Therapeutic relationship is the relationship between a therapist and a client, where they engage and interact with each other, hoping for beneficial change in the client. This relationship mainly focuses on the client’s needs and goals towards the change. Therapeutic relationship began from psychoanalytic theories, which theorised the relationship into three components – transference, working alliance and the real relationship (Greenson, 1967). Transference is the transfer of positive and friendly feelings to the client. Working alliance is the agreement between the therapist and the client, in terms of tasks, goals and bond (Bordin, 1979). Tasks are what the client and the therapist agree to be done to reach the goals. Goals are what the client …show more content…
Therapeutic relationship is found to be positively associated with the outcome of intervention (Ardito & Rabellino, 2011; Garcia & Weisz, 2002; Karver et al., 2006; Orlinsky, Ronnestad, & Willutzki, 2004). An ideal therapeutic relationship is when the therapist is able to fully participate in client’s communication and understand client’s feelings (Fiedler, 1950). In order to establish a good therapeutic relationship, the therapist should be genuine, trustworthy, warmth, caring, experienced and have empathy (Ackerman & Hilsenroth, 2003; Morris & Suckerman, 1974). An issue surrounding therapeutic relationship is the problematic boundaries between the therapist and the client. Boundaries are the ethical foundation within a therapeutic relationship, to keep the therapist professional and the client safe. However, the boundaries in therapeutic relationships can be complicated and are difficult to define (Pilette, Berck, & Achber, 1995). Therefore, the purpose of this essay is to address the issue regarding the problematic boundaries in therapeutic relationship and evaluate how this issue can affect the assessment and …show more content…
Research has found that sexual relationship can increase depression, decrease motivation, increase alcohol use and increase suicidal behaviour in clients (Bouhoutsos, Holroyd, Lerman, Forer, & Greenberg, 1983; Durre, 1980). Further, sexual dual relationships can also affect clients’ trust, anger management and their self-esteem (Kagle & Giebelhausen, 1994). Pope (1990) termed the effects of sexual dual relationship as the ‘therapist-patient sex syndrome’ and he believed that it is a form of sex abuse. If the therapist is unaware of these effects, it can result in inaccurate assessment, threatening the intervention (Bouhoutsos et al., 1983; Davidson, 2005). For instance, Bouhoutsos et al. (1983) found in their study that patients, who had sexual relationship with their therapists, had difficulties resuming their treatment and/or finding a new therapist. Even though there are ethical codes on refraining having sexual relationship with clients, several therapists still engage in sexual behaviour with their clients (Borys & Pope, 1989; Bouhoutsos et al., 1983). More importantly, the severity of this problem depends on how the therapist and/or client handle the relationship. The best scenario is when the therapist and client end both relationship immediately while the worst scenario is when the therapist and client continued the dual relationship. Bouhoustsos et al. (1983) found that
Consequently, this week’s interpersonal/relational wiki proves to have a strong focus on therapies that analyze the core of relationships. Thus, the similarity that stood out was the depiction of relationships. Most of the models rely heavily on a client’s relationship, either with self, family, or society. While each model focuses on one’s relationship/s, each model differs in its perception of where relationships fail, how they are empowered and what role the therapist plays. In Relational-Culture Therapy (RCT) the therapist empowers clients through growth fostering relationships; Family Systems Theory (FST) the therapist remains neutral and creates structure; Adlerian therapists model social behaviour; Gestalt therapists create space for
The primary purpose of the practices is to help the patients to recover in the best way possible and also bond them together with the patients. The strategies, however, are also specific to certain adjustment problems. Close patient and clinical officer’s relationship can help the patients in this case to bond well and recover from their traumatic experiences. The close patient clinical officer’s relationship that involves effective communication with the patients helps to create an ambient environment for the adjustment (Grol & Grimshaw,
Both Carl Rogers and Irvin D. Yalom find that there are healing in therapeutic relationships and agree in this regard. (Duerzen, E. V., 2018) Yalom, however, places his focus in the client’s dealing with issues from a viewpoint that is more philosophical whilst Carl Rogers differs mainly with existentialism. The person-cantered approach deems the client as being authoritative with experiences constructing change with the idea of unconditional positive regard, executed mindfully.
Therapy needs to build up .this has to be earned. Client feelings have to be acknowledged and know the limits of client emotional state. It is very important to explain to the client how the process of therapy works .Also any assessments; process has to be explained to client in a clear manner in order for the client to able able to make decisions. This trustworthiness is built in time.
