Therapeutic Alliance

In: Philosophy and Psychology

Submitted By termyk
Words 2334
Pages 10
C O U N S E L L I N G P A P E R

* T H E R A P E U T I C A L L I A N C E -

Research Paper by KANTHAROUP Term.

Establishing an efficient relationship between client and counsellor is one of the key aspect in counselling. Every therapeutic session starts with the process of building up a therapeutic alliance. Bob Shebib defines the therapeutic alliance as a time limited period of consultation between a counsellor and one or more clients for assisting the client in achieving a defined goal (Shebib, 2014). However, to achieve successful results, a partnership that primarily focuses on the clients’ needs and goals is required. The therapist must be eager to help the clients with care and compassion while the patient also need to perceive and understand their own mental state. Interactions between both sides should be done with trust and respect to ensure the safest environment possible for the client. As therapeutic alliance is the heart in counselling processes, it is significant to acknowledge some of the key components that leads to a successful therapeutic session. This paper will demonstrate how a successful relationship is constructed. It will first explore the emotional and affective component highlighting the bonding of both therapists and client. Agreement on goals between both sides be examined in a detailed method. To finalize the paper, numerous principles will be shown to illustrate the ways therapists should cope if a therapeutic rupture interferes.

In order for the client and therapist to form a partnership based on the client’s goal and needs, it is important for both sides to establish a bond that share the same understanding and commitment while demonstrating trust and respect. One of the technique used by many humanistic therapists is Roger’s client centered therapy. Rogers has specified three main conditions that characterized a…...

Similar Documents

Therapeutic Touch

...Therapeutic Touch Derived from several ancient healing practices, therapeutic touch is based on the theory of human energy fields. During therapeutic touch treatment, practitioners use their hands, without actually touching the person, to re-establish a healthy energy flow. Therapeutic touch seeks to restore balance within the body while also stimulating the patient's own healing response. The practice of therapeutic touch is used worldwide in thousands of hospitals, clinics, and private practices. It is an easily learned, successful complement to other healing programs. Clinical research has proven that this pleasant, painless treatment creates rapid relaxation, significant reduction in pain, acceleration of healing, and lessening of stress. Therapeutic touch works well with such common illnesses such as colds, headaches and muscle tension as well as with more complex conditions such as back injuries and arthritis. Therapeutic touch has also been used to treat patients with disabilities. The range of problems that can be treated with therapeutic touch is wide, from people with mental disabilities to those with physical disabilities. Therapeutic touch encourages changes in the human energy system affecting physical, mental and spiritual health and well-being. Patients can be treated for many different illnesses. For example, therapeutic touch can help people with depression while also helping to soothe body pain. It is an energy-based treatment that seeks to......

Words: 340 - Pages: 2

Therapeutic Communication

...Therapeutic Communication Techniques | Examples | 1. Using silence | The client says: "We drink and smoke a lot here." The student thinks…how can that be…drinking alcohol in a state hospital? But says nothing…using silence…the client then says: "yes we drink a lot of cokes and smoke a lot." | 2. Accepting | "Yes" or "I follow what you said"  | 3. Giving Recognition | "I notice you combed your hair." | 4. Offering self | "I'll sit with you awhile." | 5. Using Broad Openings | "What would you like to talk about?"  "Tell me what's bothering you." | 6. Using General Leads (using neutral expressions to encourage continued talking by the client) | "Go on.    " Ummm..I am listening" "Tell me about it" | 7. Placing he event in time or sequence | "Was this before or after…?" "What seemed to lead up to…?" | 8. Making Observations | "You appear tense" "I notice you are biting your lips." | 9. Encouraging Description of Perceptions | "What do you think is happening to you right now…?" | 10. Restating | Client: "I can't sleep. I stay awake all night." Nurse: "You have difficulty sleeping"  | 11. Reflecting | Patient: "Do you think I should tell the doctor?" Nurse: "Do you think you should tell the doctor?" | 12. Focusing | "This point seems worth looking at more closely." "You said something earlier that I want you to go back to." | 13. Exploring | "Would you describe that more fully." | 14. Giving Information | "My name is…I am a student nurse.." | 15.......

