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Mar 20, 2020, 05:37 AM
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Member Since: Dec 2018
Location: New Jersey
Posts: 6,008
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I agree that the parameters of therapy should be set with across the board guidelines and expectations. Honestly whatever board therapists are licensed by or guided by or whatever its called should come up with a standard way of providing this information to all clients and that they should legally have to do it right at the first session. On one hand I look to the definitions :
Quote:
noun: therapy; plural noun: therapies
treatment intended to relieve or heal a disorder.
"a course of antibiotic therapy"
Similar:
treatment
remedy
cure
remedial treatment
method of healing
the treatment of mental or psychological disorders by psychological means.
"he is currently in therapy"
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Quote:
therapist
noun [ C ]
US /ˈθer.ə.pɪst/ UK /ˈθer.ə.pɪst/
C1
someone whose job is to treat a particular type of mental or physical illness or disability, usually with a particular type of therapy:
a speech therapist
a music/an art therapist
I'm seeing my therapist on Friday morning.
See also
psychotherapist
He's been seeing a therapist to try to control his anger.
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And this in particular:
Quote:
Therapeutic relationship
The therapeutic relationship (also therapeutic alliance, the helping alliance, or the working alliance) refers to the relationship between a healthcare professional and a client (or patient). It is the means by which a therapist and a client hope to engage with each other, and effect beneficial change in the client.
While much early work on this variable was generated from a psychodynamic perspective, researchers from other orientations have since investigated this area. It has been found to predict treatment adherence (compliance) and concordance and outcome across a range of client/patient diagnoses and treatment settings. Research on the statistical power of the therapeutic relationship now reflects more than 1,000 findings.[1] Informal coercion is common, and may be unintentional on the part of the therapist.[2]
In the humanistic approach, Carl Rogers identified a number of necessary and sufficient conditions that are required for therapeutic change to take place. These include the three core conditions: congruence, unconditional positive regard and empathy.
In psychoanalysis, the therapeutic relationship has been theorized to consist of three parts: the working alliance, transference/countertransference, and the real relationship.[3][4][5] Evidence on each component's unique contribution to the outcome has been gathered, as well as evidence on the interaction between components.[6] In contrast to a social relationship, the focus of the therapeutic relationship is on the client's needs and goals.[7]
Transference
The concept of therapeutic relationship was described by Freud (1912) as "friendly affectionate feeling" in the form of positive transference.
Working alliance
Also known as the therapeutic alliance, working alliance is not to be confused with the therapeutic relationship, of which it is theorized to be a component.
The working alliance may be defined as the joining of a client's reasonable side with a therapist's working or analyzing side.[8] Bordin[9] conceptualized the working alliance as consisting of three parts: tasks, goals, and bond.
Tasks are what the therapist and client agree need to be done to reach the client's goals. Goals are what the client hopes to gain from therapy, based on their presenting concerns. The bond forms from trust and confidence that the tasks will bring the client closer to their goals.
Research on the working alliance suggests that it is a strong predictor of psychotherapy or counseling client outcome.[10] Also, the way in which the working alliance unfolds has been found to be related to client outcomes. Generally, an alliance that experiences a rupture that is repaired is related to better outcomes than an alliance with no ruptures, or an alliance with a rupture that is not repaired. Also, in successful cases of brief therapy, the working alliance has been found to follow a high-low-high pattern over the course of the therapy.[11] Therapeutic alliance has been found to be effective in treating adolescents suffering from PTSD, with the strongest alliances were associated with the greatest improvement in PTSD symptoms.[citation needed] Regardless of other treatment procedures, studies have shown that the degree to which traumatized adolescents feel a connection with their therapist greatly affects how well they do during treatment.[12]
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I feel like all of these definitions/examples are obvious-but I know based on what people have shared here they may not be. What do you all think causes a client/therapist relationship to be anything other than the examples above? Is it a matter of blame? Are therapist/client relationships and expectations confusing to most people or maybe just vunerable people? Do you think therapists should go over this exact definition or examples before proceeding with therapy? Would that mitigate all the harmful things people have experienced with therapy?
__________________
"I carried a watermelon?"
President of the no F's given society.
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