Client-Directed Outcome-Informed Literature Review

Explain how each of the five elements of the patient/client management model are integrated into this case study.

(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.

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 dynamics of the client-therapist relationship in cognitive therapy is a collaborative effort. Cognitive therapists elicit patient’s goals at the beginning of treatment. They explain their treatment plan and interventions to help patients understand how they will be able to reach their goals and feel better. At every session, they elicit and help patients solve problems that are of greatest distress. They do so through a structure that seeks to maximize efficiency, learning, and therapeutic change (Robert & Watkins, 2009). Important parts of each session include checking the client’s mood, a connection between sessions, setting an agenda, discussing specific problems and teaching skills in the context of solving these problems, setting of self-help assignments, summary, and feedback (Robert & Watkins, 2009). The status that CBT has with insurers and funding agencies is a result of concrete and measurable goals, goal-focused processes and clear outcomes-based evaluations/results. Therapy is typically conducted in an outpatient setting by trained therapist in cognitive behavioral techniques. Treatment is relatively short in comparison to some other forms of psychotherapy, usually lasting no longer than 16 weeks.

Common factors are not located solely in the therapist but also in the client not solely in the intra-therapy alliance, but also in the broader environmental context; not solely in formal treatment,

prescriptive theory telling the practitioner what to do. The central ideas to the client­centered theory

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

They realize that each project is unique and cannot be done to any formula. That is why they offer hands-on customer service and design. They want to build an on-going, long-term relationship with each client.

There are many values this writer wishes to incorporate into a counseling relationship. The fundamental values this writer wishes to incorporate are: flexibility, self-awareness, self-regulation, and empathy. The ability to be flexible and alter what one does in order to fit the client’s needs is crucial to establishing and maintaining a therapeutic relationship. Flexibility can be demonstrated in many different ways, such as the way the therapist interacts with the client, the tone of voice that is utilized, down to the way the therapist provides material to the client. In being flexible, treatment is able to remain focused on the client and his or her needs (Egan, 2014).

It needs to be recognised that every client is individual and there is no guarantee how they will go about the therapeutic process. These stages should only be looked as a guide to some of the steps the client may take.

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

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.

his course aims to help you utilize quality improvement processes and management tools to improve client care outcomes, partly by improving the nurse 's working environment as you make and implement good decisions. Now you will apply those processes and tools to yourself by creating a professional development plan.

Among the three main approaches to insight therapy (psychoanalysis, client-centered, or group therapy), the one that l believe has the most reasonable way to deal with psychological problems, is client-centered therapy. Client-centered therapy is an insight therapy that emphasizes providing a supportive emotional climate for clients, who play a major role in determining the pace and direction of their therapy (pg. 459). According to Carl Rogers, the man who devised client-centered therapy, three elements were necessary to promote positive changes in therapy: Genuineness (honest communication), Unconditional positive regard (therapist remains supportive, non-judgmental) and Empathy (therapist understands issues from client’s point of view) (pg. 460). In following these three elements, client and therapist were working together equally and helped client become more aware of themselves and even feel more comfortable with their therapist and the idea of therapy. Some people don’t seek help because they feel therapy might be too intimidating for them or it’s a step that they fear having to take. I can agree with this, because from my personal experience, l had pushed off therapy for so long because l was afraid to admit that l needed it.

Research used in this study involved both qualitative and quantitative aspects, as we collected quality thoughts along with additional data used for statistical analysis. The survey method was the ideal data collection strategy for our analysis because it allowed us to gather information that answered CBG’s questions while ensuring DAI’s specific inquiries were being answered. Once the information was collected, each of the clients’ responses were compared and graphed to present the information in a graphic manner. In order to conduct the surveys, members of the client list were contacted via telephone. We anticipated that a problem might arise while scheduling interview times with clients. Thus, our survey was formatted to be easily answered in person or over the phone, which allowed us to work around the clients’ time constraints.