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Importance of a therapeutic relationship
Elements of a Successful Therapeutic Relationship introduction
Elements of a Successful Therapeutic Relationship introduction
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Recommended: Importance of a therapeutic relationship
Regardless of the therapeutic approach utilised, an indispensible and communal component of most therapeutic approaches is the therapeutic relationship (Sparks, Duncan, & Miller, 2008). Norcross and Hill (2002) defined therapeutic relationship as the cooperative alliance between a therapist and the client. It is found to be influential in the success of a therapy (Lambert & Bergin, 1994). Hence, researchers began to investigate therapeutic relationship.
Therapist’s self-disclosure (TSD) is one of the various factors investigated by researchers in terms of its influence on the therapeutic relationship (Audet & Everall, 2010). TSD refers to the declarations of personal information by the therapist to the client (Norcross & Hill, 2002). Freud was against the idea of TSD. He believed therapist should remain opaque to the client (Freud, 1959). In support, ethicists are also against TSD as it poses a threat to the therapeutic relationship (Audet & Everall, 2010). However, Roger (1961) viewed TSD as an important component of therapeutic relationship. Feminist theorists supported TSD as it was believed to balance the power difference in a therapeutic relationship (Enns, 1997). Despite the on-going debate on TSD, Henretty and Levitt (2010) found that majority of therapists do disclose personal information to the clients.
Knox and Hill (2003) viewed TSD as beneficial to the therapeutic relationship. Hence, they introduced guidelines in the usage of TSD. They believed that via their guidelines, therapists can use self-disclosure more appropriately in their attempt to enhance therapeutic relationships. In this paper, Knox and Hill’s (2003) view on the TSD in relation to therapeutic relationship will be summarised. In addition, their guidelin...
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Rogers, C. R. (1961). On becoming a person: A therapist’s view of psychotherapy. Boston: Houghton Mifflin.
Simon, J. (1988). Criteria for therapist self-disclosure. American Journal of Psychotherapy, 62, 404-415.
Sparks, J. A., Duncan, B. L., & Miller, S. D. (2008). Common factors in psychotherapy. In J. L. Lebow (Ed.), Twenty-first century psychotherapies: Contemporary approaches to theory and practice (pp. 453-497). Hoboken, NJ: John Wiley & Sons Inc.
Tabol, C., & Walker, G. (2008). The practice of psychotherapy: Application. In M. Ballou, M. Hill, & C. West (Eds.), Feminist therapy, theory, and practice: A contemporary perspective (pp. 87-108). New York: Springer Publishing Company.
Wells, T. L. (1994). Therapist self-disclosure: Its effects on clients and the treatment relationship. Smith College Studies in Social Work, 65, 23–41.
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.
The expectation in the practitioner/client relationship is that any information disclosed will not be shared with others. Confidentiality is emphasized to provide the client with a safe haven in which to share traumatic events or embarrassing personal information about themselves (Krase, 2013). Disclosing this type of sensitive information...
Stickley, T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18.
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).
Hersoug, A. G., Høglend, P., Monsen, J. T., & Havik, O. E., (2001). Quality of working alliance in psychotherapy: Therapist variables and patient/therapist similarity as predictors. Journal of Psychotherapy Practice and Research, 10, 205-216.
Regardless of the treatment method, the findings of scientific research stress the importance of a relationship-based treatment which operates on trust and openness. All researchers claim that developing a strong therapeutic alliance in the beginning influences the course of the treatment and its success. The early development of this kind of relationship with the patients will improve the therapists' chances of success.
Wampold, B. E. (2001). The great psychotherapy debate: Models, methods, and findings. Mahwah, NJ: Erlbaum.
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
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
I have based my approach on the data that was presented to me through intake forms and viewing prior sessions with the couple. To protect the couple from any negative counter-transference, I filtered my observations through the theories of Gottman’s Married Couple Therapy (2008), Johnson’s Emotionally Focused Therapy (2008) (EFT), and David’s Integrated Model of Couple Therapy (2013a) (ICT). The bulk of this paper will then examine my therapeutic approach, the supporting theoretical concepts, and my strengths and weaknesses as a therapist during the session. The latter will include peer feedback, instructor feedback, and self-critique. This paper will conclude with a brief discussion of the future direction of therapy were I to remain their therapist.
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).
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.