Client Directed Outcome Informed ( Cdoi ) Developed From These Two Research Literatures

The 'counsellor-client work alliance' (Burwell & Chen, 2006) is essential for a productive and active client as it ensures motivation and empowerment through the collaborative identification of strengths, progress and development in relation to achieving their preferred future and to identify strengths to accomplish this outcome, also known as co-constructing solutions (O'Connelle 2005)

The whole reason for a therapeutic relationship is to facilitate a successful patient outcome. Each person is unique and has different needs.

Therapeutic relationships ease and comfort a client`s mind. A full-bodied therapeutic relationship fosters a comfortable environment constituting contentment, thus decreasing anxiety levels (Gardner,

(Horvath and Greenberg, 1994) As Binder and Strupp (1997) have suggested, the outcome of the therapeutic alliance is highly connected with the therapist’s capability to recognize whether the treatment they have applied is helpful and if it isn’t how it could be changed in order to turn into a positive treatment. (Binder and Strupp, 1997) Furthermore, both statements suggest that there must be a close connection between the therapist and the family/person, which is being treated at the considered moment. Those texts could suggest that it is important to have a personal, yet professional connection with the “client” in order to achieve a positive outcome. However, this would mean that one must take their work life into their everyday life and engage with the patient even outside work hours and that would be crossing the professional boundaries. To give an example for a positive treatment which evolves into a negative, I would like to draw your attention to the Netflix Original Series - Atypical.

It also enables therapists to experience therapy from the clients’ perspective and “ has a wide range of beneficial outcomes, the most important of which is the increased empathy for the client”.

Allowing for our ethical codes of conduct, if the client is someone we feel we can proceed with, then as always, the first stage would be to develop a good rapport and gain the clients trust to develop an honest and open relationship with them. The client centred approach as always is the best method for this – to put the client at ease in a non-judgemental space where they can express their emotions and explore what it is they want to achieve with therapy. In giving the therapist an

Enabling clients to choose appropriate strategies ~ As unbiased information would be provided which could include coping strategies, enough coping

The foundation of therapy starts by building rapport with the client and applying strategies when necessary to overcome a variety of barriers. It is imperative to have rapport with a client and to be aware of barriers to facilitate a good treatment outcome. This will take practice and the use of methods and strategies ready to be implemented when needed. There are many components to building a good client rapport such as: intimacy, vulnerability, exploration of inner challenges, self-awareness, staying present; inner resiliency, empathy, anxiety management, and self-integration, and relationship acceptance. The two types of barriers are internal and external and this is for both the client and the therapist. The common barriers to rapport are countertransference and transference. Strategies for overcoming barriers are: Pause Moment and self-awareness. It also requires skills such as being genuine, sensitive, open, and

Is Empathy a prerequisite for a good Therapeutic relationship? If so, what is the optimal degree of Empathy required for a positive Therapeutic outcome? In the recent years, much emphasis is placed on understanding what "ingredients" in Therapeutic relationship contribute to a positive outcome. Many researchers have attempted to separate essential aspects of the Therapeutic relationship. Rogers (1957) quoted three essential aspects that were vital to attain a "psychological climate" in where a client could reorganize himself. These aspects were characterized as genuineness in the relationship, acceptance of the client (warmth), and accurate empathic understanding of the clients’ phenomenal world. Findings of previous studies shows that these three aspects are separate and can be measured independently (Bergin, 1967; Truax, Wargo, Frank, Imbe, Battle, Hoehn-Saric, & Stone 1966).

During this process I have had the opportunity to read the case notes of various clients that I have worked with. I often times learned things about the client that I would not have known had I not read the notes or the assessments. Reading these notes allows me the ability to understand why the clients may have troubles with certain areas such as boundaries, communication or even money management. These case notes allow me to see areas of their treatment plan that they have worked on and understand any progress or obstacles that they may have

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

By examining the bond between a therapist and his client we can further understand how important the role of therapeutic alliance is in treatment outcome. The authors point out that therapeutic alliance plays a major positive impact on the outcome of therapy. Individuals who build good therapeutic alliances with their therapists experience more productive and effective therapy than individuals who do not.

There are many values this writer wishes to incorporate into a counseling relationship. The fundamental values this writer wishes to incorporate are: flexibility, self-awareness, self-regulation, and empathy. The ability to be flexible and alter what one does in order to fit the client’s needs is crucial to establishing and maintaining a therapeutic relationship. Flexibility can be demonstrated in many different ways, such as the way the therapist interacts with the client, the tone of voice that is utilized, down to the way the therapist provides material to the client. In being flexible, treatment is able to remain focused on the client and his or her needs (Egan, 2014).

If the client feels “safe” in the session, this can be very powerful for them. As sessions occur, the client will feel more comfortable in trusting the clinician with their feelings, attitudes and emotions. The client is able to present their needs and problems in ways that only they can express. Another factor that may resonate in the sessions may include transference and counter-transference. Transference is when the client’s attitudes, feelings and emotional conflicts from past events begin to be directed to the therapist, while Countertransference is exactly the opposite, when the therapist’s attitudes, feelings, and emotional conflicts from the past are directed towards the client (Transference and Countertransference, 2011). There are not too many positive factors with Countertransference, except being able to recognize it, when it exists, and be able to work out any conflict. A client’s experiences can affect their feelings, emotions, and behaviors towards their therapist. If the therapist remains their professionalism, and sets the proper limits and boundaries, a client can work through past experiences that are affecting their functioning. In a lecture, it is the role of the counselor to recognize the client’s experience; reflect and process the client’s emotional state, as well as process their own emotional reactions to clients and their issues. When clients can work through their problems from past

Among the three main approaches to insight therapy (psychoanalysis, client-centered, or group therapy), the one that l believe has the most reasonable way to deal with psychological problems, is client-centered therapy. Client-centered therapy is an insight therapy that emphasizes providing a supportive emotional climate for clients, who play a major role in determining the pace and direction of their therapy (pg. 459). According to Carl Rogers, the man who devised client-centered therapy, three elements were necessary to promote positive changes in therapy: Genuineness (honest communication), Unconditional positive regard (therapist remains supportive, non-judgmental) and Empathy (therapist understands issues from client’s point of view) (pg. 460). In following these three elements, client and therapist were working together equally and helped client become more aware of themselves and even feel more comfortable with their therapist and the idea of therapy. Some people don’t seek help because they feel therapy might be too intimidating for them or it’s a step that they fear having to take. I can agree with this, because from my personal experience, l had pushed off therapy for so long because l was afraid to admit that l needed it.