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The Therapeutic Relationship

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The reparative/developmentally needed relationship is based on the client viewing the therapist as a parent figure to support them during the personal growth that takes place in therapy. This may be especially so for clients who experienced poor parenting as youngsters. In time, the client begins to trust their own judgement and so needs the therapist less (at which point therapy comes to an end). In 1995, Clarkson wrote a book entitled The Therapeutic Relationship (revised in 2003).Clarkson talked about ‘intersubjective relationships’ (how we connect to others) and ‘intrapsychic relationships’ (how we connect to ourselves). Rory explains the five intersubjective relationships, and provides some real-life examples of these: The therapeutic alliance, or the working alliance may be defined as the joining of a client's reasonable side with a therapist's working or analyzing side. [6] Bordin [7] conceptualized the working alliance as consisting of three parts: tasks, goals and bond. Tasks are what the therapist and client agree need to be done to reach the client's goals. Goals are what the client hopes to gain from therapy, based on their presenting concerns. The bond forms from trust and confidence that the tasks will bring the client closer to their goals. Therapist congruence, or genuineness: The therapist is congruent within the therapeutic relationship. The therapist is deeply involved, they are not 'acting' and they can draw on their own experiences (self-disclosure) to facilitate the relationship. Gelso, C.J. and Hayes, J.A. (1998). The Psychotherapy Relationship: Theory, Research, and Practice. (p. 22-46): John Wiley & Sons: New York.

The Therapeutic Relationship by Clarkson - AbeBooks The Therapeutic Relationship by Clarkson - AbeBooks

Gaston L., Marmar, C. R. (1991). Manual for the California Psychotherapy Alliance Scales - CALPAS Unpublished manuscript. Department of Psychiatry McGill University, Montreal, Canada. Rogers describes the core conditions of Empathy, Congruence and Unconditional positive regard, as the foundations of building an interpersonal alliance between two people. In terms of “The 5 relationship model,’ the therapist would use these conditions to facilitate the ongoing encounter with the client. This text provides coverage of the uses and abuses of the therapeutic relationship in counselling, psychology, psychotherapy and related fields. It provides a framework for integration, pluralism or deepening singularity with reference to five kinds of therapeutic relationship potentially available in every kind of counselling or psychodynamic work. Rogers describes the core conditions of empathy, congruence and unconditional positive regard, as the foundations of building an interpersonal alliance between two people. In terms of “The 5 relationship model’ the therapist would use these conditions to facilitate the ongoing encounter with the client.Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252-260. The developmentally needed or reparative relationship is an intentional provision by the psychotherapist of a corrective, reparative, or replenishing relationship or action where the original parenting was deficient, abusive or overprotective” (Clarkson 2003:113). Research on the working alliance suggests that it is a strong predictor of psychotherapy or counseling client outcome. [8] Also, the way in which the working alliance unfolds has been found to be related to client outcomes. Generally, an alliance that experiences a rupture that is repaired is related to better outcomes than an alliance with no ruptures, or an alliance with a rupture that is not repaired. Also, in successful cases of brief therapy, the working alliance has been found to follow a high-low-high pattern over the course of the therapy. [9] Therapeutic alliance has been found to be effective in treating adolescents with PTSD, with the strongest alliances were associated with the greatest improvement in PTSD symptoms. [ citation needed] Regardless of other treatment procedures, studies have shown that the degree to which traumatized adolescents feel a connection with their therapist greatly affects how well they do during treatment. [10] Necessary and sufficient conditions [ edit ] I am interested in various models and frameworks on forms of relationship essential to the development of a positive therapeutic experience between therapist and client along with the whole interplay of explicit and implicit communication.

The therapeutic relationship, 2nd ed. - APA PsycNet

The working alliance forms the basis of the client–therapist (or therapist–supervisor) relationship, and includes the contract. It focuses on building a shared understanding and foundation, so that if the relationship falters, both parties can return to this stage and try to repair it. This is the basis of the client–therapist relationship that enables both the client and the therapist to work together and would include such things as the contract, the presenting issues and maybe a realisation of both parties that in other circumstances they may not choose to be in each other’s company.

http://www.ohsu.edu/xd/outreach/occyshn/training-education/upload/DevelopingTheraputicRelationships_Ch10.pdf [ dead link] Here are some of my personal favourites (the authors have been significant 'teachers' for me) on the topic of therapeutic use of self: Qualitative research collects data that describes the quality of experience, while quantitative research gathers data relating to quantity (i.e. facts and figures). Each type of research has its pros and cons, and often the two can be combined for strong research results; a balance is important. The therapeutic relationship refers to the relationship between a healthcare professional and a client or patient. It is the means by which a therapist and a client hope to engage with each other and effect beneficial change in the client. Many clients come to see therapists as the ‘good enough other’ the idea that at some level they emotionally take on the therapist as a ‘parent figure’ to support them during the personal growth that hopefully takes place during therapy, Clarkson described this as ;

Therapeutic relationship - Wikipedia Therapeutic relationship - Wikipedia

Therapist unconditional positive regard: the therapist accepts the client unconditionally, without judgment, disapproval or approval. This facilitates increased self-regard in the client, as they can begin to become aware of experiences in which their view of self-worth was distorted by others The presentation, entitled “A Global Vision: Taking Gestalt Therapy into the 21st Century”, brought together delegates and presenters from across the globe that reviewed and explored views of Gestalt therapy. Clarkson also co-founded two training organisations, the Metonia Institute and Physis.

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