Herman’s Intervention Model of Recovery Therapeutic healing according to Herman, 1997, is the most important thing a therapist brings into the relationship with a client like Kathy, who has experienced any form of psychological trauma, is the formation of a healing relationship. The client’s traumatic event has left him/her experiencing a disconnection from self, others, and feelings of disempowerment. Therefore, the primary principle for the therapist is to act as a guide or an ally in reestablishing empowerment in the client toward their recovery. Throughout the healing relationship the client develops autonomy/self-determination, a rebirth of power and control, and a new sense of self (Herman, 1997).
In the Psychologists Code of Ethics 3.05, it states “A psychologist refrains from entering into a multiple relationship if the multiple relationship could reasonably be expected to impair the
Although the definition of relationship-based practice cannot be easily explained, Hollis (1964) simplifies it as “closely related to and builds in psychosocial approaches to practice and the psychodynamically informed case-work tradition.” Furthermore, two communication skills that I demonstrated during the intervention; empathy and listening skills, will be evaluated.
Therapists must access their own internal process such as their feelings, attitudes and moods. Therapists’, who are not receptive to the awareness of their flow of thoughts and feelings, will not be able to help clients be aware of theirs (Kahn, 1997, p. 40). Though congruence does not mean that therapists have to share personal issues with clients, a therapist must not conceal their inner process from the client, and not be defensive but transparent (Kahn, 1997, p. 41). By being open sometimes a therapist learns more not only about their client but about themselves
Putting the client as the expert, understanding her story instead of attempting to judge it, in the therapist’s point of view. The therapist must in any point display with utmost care, interest, respectful curiosity, openness, empathy, and fascination. Once this collaborative relationship has been established, the counsellor and the client can move forward and work on how to improve the outcomes of the
Counselors may allow their own personal experiences and histories to cloud the direction of their treatment due to personal conflicts in their lives. Counselors often ignore the feelings that their clients create in them. In order for me to deal with this type of situation ethically and effectively I would first have to accept the countertransference that is at hand, and seek personal therapy. Therapy will enable me to share my countertransference concerns, and become aware when they are taking place. It is important that I acknowledge these feelings and deal with them right away before it can effect therapy with the client, by seeking personal therapy or consolidation with a colleague or professional.
A therapeutic nurse-patient relationship is defined as a helping relationship that's based on mutual trust and respect, the nurturing of faith and hope, being sensitive to self and others, and assisting with the gratification of your patient's physical, emotional, and spiritual needs through your knowledge and skill (Pullen & Tabatha, 2010). This caring relationship develops when you and your patient come together in the moment, which results in harmony and healing. The five components of the nurse-client relationship are trust, respect, professional intimacy, empathy and power. To establish a therapeutic nurse-patient relationship, a nurse must master a few key components, including trust and respect. As a nurse, you should introduce yourself to your patients and refer to the patient by name.
He works from an “interpersonal frame of reference” (Yalom, 2001 p. xvi) and tends to work with the terminally ill, bereaved and addiction clients. Interpersonal interaction within the group is vital to effect change and the therapist’s role is to facilitate that experience in the here and now. By members feeling a sense of belonging, hope, safety and awareness they are not alone in their issues, provides a solid foundation. Interpersonal interaction within the group enables members to release previously repressed emotions promoting healing, and the sharing of information can help educate and empower a sense of value by helping others. Members can learn coping strategies from others and interpersonal teaching can help them to develop supportive interpersonal relationships and interpersonal skills, such as empathy and tolerance.
According to the ethics code, it is clear that all sexual roles in psychology are unethical and should be avoided (APA, 2002). The promise of Dr Andrea to have a relationship upon completion of treatment is above the code of ethics (APA, 2002, 3.05). Regardless of the mutual interest between the therapist and the patient, there are other factors involving boundary crossing. When the doctor agreed to treat Bob, a professional line was drawn and establishing another relationship complicated the roles. The doctor failed to comply with the code of ethics because the possible establishment of a conflict of interest would affect the method of
Introduction Modern attachment theory and self-psychology are important theories to consider when working with clients in a therapeutic environment. In the following sections “Ann” will be introduced and her situation will be examined in terms of modern attachment theory and self-psychology. Elements of trauma, disorganized attachment, neurobiology, and Kohutian framework will in discussed in relation to Ann’s symptomology, mental health diagnoses and current situation. The Client
All counselors must avoid dual relationships that may impair their objectivity and increase the chance of harm to the client. If the dual relationship cannot be avoided the counselor is responsible for taking the appropriate actions to reduce the chance of harm to the client. It is crucial the counselor put safeguards in place such as, consent, consultation, supervision and documentation (Hoffman, 1995). At no time should a counselor engage in sexual conduct with a client or family member of a client during counseling. It is acceptable for counselors and former clients to engage in social relationships.