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Therapy relationship client and therapist
An essay on self disclosure in therapy with client
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The basic approach to contemporary relational theory is fostering relationships through a two person, client and therapist, approach to treatment. The use of self-disclosure is a method to utilize to foster the relationship with the client in therapy. Enactments in relational theory are the interactions between the client and therapist that reenact the client’s past experiences with others. These enactments occur at an unconscious level and can be managed in therapy by recognizing that the transference of the client’s feelings and unconscious reaction experiences. According to Berzoff et al (2016), “transference always needs to be viewed as a joint creation between the therapist and patient” (p. 253). In the case of Donna, enactment may be
Stickley, T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18.
They argue that therapists should consider their own motivation to self-disclose and set boundaries. The therapists should never put their own needs above the client. They make sure to point out that self discourse alone cannot affect the outcome of treatment. Self-disclosure is effective only if it is used appropriately and only if it is used when it is necessary. The amount of information disclosed and when it is disclosed is also important. Therapists should draw a clear line with the amount of intimacy to include in their therapeutic disclosure to ensure that no inappropriate boundaries are crossed. The authors suggest two rules of thumb to follow when disclosing information which include: (a) “Why do I want to say what I am about to say” and (b) “What will be the likely impact of the client” (p. 567).
Murdock (2013) identifies “free association” as being the best option for a successful therapeutic relationship (Murdock, 2013). Through the use of free association, the therapist encourages Ana to say what comes to mind regardless of the positive or negative emotions as means to open the mind to the unconscious. Strean (1944) identifies that all patients “respond to interventions in terms of transference” (Strean, 1944). With the key role transference plays in the therapeutic process it is important that Ana openly communicates and express her feelings. In doing so, it allows the therapist to interpret similar feeling and root causes. In psychoanalytic theory application, insight provides a look into the emotional and logical thought process (Strean, 1944). The goal through insight is to uncover how Ana’s depression and worries were formed, how they affect her and provide her with the opportunity to deal with these
...ationship with involuntary clients necessitates the development of a ‘mindful holding environment’ in order to promote client well-being. The identification, acknowledgement, and use of the resistance that arises in a mandated therapeutic relationship to engage the client in treatment participation is essential for helping him/her work on the problems affecting their ability to realize goals, as well as, liberate themselves from oppression. Similarly Teitelbaum stated (1991), “ The best we can do as analysts is to try particular interventions that follow from different formulations, assess their impact and be flexible to shift our technique in face of the continual changing dynamics presented by the patient” (p. 128). In the same vein, meeting clients where they are ensures readiness for treatment approaches set forth and solidifies the therapeutic relationship.
To touch on a few of the psychotherapy benefits, cognitive behavioral therapy helps patients recognize and modify the link between maladaptive thoughts and moods. It uses structured exercises to identify these thought records, mood diaries, activity scheduling, and modifies maladaptive thoughts and behaviors. Cognitive behavioral therapy is used to detect new episodes and helps allow the patient to be more in control of his or her own emotions. Family focused psychotherapy is beneficial by improving communication among family members. This therapy makes it easier for a positive request for change or to be able to constructively discuss negative behaviors among the family member with bipolar disorder. It also helps train the family’s ability
Relationships require constant practice and communication in order to be successful. Couple therapy is helpful because it gives people these relationship skills, for each partner to practice, that lead to success. The purpose of Gottman’s method is a couple’s therapy that focuses on communication and clarification. Gottman’s method has many benefits which enhance friendship, manage conflict and create shared goals. However, this method also has weaknesses, specifically for clients who are not as engaged in the therapy. Even with the problems of this method, I can still see the benefits of these skills for any couple. In my own life I have a girlfriend and we have utilized some of these methods that Gottman has taught which have helped us grow
The second stage in the psychodynamic therapy process is, the transference stage. In this stage the development of treatment is set and now it is the patient’s time to let their feelings out. The patient expresses those feelings, emotions, fears, and desires to the therapist without having to worry about censorship. The feelings and behavior of the patient become more pronounced and become a vital part of the treatment itself. During this stage the therapist could experience and better understand of the patient’s past and how it impacted their behavior in the
Furthermore, I thought it would be beneficial to educate Camille and Darnell of a particular therapy if they decided to move forward with seeking professional help for their relationship. I brought to their attention of two different studies that used in Behavioral Couples Therapy (BCT) in regards to Darnell’s alcohol use. I began by explaining the purpose or reasoning behind introducing this to them both. I wanted to ensure Darnell that my intentions were not to antagonize him in any manner, but to merely shed light from an outsider perspective. Thus, allowing Camille to understand how her behavior can also contribute to the cycle of an unhealthy relationship. (O'Farrell Fals-Stewart & Birchler, 1996) study suggested that husbands receiving
Hayes, S. C. (2005). Acceptance and Commitment Therapy, Relational Frame Theory, and the third wave of behavior therapy. Behavior Therapy, 35, 639-665.
