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A combination of social and economic factors have led to the current surge of interest in brief psychotherapy. But how do the time limitations affect the central relationship between therapist and client? How do therapist and client determine the focus of their work together? How does the therapist deal with ruptures in the working alliance and the pressure of termination issues?
In the past decade, the working alliance has emerged as possibly the most important conceptualization of the common elements in diverse therapy modalities. Created to define the relationship between a client in therapy or counseling and the client's therapist, it is a way of looking at and examining the vagaries and expectations and commitments previously implicit in the therapeutic relationship, explaining the cooperative aspects of the alliance between the two parties.
A half-century of psychotherapy research has shown that the quality of the therapeutic alliance is the most robust predictor of treatment success. This unique book provides a systematic framework for negotiating ruptures and strains in the therapeutic alliance and transforming them into therapeutic breakthroughs. Cutting-edge developments in psychoanalysis and other modalities are synthesized with original research and clinical wisdom gleaned from years of work in the field. The result is a practical and highly sophisticated guide that spells out clear principles of intervention while at the same time inspiring therapists toward greater creativity.
One point on which the various helping professions agree is that the crucial factor in the success of therapy is the therapeutic alliance - the collaborative relationship a therapist forms with a patient. This work examines the prevailing ideas about the therapeutic alliance.
At the centre of good counselling and psychotherapy practice is the relationship between therapist and client. This book is an essential guide for counselling and psychotherapy students who want to explore the personal qualities and attitudes of the therapist, and to allow the client to engage in the therapeutic process with trust. The book will consider how students of counselling can develop these qualities and enhance their awareness of their attitudes, to enable them to be fully present and emotionally available in their encounters with clients.
What is a therapeutic alliance? How do I create a bond? What might lead to the alliance breaking down? What do I do when the relationship feels stuck? These are just some of the questions addressed in this important new book for trainee and qualified therapists wanting to understand, engage in and make the most of the therapeutic relationship. Taking you through each stage of the therapeutic process, from initial boundary setting to effective endings, the book considers a number of different settings and client groups such as working in an online environment and with children and young people. Structured around ‘Frequently Asked Questions’, an accessible and engaging narrative guides you though the skills and considerations for an effective therapeutic relationship, as well as the potential challenges it might face. Bringing to the forefront the mutuality of the relationship and the client as a proactive agent, this book will equip you with the knowledge and skills needed to develop trusting and productive relationships with your clients.
Although the therapeutic relationship is a major contributor to therapeutic outcomes, the cognitive behavioral psychotherapies have not explored this aspect in any detail. This book addresses this shortfall and explores the therapeutic relationship from a range of different perspectives within cognitive behavioral and emotion focused therapy traditions. The Therapeutic Relationship in the Cognitive Behavioral Psychotherapies covers new research on basic models of the process of the therapeutic relationship, and explores key issues related to developing emotional sensitivity, empathic understanding, mindfulness, compassion and validation within the therapeutic relationship. The contributors draw on their extensive experience in different schools of cognitive behavioral therapy to address their understanding and use of the therapeutic relationship. Subjects covered include: · the process and changing nature of the therapeutic relationship over time · recognizing and resolving ruptures in the therapeutic alliance · the role of evolved social needs and compassion in the therapeutic relationship · the therapeutic relationship with difficult to engage clients · self and self-reflection in the therapeutic relationship. This book will be of great interest to all psychotherapists who want to deepen their understanding of the therapeutic relationship, especially those who wish to follow cognitive behavioral approaches.
Therapists have a unique opportunity and responsibility to provide a respectful environment for their clients, yet respect has not received adequate attention in the psychotherapy community and related research. Respect-Focused Therapy: Honoring Clients Through the Therapeutic Relationship and Process sets forth the formulation of respect-focused therapy (RFT), a new approach to psychotherapy that addresses the quality of the client–therapist relationship and therapeutic process. This volume treats respect as a combination of action, attitude and open-mindedness, urging therapists to recognize their own biases and beliefs and be willing to suspend them for the benefit of their clients. Using Martin Buber’s "I-Thou" relationship as a conceptual model, Slay-Westbrook provides core principles of respect and demonstrates how to incorporate these into the therapeutic relationship to best foster a healing environment.
The therapeutic relationship is considered to be the most significant factor in achieving positive therapeutic change. As such, it is essential that trainee and practising therapists are able to facilitate a strong working alliance with each of their clients. This book will help them do just that, by offering a practical and evidence-based guide to all aspects of the therapeutic relationship in counselling and psychotherapy. Cross-modal in its approach, this book examines the issues impacting on the therapeutic relationship true to all models of practice. Content covered includes: - The history of the therapeutic relationship - The place of the therapeutic relationship in a range of therapy settings, including IAPT - Concepts and practical skills essential for establishing and maintaining a successful working alliance - The application of the therapeutic relationship to a variety of professional roles in health and social care - Practice issues including potential challenges to the therapeutic relationship, working with diversity and personal and professional development - Research and new developments Using examples, points for reflection and chapter aims and summaries to help consolidate learning, the authors break down the complex and often daunting topic of the therapeutic relationship, making this essential reading for trainee and practising therapists, as well as those working in a wider range of health, social care and helping relationships.
What makes therapy work? Clearly, the therapeutic alliance is an important component of a successful relationship between therapist and client, but how does it fit into the relationship more broadly conceived? A better question might be "What works with whom and in which circumstances?' In this unique book, master clinicians and psychotherapy researchers examine how technique and the therapeutic relationship are inseparably intertwined. Using a variety of theoretical and research "lenses" and drawing on various models of psychotherapy, including psychodynamic therapy, cognitive-behavioral therapy, emotion-focused therapy, and brief family therapy, the contributors discuss the factors affecting client outcomes. The link between relationship processes and technique is bought to life in a rich array of engaging case studies that demonstrate how successful therapists negotiate the relationship, make key moment-to-moment decisions, and promote positive change in their clients.