The importance of a quality therapeutic relationship cannot be overstated. In a healthcare setting, the relationship between the provider and client is one that shapes the entire experience. Research indicates that the quality of this relationship is perhaps even more important than the precise therapeutic intervention provided.1 The aim herein is to discuss the key components of this type of relationship and identify hallmarks of a supportive therapeutic environment. Additionally, the therapeutic frameworks of Motivational Interviewing and the Social Cognitive theory will be discussed in relation to how they can inform an effective counseling session. In 1979, Edward Bordin proposed that in a relationship where one seeks to make a change and another seeks to be an agent of that change, the alliance between the two is one of the keys, if not the key, to the process of change.2 Since that time, a great deal of empirical research has been conducted to identify the which elements of this relationship support therapeutic goals. Research exists that identifies both the therapist’s personal attributes and behaviors that contribute to a positive experience for the client.3 The ability to convey trust and confidence in the relationship are critical elements.3 The therapist must also be perceived as competent, interested and respectful. Making a warm connection with the client is key, as is conveying warmth, acceptance and support.3 Furthermore, if a patient believes that the
Motivational interviewing is a way of conducting and occupy the essential motivation within the client in order to change behavior. It is “an efficient and collaborative style of clinical interaction that can boost the effectiveness of the therapeutic alliance” (Jellinek, Henderson, Dilallo, & Weiss, 2009, p.108). Motivational
The purpose of this paper is to describe the characteristics and roles of me as a counselor and the counselor’s disposition that I would like to bring as I start working in the field. The roles I will take as a counselor when working within community and private mental health system. I will also refer to the counselor dispositions to incorporate into counseling relationship and how the disposition will help me and my client. Finally, I will use techniques, skills to help me practice and build a strong relationship with my clients.
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,
This essay intends to introduce the reader to the most important skills involved within developing and maintaining a therapeutic relationship between a client and the therapist or counsellor. The onus will be on Humanistic counselling but many of these skills are central to all counselling types.
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
In this essay, I am going to give a structured reflective account on the development of a therapeutic relationship with a client on one of my clinical placements as part of my training as a student nurse. I will be using a reflective model which explores the processes involved in developing and maintaining such relationships bearing in mind theoretical knowledge and how it applies to this clinical experience. Jasper (2003) describes reflective practice as one of the ways that professionals learn from experience in order to understand and develop their practice. As a trainee health care professional, I have learnt the importance of reflection in
Transference is a well-known word whether you are in the helping profession or not. Many people transfer past feelings, emotions, actions onto others without even realizing it. The lesser known word is countertransference in which the helper is placing his or her feelings onto their client. Each instance is very important during the helping process and can overall make or break the therapeutic relationship.
Therapeutic relationship is defined as the collaboration and attachment between the client and therapist that focuses on meeting the health care needs of the client (Bordin, 1979). In this relationship, the therapist without prejudice shows Empathy, insight, understanding and acceptance of the client. Duan and Hill (1996) defined Empathy as “feeling into” the experience of the client. Over the years, the research evidence keeps piling up, and indicating a high degree of Empathy in a Therapeutic relationship is possibly one of the most potent factors in bringing about positive outcome in the therapy
Theory, whether adapted or in pure form are used in defining the nature of the relationship between the client and in conceptualizing the nature of the problems present and describe the desired outcome or counseling goals. Counselors say that theories dictate the nature of interventions employed in counseling and that those interventions are connected to results and goals. Theories are efficient since they assist the counselor in finding relatedness and unity within the diversity of existence. They require counselors to examine relationships that are likely to be overlooked critically. Theories provide counselors with operational guidelines through which they work on and assist them in evaluating their development as professionals. Additionally, they assist them in focusing on information that is relevant and informs them of what they should focus on during counseling. Theories are useful since they support counselors helps assist clients on how to effectively modify their cognitions, behavior interpersonal relations, and emotional functioning. Through the theories, counselors evaluate both the new and old approaches to the counseling
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
In The Gift of Therapy by Irvin D. Yalom, the therapeutic relationship between patient and professional, is laid out in vast detailed in order to highlight the role of this practice and what it entails. Yalom holds credentials at _____, through his years of experience in the therapeutic field this book illustrates, to a fresh mind, a world of new opportunities. These opportunities are laid out through detailed descriptions of in office experiences as well as helpful tools for a variety of obstacles that may arise in a therapeutic relationship. Therefore, through The Gift of Therapy, Yalom introduces the therapeutic field in a realistic light in order to emphasize the hardships and successes of this profession.
The last element of therapeutic alliance is the relationship history of both the participants (Berzins, 2008). This greatly determines whether or not there can be an effective relationship. A bad relationship history results into a weak relationship. The alliance becomes one of less or no trust. The goals set in this kind of alliance can never be achieved. On the other hand, a good relationship history enhances a strong and trustworthy bonding. The clinician and the client are able to interact freely (Meissner, 1996). The working environment is positively enhanced. The set goals and objectives are achieved effectively.
It is not the objectively measured congruence, empathy and unconditional positive regard that have the most powerful impact on therapy, but the client’s perception of these qualities that is the key to the positive outcomes of the helping process (Horvath, 2000). Lilly had trust in her health visitor and called on her at the time of need as they had developed a therapeutic nurse client relationship. The health visitor told Lilly to go straight to the Hospital, whiles talking to Lilly the HV were calm, non-judgemental, showed empathy and ask question to perform a risk assessment with mother on the phone. Bidmead and Cowley (2008) highlighted that the nurse client relationship is major pathway through which clients are supported resulting in positive outcomes. This is evident in the case of Lilly in that even though there was lack of communication, the therapeutic alliance brought about positive results. John model (2006) highlights the importance of nurse client relationship within its stage of Empirics one can use their knowledge of interpersonal skills such as empathy, human approach to care, and self-awareness in helping
This relationship is where client and therapist act as partners in discovering what is important to the client and what resources the client possesses to achieve those goals (Bavelas, et al., 2013). Change in SFT is elicited by asking the client “Presuppositional questions, creating solution talk, engendering hope and positive expectations in clients towards change” (Bavelas, et al., 2013, p. 4). Positive change is also created through complimenting clients on their current successes and conveying to the client how difficult the change process must have been for them. This reinforces the client’s positive behaviors and also can give the client confidence in themselves that they can facilitate change. Therapists also indirectly suggest to clients that they keep doing what has been working for them or what has worked for them in the past (Bavelas, 2013). This gentle suggesting can also help clients see their own previous solutions to problems giving them the insight to use those solutions again. Scaling is another technique used by SFT to elicit change. By having the client rate themselves each session it is easy to focus on change when it occurs and leads into the discussion on possible solutions that were used in each
“Relationship” is a term that has been used in many different situations. It could imply the ties between two people in love, the bond between family members or close friends or colleagues or even the bond between a person and his or her pet. In conselling, relationship takes on a more specific meaning. The counsellor establishes rapport with the client based on trust, respect and mutual prupose. When there is good rapport, a positive psychological climate is created and vice-versa. The likelihood of desirable outcomes is greater when the psychological climate is positive. Mutual purpose means both the counsellor and client have common goals leading to what has been described as a