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Essay Introduction This essay will define an effective therapeutic relationship and discuss its role in producing positive therapeutic outcomes - How can an Effective Therapeutic Relationship Contribute to Facilitating Change in Therapy?
For this purpose the fundamental core Therapeutic alliance essay as conceptualized by Rogers and Bordin needed to form a therapeutic alliance will be identified and discussed and linked to positive therapeutic outcomes.
Bordin first conceptualized the therapeutic alliance as containing three factors; the emotional bond between the therapist and client, the agreement of treatment goals and understanding of tasks needed to accomplish those goals. Bordin further Therapeutic alliance essay that the strength of the relationship is the greatest prediction of therapeutic outcomes rather than the type of relationship ibid.
How does a counsellor develop an effective therapeutic relationship that facilitates the change process? Rogers first conceptualized these qualities as congruence, unconditional positive regard and empathic understanding and linked there efficacy in facilitating positive therapeutic outcomes Corey, ; and Rogers, For example Hill identifies the following skills needed to establish rapport; questioning, attending, listening, silence and reflection, congruence in this example is the shell that contains these skills and influences their ability to yield therapeutic outcomes ibid.
Unconditional positive regard is the ability of the therapist to accept the client in their totality in a positive light without any need to change their experiences and feelings or identify them as wrong Rogers, ; and Mann, This has particular validity in the cultural context, if the therapist holds the clients cultural values and sensitivities with respect and positive regard the therapist can integrate culturally appropriate techniques that are individually successful, further supporting a strong therapeutic connection Corey,p.
Iberg points to the positive outcomes from attending to the client with unconditional positive regard as a decrease in defensiveness and a greater sense of self worth.
This is shown to have huge impacts on the experiences of the client within their environment by influencing new ways of behaving and being in the world that stems from a new level of self worth ibid. As defined by Rogersp. Watsonas cited in Corey, draws attention to the cognitive and emotional transformations that occur within the client as a by product of empathic understanding.
Ivey et al,p. Microskills theory focuses heavily on the therapists need to recognize cultural and individual differences within each therapeutic relationship and act according to those differences, rather than being fixed on a particular approach Corey, Ivey et alp.
Much similar to Rogers core concepts it could be surmised that the hierarchy of microskills as suggested by Ivey are not the core determinant of an effective therapeutic relationship but rather its the foundations on which they are built; cultural awareness, respect for the individual and the therapists ability to modify treatment to suit these differences.
Ottens and Klein highlight the potential for differing perceptions of the therapist and client regarding the quality of their connection which draws attention to the need for the therapists skilful monitoring of the therapeutic relationship.
The agreement between the therapist and client of goals and tasks as suggested by Bordin, is imperative to the development of a collaborative and purposeful therapeutic relationship. Literature suggests this component considerably effects treatment adherence and success through developing clear expectations of treatment outcomes Bordin, ; and Corey, Therapeutic experiments such as gentle confrontation, voice dialogue or empty chair work are set within the individuals limits and shaped by existing field conditions including moral and ethical boundaries.
Conclusion This essay has shown that within a therapeutic environment that is sufficiently holding the therapist can effectively support the client in exploring uncomfortable territory they have otherwise avoided.The Therapeutic Relationship in Cognitive-Behavioral Therapy: Patient Perceptions and Therapist Responses Jesse H.
Wright tively related to the quality of the alliance, but hostility was negatively related search forefront that may further our understanding of the relationship in cognitive-behavioral therapy. The therapeutic alliance refers to the relationship between a mental health therapist or case manager and a client.
There is evidence that a strong therapeutic alliance predicts better outcomes in therapy.
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Developing Therapeutic Alliance Write a 1-page essay on how to develop a therapeutic alliance with a patient. Type your work is a word document.
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