Words: 427 - Pages: 2

Therapeutic Jurisprudence

...basis for the above approach was founded on the concept of Therapeutic Jurisprudence (TJ), the notion that the law can play a role as a potential means of therapeutic influence and this could be achieved by making court proceedings more therapeutic to mentally ill prosecutors through involvement in treatment, MHCs hope to produce better outcomes for their defendants. The underlying belief of this approach is that the charges these individuals face are more a result of their mental illness than a criminality.  It must be noted that MHCs have expanded rapidly in the past several decades to provide more efficient coordination of treatment and supervision of prosecutors with behavioral health problems. A significant number of prosecutors in these court-based programs have co-occurring mental disorders, which predict early termination, re-arrest, and other negative outcomes (Arrigo, 2010). More recent years have seen a proliferation of problem solving courts designed to rehabilitate certain classes of prosecutors and thereby resolve the underlying problems that led to their court involvement in the first place.   Therapeutic Jurisprudence The term Therapeutic Jurisprudence first appeared in the law literature in the late 1980s, in the context of mental health law. TJ is defined as "the study of the extent to which substantive rules, legal procedures, and the roles of lawyers and judges produce therapeutic or anti-therapeutic consequences for individuals involved in the legal......

Words: 2318 - Pages: 10

Therapeutic Touch

...Therapeutic Touch By Chelsie Boyce Let me begin by saying that after watching several videos (including those provided by you) and reading even more articles, I am more mixed about my acceptance of therapeutic touch. Before this assignment I would have said I was strongly against this practice, but now I am more open to the idea. However, I still believe that therapeutic touch is not a true form of medical healing. To begin with, the Merriam-Webster's Medical Desk Dictionary states that this alternative medicine is a practice where the nurse or practitioner treats a patient by passing his or her hands over a person’s body to promote relaxation, pain reduction and or healing. I must say that the thought of someone’s hands hovering over my body kind of makes me giggle. I keep replaying a scene from Karate Kid over and over again in my head and thinking “yea right” if only it were that easy. After reviewing my resources, I am still very skeptical. Yes, some stated that patients believed they were doing better. But to me that was just it… a belief. Those who had a strong faith in this technique did show signs of relaxation and possible improvement, but I am not sure if the technique caused the reaction or the patient themselves invited the result. Just like Emily Rosa’s experiment supported, as nurses or practitioners we want to believe we can feel the energy being given off and that we are interacting with our patient. Yet, more times than not we are wrong. ......

Words: 468 - Pages: 2

The Therapeutic Relationship Between Client and Clinician

...The Therapeutic Relationship Between Client and Clinician The Importance of Profile Clients for Specific Clinicians The relationship between the clinician and the client is a crutial aspect for the therapeutic outcome. Having a connection between the client and therapist can have many determining factors that lead to a positive evaluation and outcome of the therapy. There are many components and attributes a therapist must be aware of and contain to have a good helping relationship with their client. A client wants to have a positive experience when receiving help and if there is no relationship or positive understanding between each the outcome could be negative or the client could stop therapy early. The concept that was thought of in the early 1900’s to profile clients and match them with a clinician that would possibly have a more successful outcome with therapy should be used in a lot of therapeutic helping relationships, and goes along with the importance of having a good clinician-client relationship. Being able to profile a client to find out which therapist would be a good fit for them, would help the initial alliance between the therapist and client. A client’s relationship with their therapist is very important in helping have a positive outcome at the end of therapy. According to the article “Relationships Among Client-Therapist Personality Congruence, Working Alliance, and Therapeutic Outcome” both client and therapist have their own ways of thinking,......

