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
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.
I feel that the common factors model is a great tool and guide for all social workers. It provides a foundation for practice in all areas and it enables social workers to recognize how their clients engage in certain activities that initiate change and as well offers a way to organize their thinking. I do feel that the common factors model is useful as a conceptual framework. It permits social workers to identify the certain conditions and processes that need to present in order for their clients to take part in positive change. Everyone deals and approaches change in their own unique way. As a future social worker I will use the common factors model to evaluate how my clients approach change and the certain conditions and process that
In addition, it is impossible to generalize the structure of the therapeutic alliance because it will depend on the goals and tasks of the therapy. All therapists have different methods for achieving different goals, so the course of development of the therapeutic alliance will vary. For example, in classical psychoanalysis, the patient needs to say anything that comes to mind without filtering the undesirable thought. On the other hand, cognitive behavioral therapy (CBT) requires time and effort, so the client can slowly face the problem and replace the dysfunctional behavior or cognition pattern, with a reasonable behavior or cognition pattern. The difference in requirements from the patients will influence the course of development of the therapeutic alliance, but all approaches rely on a reliable therapeutic alliance created from the beginning of the therapeutic process.
Advantages and Disadvantages: Therapeutic Alliance Dana Heim October 14, 2017 HUMS 310 Columbia College Abstract Advantages and Disadvantages: Therapeutic Alliance There are a multitude of reasons why an individual may need or want therapy; whether it’s due to learning how to cope with a mental disorder or disability, life happenings such as traumas or abuse, addictions,
Introduction 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
When comparing and contrasting the differences in the three approaches, I will review the relationship between client and counsellor. I will attempt to discover how the relationship is formed and how it is maintained during the therapeutic process. Once this has been established, I will then look at how
Counselling psychology has been referred to as a “paradigm” due to its many therapeutic models and has been argued by the philosopher Thomas Kuhn (1962) that it is a “scientific community which is comprised of theories and concepts, experiences” (Woolfe, Dryden & Strawbridge, 2003). The humanistic paradigm is one that
The final core condition is congruence or genuineness, this trait has to do with the person-to-person nature of the helping relationship and it is only through maintaining an absence of façade and sustaining a consistency between what I as a counselor say and present in non-verbal terms in response to the what the client verbalizes. Genuineness is key to the helping relationship as Roger’s says “It is only by providing the genuine reality which is in me, that the other person can successfully seek for the reality in him” . I agree with Roger’s core conditions as an aid to developing a safe environment and trust within the helping relationship that will encourage the client to delve deeper and truly work with their problems; without these characteristics the client may feel reluctant to truly expose themselves and may only work superficially with their difficulties preventing long term growth and healing.
There are many variables that influence the success of therapy for the client, none more so than the therapeutic relationship. The therapeutic relationship is defined as the strength and collaborative relationship between the client and therapist that emphasises mutually agreed goals and tasks within the context of a strong affective bond (Horvath, 1994.) In the therapeutic relationship, the clinician offers care, touch, compassion, presence, and any other act or attitude that would foster healing, and expects nothing in return (Trout, 2013.) Some clinicians believe that the “therapeutic relationship is a precondition of change, others as the fertile soil that permits change, while others see it as the central mechanism of change itself” (Norcross, 2010.) This is not to devalue other variables that impact the success of the therapy such as client involvement and the treatment method.
When a client This is why it is important for both the client and the therapist to be open and honest with each other from the very start when discussing the initial problems/issues.
The main focus of this essay has to be on the three ‘core conditions’, as utilised by the counsellor to promote a positive movement in their client’s psychology. They are intended for maintaining a focus on the client’s personal growth, and detract from the therapist’s own outside world. The three core conditions are the professional apparatus or tool-kit of the therapist, and the use of each is a skill in itself but the combined forces of all three in an effective manner requires an abundance of skill or experience. These are, as have already been mentioned, congruence, unconditional positive regard and empathy. They are separate skills but are intrinsically linked to each other. If used correctly, they can guide the client to a state of self-realisation, which could lead to the development of a healing process.
The social relation of therapy management; Mark Nichter and Margaret Lock, 1987, Ed. London and New York; Rutledge.
I believe that the art of psychotherapy is more important than empirically validated treatments (EVT). I feel that the art of psychotherapy lies in the common factors, which include the therapeutic relationship, client and therapist factors (e.g., personality), helping clients deal with problems, and hope or expectancy factors (Reisner, 2005). Although I do believe that empirically validated treatments may enhance the therapeutic process, the treatments themselves are by no means the most important or fundamental aspects of therapy. There appears, at least to me, to be much more of an art involved in developing the relationship with the client and understanding the client’s perspective. It takes art and skill of a therapist to examine,
Rogers, C. (1959). ‘A theory of therapy, personality, and interpersonal relationships, as developed in the client-centered framework’, Psychology: A Study of a Science. vol. 3, pp. 184-256