Unconditoinal Positive Regard Pros And Cons

Having unconditional positive regard from the beginning will display to the client there is no hidden agenda and that the counsellor is non-judgmental, this will support the client to develop the working relationship and show the client they are valued and wanted, they will start to relax to open up freely and loosen up their attitude towards the session.

There are many ways of forming a relationship and gaining the trust and respect of the patient and I had to work out the different things that make a good therapeutic relationship. According to Hinchliff et al (2003) there are a number of important elements that make a good therapeutic relationship, but it is important to make clear that a therapeutic relationship is a formal relationship between a medical professional and patient. The Nursing and Midwifery Council (2008) maintains that at all times nursing staff must maintain appropriate professional boundaries in the relationships they have with patients and 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,

(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.

The counsellor must offer a clean, uncluttered, protected environment with no distractions and is safe from others hearing the conversations, and greet the client in a friendly welcoming manner. The room which the counselling takes place can have a great influence on the relationship so make sure it is welcoming and relaxing. The counsellor must build rapport with the client for the client to trust them and allow free flow of information. Rapport is the sense of connecting with someone. It is something that builds up over time by showing the client they can trust the counsellor and made to feel comfortable. As a counsellor/client relationship, although not friends it is important to highlight common interests between them, be empathetic and develop understanding. The client will unconsciously notice similarities and start to feel in tune with the counsellor. To build rapport with a client a counsellor can –

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

The relationship with the therapist then can become something like a ‘re-parenting’ or a re-learning of how a trusting relationship should/could have been with one’s parents. Most people will agree that parents should (in a perfect world) give their children unconditional positive regard, empathy and be relatively non-judgemental with them, also show them respect and allow them to keep their dignity. Unfortunately this is not always the case. It is therefore even more important that the therapeutic relationship between counsellor and client show all these things to the highest of degrees.

The building of a positive relationship is described as showing warmth, respect and empathy however to provide effective communication between nurse and patient the nurse needs to be aware of and identify the patient’s physical, social and psychological barriers. A nurse can use these tools to build trust, mutual respect and confidence with the patient as these are needed for

We learn to view ourselves as others view us, ignoring our inner experience whatever we feel it is in conflict with the values of those significant others on whom we depend. Roger’s term for this was locus of evaluation. By this, he meant the tendency of some people to rely on the evaluations of others for their feelings of acceptance and self esteem (Mearns & Thorne, 2007). Unconditional positive regard defined as being non-judgmental, accepting, and respectful toward the client (Mearns & Thorne, 2007).

In reality therapy, it is suggested that we slowly begin to appreciate the counselor for trying to develop a working and therapeutic relationship. According to Corey, “It is from this mildly confrontive yet always non-criticizing, non-blaming, non-complaining, caring environment that clients learn to create the satisfying environment that leads to successful relationships” (2013, p. 343). I just wanted to reiterate how important I felt the therapeutic alliance is in reality therapy. When this is established, we are then able to move toward real healing.

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).

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.

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.

There is always the possibility of a breakdown or “rupture” of the therapeutic alliance occurring during intervention. These interferences can be a moments of uncooperative attitudes regarding tasks and goals, or an unexpected relational issue that arises between therapist and client (Kramer et al., 264). However, this does not mean that the relationship has been compromised beyond repair. Measures can be taken to repair the alliance to that meaningful outcomes for the client are obtainable.