Words: 1251 - Pages: 6

Therapeutic Communication

...Therapeutic Communication Overview: While sitting in the milieu, I had a conversation with patient “M”, a schizophrenic with severe depression. She is sitting silently across the table from me, listening to another patient talk. Her face looks emotionless, almost distant. She is dressed well, with a full face of make up, and her is done up. D: Hi, “M”, what’s on the agenda for you today? E: Since she was not talking to anyone, I thought this would be a neutral enough opening statement to start a conversation. A: “Oh, not much, getting ready to go home tomorrow. I have to clean out my fridge when I get there; it’s full of rotting food”. B: She’s thinking about what she left behind when she left her home to come to Bayridge. It sounds like her admission here was not necessarily planned nor did she have time to prepare her home for her departure. C: I’m excited for her to be going home, especially since I know this patient’s history from reading her chart, she’s been in for over three weeks. She left her life rather suddenly because of her severe instability, so it is good to know that she and her doctors feel like she is stable enough to go home. D: “That’s exciting you get to go home! Do you feel ready?” E: I’m acknowledging her news with my own feelings for her, and asking her if she feels ready, considering it is a big step in her recovery. It was a close ended question. A: “I am ready. I’m ready to get out of here. I just hope I don’t have to come back. This is...

Words: 769 - Pages: 4

Alliance

...and services or working in bringing people from the other country into your country as tourists.  Thus it becomes advantageous to for strategic alliances with people and businesses in all the countries in which you hope to operate.  What is a strategic alliance? A strategic alliance is a merging or working together of businesses for mutual gain.  It goes all the way back in history to when government started signing treaties to protect their borders and interests, a good example is during World War 2 when there were the Allied powers and the Axis Powers.  Those were military strategic alliances for getting rid of the opposition and strengthening your borders while decreasing your expenses.  When conducting business across borders a strategic alliance can help open international markets.  How? One way is that the businesses with which you ally yourself should better understand the people in the country, and that will make it easier to sell your product and protect your interests.  For instance names and words have power, especially in marketing.  A lawyer advertising in England would never say something like "Let us help you get out of that bum rap" as bum there means Ass"  Selling products can mean you need to shift names and phrases, a strategic alliance will help with this. Your new partner, and that is really what a strategic alliance is, developing beneficial partnerships, will have connections and understand the legal ins and outs.  This can be a big advantage! ......

Words: 393 - Pages: 2

Therapeutic Relationship

...This assignment will focus on a short communication between myself and a mother (Caroline) whom I had met three times before, at the antenatal, birth, and six-to-eight week contacts. I had cancelled a three-to-four month visit with her that day on the advice of my mentor. Caroline was an experienced mum and the visit had been mainly to aid my development (Appendix One). She had sounded fine on the phone and had told me she was coming into clinic. Borton’s (1970) reflective model will be used to guide this essay, and I will analyse how the experience has improved my skills in building therapeutic relationships, while recognising areas that require work in order to fulfil my role. All names have been changed to protect confidentiality, as is the responsibility of any registered nurse (NMC 2008). Mental and emotional wellbeing in all family members is intrinsic to the wellbeing of children. The “Healthy Child Programme” (DH 2009) identifies the assessment and promotion of this area as a core part of the health visitor’s role. A common mental health problem that impacts on children is post-natal depression, affecting 10-15% of women (Royal College of Psychiatrists n.d.). Infants whose mothers have post-natal depression often have less positive life outcomes, as discussed in Every Child Matters (HM Treasury 2003). It can impact negatively on emotional, social and mental development, often demonstrated through behavioural problems (Wrate et al., 1985), and neurological problems......

