any fears. As a result, it helps the client in the healing process because, he/she is able to express their feelings freely and come out of the problem. Therefore, in this type of therapy, the clients are deeply involved in solving their issues. It helps clients to scrutinize their individual connections and to initiate a self-discovery through therapy, on how their relationships influence their current behaviors (Gurman and Kniskern, 2014). By examining their personal relationships through experiential family therapy, family members are able to
...n all family members get involved in trying to help. By the individual’s family being apart of their therapy session, it shows how much their family members care for them and want them to get help with whatever issues they may be having. This is very important because it is a sign of love and it is showing the support that they have for one another. Therapist have also found that during strategic family therapy, they can help all family members with helping to encourage each other as well as create rules and interactions that are psychological healthy for all family members who are involved. It will make it easier for the family members to all get along and understand each other. When one person in the family is having issues, the other members should take the time to talk to one another and help each other out, especially the family member who is in need of help.
Structure therapy states that psychopathology is preserved and created not through individual pathology but through deficit in a family’s organizational structure. Therefore family therapist are not trying to solve the families’ problem but rather concentrate on the family’s organizational form (Ford, Durtchi, Franklin, 2012).
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.
Trust: John doesn’t have lots of vocabularies and even the words he says are not clear or he
Ruddy, N. B., Borresen, D. A., & Gunn Jr., W. B. (2008). Colocating with medical professionals: A new model of integrated care. In The collaborative psychotherapist: Creating reciprocal relationships with medical professionals (pp.115–133). Washington, DC: American Psychological Association.
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.
According to Orlinsky, Ronnestad and Willutzki (as cited in Vasquez, 2007) the therapeutic alliance is defined as the quality of involvement between a therapist and their client and Warner and Greenberg (as cited in Vasquez, 2007) also describe this alliance as being one of the most important factors in the effectiveness of therapy. The author then goes on to discuss the issues that may interfere with the therapeutic alliance of clients who are ethnically different from their counsellor. He states that this inexperience may be due to cultural misunderstandings and miscommunication between counsellor and client. While such issues exist, Vasquez (2007) offers many suggestions to help counsellor prevent experiencing these
Goldenberg, H. & Goldenberg, I. (2013). Family therapy: An overview (8th ed.). Belmont CA: Thomson Brooks/Cole.
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
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).
Three interrelated attitude of the therapist are central to the success of person-centered therapy, this include: congruence; unconditional positive regard; and empathy (Corey, 2010). Congruence represents the openness and geniuses of the therapists. Therapists who function this way does not hind behind a professional façade, and are willing to share significant emotional reactions with their clients. Unconditional positive regards refers to the therapist accepting the client totally as she or he is without disapproving particular behaviors, believes, feelings or characteristics. Therapists convey this message by their wiliness to listen without being judging, or directive. The therapist who creates a nonthreatening context allows the clients to explore and share their true feelings without fear of being judged. Empathy is the third necessary component of a therapist’s attitude. The therapist should try to see through client’s point to view, and show understanding and sensitivity to client’s feeling throughout the therapy session. When these three attitudes are conveyed by a therapist, according the Rogers, the client can freely express themselves without afraid of being