Mayo Clinic Initial Session

of the therapy, the client meets the therapist to describe specific problems and to set goals they

Constant assessment of the clients’ problems and cognitions is very important in evaluating if techniques are being effective. Often in the beginning there is an extensive interview process that can last several hours. This interview gives the therapist insight into the client’s past, what the current problems are, and client goals. The interview will allow the therapist to set up a structured plan for how the therapy will proceed.

The setting where counselling takes places is also very important. The counsellor must have an environment that feels comfortable, safe, private and consistent to enable the

The nature of therapist-client relationship and understanding the therapist’s role is vital in making sure that the client’s rights are not jeopardized. The client must be willing to trust the therapist. The therapist can earn the trust of the client will confidentiality guidelines that are established by requiring informed consent. The therapist-client relationship is based on counseling approach as well as relationship with the client. The therapist’s role is to understand the client’s needs, help them get their needs met mentally, and to develop the proper plan that fits the client’s needs. The therapist must fully

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

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.

Having been recently introduced this style of therapy, I became curious to apply my newfound knowledge during the first session with my new client. Like most people, I learn best by doing. The literature that I have read describing MI has not been as descriptive of a real-life session as I would like for it to be. So, closely observing how a counselor guides a conversation with a client, paying meticulous attention to body language and nuanced facial expressions, has been tremendously helpful in my understanding of how these kind of interventions can

In 2004 Mayo Collaborative Services and Mayo Clinic Rochester (Mayo) announced that they would be releasing a diagnostic test that utilizes thiopurine drugs to treat autoimmune diseases. Mayo’s announcement came after they had purchased and utilized similar diagnostic tests based on Prometheus Laboratories, Inc. (Prometheus) patents. After Mayo’s Prometheus sued Mayo claiming patent infringement. This paper will examine the Mayo Collaborative Services v Prometheus Laboratories, Inc. case that refers to the patent infringement law. We will examine both sides of the case by exploring Diamond v. Diehr, Mackay Radio & Telegraph Co. v. Radio Corp. of America, Bilski v. Kappos, and Parker v. Flook’s relationship with the case. This paper will ultimately conclude in favor of Mayo because Prometheus’ patents effectively claim natural laws and are therefore not patent eligible.

In the beginning session, clients are questioned about pre-session change to initiate a discussion about current clues of solution making and to inspire clients that change is likely (Lethem, 2002). According to Osborn (1997), solution focused therapists reassure clients to tap into their internal resources and strengths. Several clients might not recognize the strides that they are now taking to resolve their problem. The goal is for the therapist to lead the client on the path of change; subsequently that the client can recognize the authority clients hold to change their circumstances. SFBT adopt that the clients are the experts on their lives, not the therapist. For that reason, the counselor assumes “an ambassador” mentality, permitting the clients to educate the therapist about themselves, and permitting the clients to direct the treatment (Murphy, 2008). SFBT is swayed by post-modern philosophy, such as social constructionism. The therapeutic process and its results are understood as discussed among clients and counselors (Guterman & Leite, 2006; Strong & Pyle, 2009). The social constructionist framework assists solution focused therapists to sustain the “ambassador” mentality, since their belief that there

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

#Share any reservations or concerns with your therapist. Therapy works best when the patient and the therapist take a collaborative approach, like partners. Be willing to express your worries and fears about therapy. Allow your therapist to offer support and relieve your concerns.

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.

The main goal of therapy should not be to change the client, or even give them all the answers, the goal should be giving clients tools they can use in therapy, and in the future. Therapists should use a combination of the relationship with the client and their training/tools to help clients come to answers that work best for them. Therapists have tremendous power in therapy session, but this does not mean that therapist should weld this power like it is a divine gift – therapists need to be mindful of this power, but they should not let it stop them from building a strong relationship with their client. The relationship between the client and the therapist is one of these most important parts of therapy, so the clients should be comfortable in therapy, not overwhelmed with the therapists’ power; in an ideal setting, both people would feel like they had equal power and control. The stigma around therapy is great enough to make anyone uncomfortable – clients do not need feel any extra tension or stress in the office. The second most important factor in therapy is the tools therapists give their clients.

Solution-Focused Brief Therapy (SFBT) counselors and Reality Therapy (RT) counselors both strive towards creating a relationship with their clients. In regards to SFBT, Winbolt states (2014), “The relationship between therapist and client is critical; collaboration and a ‘robust’ working relationship are more important than theory and expertise.” In order for a SFBT counselor to have success with their client, they must first establish a relationship. Without the foundation of a working relationship between the counselor and client, the goal of SFBT will be unreachable, even with the highest degree of training. Similarly, RT counselors must also begin their therapy with a client by forming a working relationship. According to Glasser (1965), “The therapist has a difficult task, for he must quickly build a firm emotional relationship with a patient who has failed to establish such relationships in the past” (p. 21). Although building a relationship with a client may be a difficult task for a RT counselor, it is very important for them to do so in order for them to have success with their client. It is evident that the relationship between a SFBT counselor and a RT counselor with their clients is a key component of these two therapies.

Effective communication is the key to any successful relationship, especially in a client/counselor setting. Occasionally, a client will present with good communication style, but other times, scenes might culminate as the counselor teaching effective communication skills. Professional relationships can prove as less stressful when communicating with certain individuals, opposed to personal relationship interactions; I believe this to be true for me. Although, I scored 55/55 here (Engels, Barrio Minton, & Ray, 2010). Looking into a situation from an outside perspective allows me to be clear, concise, and genuine with clients. I am able to remain in a learner role (of the client), and a teacher role (for the client), with reasoning orientations and intervention strategies; rather than playing a participant with emotional or physical ties to the situation. A healthy therapeutic relationship is ensured, encouraged, and developed over time, through open lines of communication. Humor is often utilized, with many positive communication techniques and appropriate teaching moments, to mutually create hope for the betterment of the client’s future.