Words: 3248 - Pages: 13

Therapeutic Relationship

...Therapeutics Essay: Understanding Behaviour In psychology there are many theories of cognitive behaviour each with their own origins and aims. Within this text two psychological theories that will be discussed and how they can be effective within a health care setting with an introduction as to what psychology is. The two psychological theories that will be discussed are the Social Learning Theory as developed by Albert Bandura and the Humanistic Theory or also known as the Humanistic Approach developed by Carl Rogers, Abraham Maslow and George Kelly. Psychology is known as the scientific study of the mind One of the theories that will be discussed within this text is the Social Learning Theory which was developed by Albert Bandura in 1977 after evaluating previous theories which had already been attempted by other psychologists. He also used Julian Rotter’s learning theory and incorporated these theories together. His theory states “that observational learning can occur in relation to three models” these models are; live model which is when a person is demonstrating a desired behaviour for example a child behaving well because they know that they will be rewarded by their parent for this type of behaviour. Verbal instruction which is when an individual describes in detail the desired behaviour and also instructs the person verbally on how to engage in the instructed behaviour, an example of this would be when a lecturer is discussing the appropriate behaviour......

Words: 1265 - Pages: 6

Therapeutic Communication

...Assessment Task 1 – Written Reflection I believe that therapeutic communication is a form of psychotherapy in which the person doing face to face interviewing consciously uses strategies that encourage the patient to express feelings andideas and that convey acceptance and respect they are achieved through advancing the physical and emotional well-being of a patient in a non-judgmental way, while showing empathy and concern. The aim of therapeutic communication is to increase self-worth or decrease emotions such as anxiety and anger by putting together information to determine the illness. Ufema, J. (2008). More than just hand-holding. Nursing, 38(12). doi:10.1097/01.nurse.0000342039.82567.3a All health care professional study techniques of therapeutic communication, these techniques help the patient and health-care professional develop rapport and trust with one another during each other’s company for example when going to an appointment. For therapeutic communication to be successful, a mutual understanding between both the patient and the health care worker needs to be met. It is very important for the health care workers to use proper communication to prevent a misunderstanding between the health care worker and patient. This open communication shows a genuine and continual concern for what the patient is expressing. Throughout this essay I will be using the Driscoll model of reflection in nursing to express my understanding of the vignettes and making reference......

Words: 1197 - Pages: 5

Therapeutic Courts

...Therapeutic Courts Through out the court system there is a up and coming alternate approach to sentencing, this approach is called therapeutic court. Therapeutic court is an alternate sentencing that can either shorten the jail time the offender was sentenced to or erase any chance of the offender serving any jail time at all. This sentencing combines both individual counseling as well as group counseling, also allowing these counselors to give random check ups with home visits and strict supervision. This type of court gives nonviolent offenders the chance to not only to stay out of prison but also the chance to better themselves by completing this “rehab like” sentencing and beating their addiction of drugs/alcohol. The history of therapeutic courts started in the mid 1980s when drug cases increased due to the war on drugs crackdown. More and more people were being arrested, prosecuted, and imprisoned for possession of illegal drugs. As time went on, drug abuse violations grew to “the largest single category of police activity - more than 1.5 million per year”(America’s Courts pg106) the majority of these crimes taking place in the countries largest urban areas. With the rapid increase of caseloads that were not seen as extremely dangerous crimes, courts soon began to seek alternative methods to help manage this drug abuse crisis. The idea that was created is known as drug courts and they viewed offenders not as criminals but as offenders with a drug abuse addiction.......

Words: 2368 - Pages: 10

Hp Alliance

...The HP-Cisco Alliance In early 1997, the first HP-Cisco alliance was first formed. HP was Cisco’s first publicly announced strategic alliance partner. The agreement between the two companies focused on technology collaboration, product integration, professional services, and customer support. The first contract lasted until February of 2002, when both HP and Cisco decided to further formalize and expand their alliance by signing a new contract. Shortly afterwards in March of 2002, HP merged with Compaq Computer, Inc. This temporarily slowed alliance activities between HP and Cisco. The “new HP” needed a few months to reorganize with the addition of Compaq. A few months later, in August of 2002, the alliance activities began to move forward once again. The alliance was a win-win for both HP and Cisco. Both companies were widely respected global technology companies. At the time, Bill Russell and Jim Heal of HP and Steven Steinhilber and Mike Thomas of Cisco Systems were at the forefront of the management teams responsible for forging a stronger, more formal alliance between the two companies. The original mission of the alliance formed in 1997 was to provide co-marketing enterprise networking solutions to HP and Cisco’s join customers. Through this alliance, HP and Cisco developed and sold four joint solutions – IP telephony, service and network management, mobility/wireless, and Utility Data Center. All four of these ventures were successful. Revenues......

