Therapeutic Alliance Essay

A therapeutic relationship is a professional, inter-personal alliance in which the nurse and client join together for a defined period to achieve health-related treatment goals (Chauhan & Long, 2000), which may only last for a short period of time but

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,

What applied clinical problem would you most like to focus on in your PsyD studies and in the PsyD Clinical Psychology dissertation/doctoral project? Tell us something about your knowledge of the relevant theory and concepts, research, and the application of that scholarship to clinical practice.

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)

Strategic Therapy or Strategic Family Therapy is one of the oldest theories used in the practice of marriage and family therapy today. It was developed by Don Jackson and others affiliated to the Palo Alto group. Jay Haley and the Milan Group are also important practitioners of the model Strategic Therapy. This theory is portrayed as focused on altering family dynamics, eliminating problems and focusing on the presenting problems rather than the past, and often giving homework and behavioral tasks to clients. In this essay is a detailed description of the history of strategic therapy, beliefs, techniques and problems presented by this theory.

Congruence can be explained as genuineness, being honest or real with the client. “Congruence is the state of being of the counsellor when her outward responses to her client consistently match the inner feelings and sensations which she has in relation to the client.” (Mearns and Thorne, 1999, p84) The client must perceive the therapist as being real, in order to develop trust. Again this requires a good awareness and self-knowledge of the therapist.

The history of family therapy began around 1960, when Gregory Bateson coined the term, “system thinking.” This type of therapy was a daring departure, both technically and philosophically, from traditional and individual treatment during the 1960s. Gregory Bateson was inspired. He felt that the unit known, as “the family” needed to be celebrated and that is exactly what he did” (Family Therapy, 2010, Para 1) Along with Gregory Bateson, are a list of several others who contributed to the evolution of Marriage and family counseling. This list includes the founder of social work, Mary Richmond, Mr. W. James, who researched the organic expression of social systems intervention and Mr. J. Dewey. Each of these

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, or even PTSD. Anybody can receive it – individual persons, families, or groups. It isn’t hard to argue that most therapists and psychologists will agree that the therapeutic alliance is one of the most beneficial foundations of a therapy session. Also referred to as the working alliance or working relationship, it represents the bond between therapist and

Most contemporary psychological treatment approaches are predecessors of the ancient and medieval philosophies and theories. Cognitive behavioural therapy as one of the modern treatment method in not an independently formed treatment, different theories have contributed to its present shape and application.

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.

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

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

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.

Counselling session can facilitate the process of overcoming or working through personal issues from everyday hardship as well as potentially life threatening situations. This reflective essay will analyse a counselling session that I have attended with a professional counsellor. Her name was Hend. The session was to be recorded so I can refer to particular examples during the session. In this reflective essay I will give an overview of the counselling session as well as a discussion of my feelings before, during and after the session. Key skills used by the counsellor such as active listening, reflective skills and empathy will be explained, supported with verbatim examples from the session. Furthermore, the overall experiences and

“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