I want to explore Client/Person Centered Therapy. This is a type of therapy that was pioneered by Carl Rogers. This therapy is different because as the name suggests it solely focuses on the client. 'In focusing on the client, the client’s feelings are deeply explored. The assumption is however, that the client was never able to have their feelings heard by the people surrounding them. Person Centered Therapy would allow the client to then be able to express their feelings openly. According to Strupp (1971), “psychotherapeutic relationship is in principle indistinguishable from any good human relationship in which a person feels fully accepted, respected, and prized” (p. 39). Thus, there must be a therapeutic alliance between therapist and client. This therapeutic alliance should creative an environment for the client in which the client feels the therapist is judgment-free. I find that Roger's theory to be interesting and seemingly affective. It makes sense that a change in a clients negative relationship patterns would allow freedom for the client to express themselves emotionally.
Practicing and researching solution-focused family therapy is growing and becoming more prevalent in the helping profession (Gingerich, Kim, Geert, Stams, & Macdonald, 2012; Kim & Franklin, 2015). As such, solution-focused family therapy is now considered an evidence-based therapeutic approach for all helping professionals. Additionally, solution-focused family therapy is proven to be flexible and portable to a range of therapeutic settings including behavioral health and community counseling clinics, school counseling, alcohol and drug treatment facilities, and coaching. While, solution-focused family therapy is greatly recognized as a useful evidence-based approach, there is a lack of research on the process
“Love and Psychotherapy are fundamentally incompatible. A good therapist fights darkness and seeks illumination, while romantic love is sustained by mystery and crumbles upon inspection” (use citation) This is the overall theme that is prevalent throughout the first story of Yalom’s book that is also titled, “Loves Executioner”
Within the therapeutic alliance, the clinician-client relationship can be critical to the outcome of therapy. If a client does not feel that his or her feelings, expressions, and or thoughts matter to the therapist, there is no alliance much less a relationship. When a client feels invested in it can certainly change the outcome of therapy. For instance if a client has come to therapy with feelings of inadequacy, lack of visibility and indifference if the therapist treats him or her in the same manner it is highly unlikely the client will return to this clinician. A study (Friedlander, Bernardi, and Lee, 2010) shows that outcomes were more negative when clients felt clinician lack of engagement and involvement in session.
Psychoanalytical therapy is a very popular approach for some therapist; similar to many other approaches this therapy relies on the therapeutic alliance that is formed between the therapist and the client. Freud felt that every communication between patient and therapist be seen as a manifestation of transference and countertransference (Catty, 2004). Transference is a major contributor in this approach, as this is when the client’s unconscious shifts from the past to the present and the client react to their feelings and fantasies. Catty (2004) argued that transference reactions are unrealistic and inappropriate, but genuinely, truly felt by the client. However, transference and countertransference are always present and may not be brought about by this modality.
(2011). Interpersonal Process in Therapy: An Integrative Model (6th ed.). (p. 46-93). Pacific Grove, CA: Brookes/Cole.