What Makes A Successful Therapeutic Relationship?

A therapeutic relationship is a key component in the nursing profession. Without therapeutic relationships, the best possible care can never be provided. The foundation in which trust is built upon is created from the nurse’s ability to truly listen and respond appropriately. Listening creates the base in developing a strong, trusting relationship. Sometimes it is simply hearing what a patient says that makes all the difference, empowering them to open up and become more comfortable with the nurse (Hawkins-Walsh, 2000).

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

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.

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

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

With these attributes, they will have the fundamentals of creating a strong therapeutic alliance with their clients. The therapists should be encouraged in “treating new cases as unique and constructing new theories to fit them, rather than depending on categories of established theory and technique” (Safran & Muran, 2000). Although this does not mean that standard techniques are useless, flexibility and creativity in application of these theories is considered the most important skill of a good therapist.

Moreover, Kaslow, Grus, Campbell, & Fouad, et al. (2009) stated that the client/therapist relationship is built on trust and kindness, empathy, and positive regard. Interpersonal and professional relationships are key. Affective skills are based on personal and cultural context (Kaslow, et al. 2009).

This is an overview of personal thoughts regarding the views of human nature and goals made therapeutically as a professional counselor. The paper will include a description of my therapeutic process and evaluations of other theories which I believe to share common ground with and other theories I do not agree with. The roles and duties of a counselor will be clarified. The relationship between the counselor and client will be illuminated, regarding what the relationship should consist of. There will be shared insight on what is believed to bring about changes in behavior.

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.

Self-awareness is a terminology that has been widely discussed in not only psychological but also business and managerial perspectives. There are a number of authors trying to propose different definitions of it.

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.

Yalom, Y.D. (2009). The Gift of Therapy: An Open Letter to a New Generation of Therapists and Their Patients: Harper Perennial

Over the course of the term we have looked at basic aspects of counselling and interpersonal skills, how we understand and relate to them as well as how we have experienced them within our counselling triads. Within the Humanistic schools of theory, we have looked at Person-Centred Counselling, Transactional Analysis and Gestalt, under the heading ‘Integrative learning’. This has allowed me to identify my own preferences and strengths in relation to each theory and apply them in learning triads. I shall also be focussing on interpersonal skills of a more generic nature, and how they can be applied to ease, encourage and explain interactions. Repeatedly this term I have found myself fascinated with the importance of the ‘Therapeutic

Another beneficial theme of the book is values and the helping profession. A therapists’ values are part of who they are and it is difficult to ignore them. A complicated issue counselors have is keeping their values from influencing the client and realizing that their task is to help clients identify their beliefs and apply their values to solving problems (Corey et al., 2010). A good point made in this book was for a therapist and client to clarify their values. This way they both have an understanding of each other’s values and could be able to recognize when value imposition is occurring. If value conflicts are occurring during therapy it would be a good idea to refer the client to someone who can better understand where the client is coming from. If referral is the only way, then perhaps the counselor should explore their values and involvement in therapy.

Self Awareness is the ability to know your own emotions and recognize their influence while using guts feeling to guide decisions. It includes acknowledgement of our personality, our strong opinion and weaknesses, our likes and dislikes. Developing self-awareness can help us to identify when we are stressed out or under pressure. It is also often a must for real communication and interpersonal relations, as well as for developing empathy for others. Self