Words: 1193 - Pages: 5

Creative and Therapeutic

...Unit 12: Creative and Therapeutic activities in health and social care. Introduction I am going to be writing a report about the availability of creative and therapeutic activities for individuals and groups in a health sector or a social care sector. I will be discussing the suitability of the activities I have chosen. Report 1 -Health Care Setting Hospital In a health care setting there are different creative and therapeutic activities that can take place for individuals or a group. The hospital will give individuals or group’s opportunity to take part in an activity or to create something that can help to maintain physical and intellectual ability, improve self esteem and at times aid recovery. Drama is a very creative activity where an individual or a group can take part. Drama involves acting out situations and characters. Drama involves movements, gestures and expressions as well as words. It could be either done by using a script or improvised. Drama can be a way of expressing yourself and also it could be used to build and strengthen relationships. Drama will help the patients to tell their stories and understand the meaning of a situation they may be going through. Drama Exercise is to help maintain a healthy heart and control weight. People from all ages and abilities can participate with exercise that will contribute to health and fitness and even those with very limited mobility. Exercising releases hormones in the brain called endorphin which will......

Words: 1969 - Pages: 8

Therapeutic Conversation

...appearance was well groomed and attitude was positive in the morning, pt seemed scattered in the afternoon. IV. Therapeutic Techniques and Conversation Analysis – 30 pts. See attached form V. Self as Nurse It was a great day. At this point I like Psych nursing and feel I have found a niche for me, except, I would like to travel and I don’t think psych nursing is in that realm. Once I am done traveling, this is definitely an option for me. Well see! VI. Nursing Process: (Do 3-10 pts. Each) First Nursing Diagnosis: Ineffective individual coping R/T: inadequate level of perception of control Identification of Symptoms: pt stated that she was severely depressed and that she stayed in bed for over a week. CPS removed her child from the home and she had no reason to live and she decided to try suicide. Identifications of Coping Mechanisms: I did not get to visit enough with my pt to identify this, but I can try and assess. Pt was positive at all times. Denial Sublimation Rationalization Are Coping Mechanisms Adaptive of Maladaptive: pt exhibited adaptive behaviors in coping. Pt was always positive and verbalized the counseling was helping. What therapeutic Approaches are being used?: Milieu therapy, group therapy, recreational therapy. Pt seems to do well with structure. Are the Therapeutic Approaches actually therapeutic or not?: It seems that the patient has done well with the structured environment. Second Nursing......

Words: 723 - Pages: 3

Therapeutic Alliance

...The Therapeutic Alliance An essential characteristic I believe will be an area of strength for me is trustworthiness. Being trustworthy is fundamental in any relationship whether personal or professional. It is often said if you do not have trust you don't have anything. I believe in this statement and feel it is pivotal for a client and counselor to work on building trust in their counseling relationship. Once trust is established in the client counselor relationship it will provide a safe environment for the client to share with the counselor. Trust helps the client grow in a positive way. It is important for a client recognize they can trust someone with the most intimate details of their life without the fear of being judged. When your client feels you are trustworthy they are telling you that you are worthy of their confidence. One essential characteristic I believe will be a challenge for me is being congruent. I find that sometimes I am not completely present when talking with my six year old daughter about her day. I am busy thinking about dinner, doing her homework and various other things. I feel I need to be more consistent and involved when in a conversation with my daughter. I need to be present and be an attentive listener instead of a bystander. I will work on increasing this characteristic into strength by doing some self-searching and examining what is going on with me prior to going into working with a client. I want my client to know I am listening......

Words: 306 - Pages: 2