Tag
alliance
Articles tagged "alliance".
55 articles
Is Psychotherapy Integration Always Beneficial?
Evidence-based practice in psychology has been defined as the integration of the best available research, clinical expertise, and the individual client’s characteristics, values, and preferences (APA, 2006). This definition suggests that psychotherapists should be able, and willing, to integrate techniques from different theoretical orientations based on the context. Although integration is important, it is also […]
Joshua K. Swift, Ph.D.
January 29, 2017
Working with Transfer Clients
It is ironic that while most therapists champion the role of the therapeutic relationship in the success of therapy, there has been little research on how the transfer process and prior therapy relationships may have an impact on the therapeutic relationship. Clients are often transferred from one therapist to another in clinics when therapists-in-training leave […]
Barbara J. Thompson, Ph.D. + 1 more
December 31, 2016
Stop, Drop, and Roll (With It)
Psychological resistance refers to patients’ conscious or unconscious opposition to aspects of the therapy process. When not skillfully addressed, resistance can lead to therapeutic alliance ruptures, “deteriorations in the relationship [indicated by] patient behaviors or communications that are interpersonal markers indicating critical points in therapy for exploration” (Safran & Muran, 1996, p. 447). While ruptures […]
Sara Beth Austin, M.A. + 1 more
December 31, 2016
Expanding Horizons
The therapeutic alliance had been found to be one of the most robust predictors of treatment retention and therapeutic outcome (Horvath, Del Re, Flückiger, & Symonds, 2011). In his seminal transtheoretical formulation, Bordin (1979) emphasized purposeful collaboration and the affective bond between patient and therapist as essential. This laid the foundation for its consideration as […]
Lauren M. Lipner, Ph.D.
November 17, 2016
Psychotherapy and Homelessness
An area of diversity often overlooked is socioeconomic status. Homeless clients are at an extreme end of the socioeconomic status continuum and present with concerns and stressors related to poverty. People often start psychotherapy due to a major stressor in their lives. Finally, after some apprehension, they make the initial leap to get help and […]
Astrea Greig, Psy.D.
November 15, 2016
Clinicians Self-Judgment of Effectiveness
Background Research has demonstrated significant between-therapist variability in both process (e.g., working alliance) and outcome (e.g., symptom reduction), pointing to the so-called therapist effect (Baldwin & Imel, 2013). Although still in its infancy with regard to empirical scrutiny, thinking in this area has largely assumed that more effective therapists possess specific characteristics that foster consistently […]
James F. Boswell, Ph.D. + 1 more
October 30, 2016
This Time It’s for Real
My first session with a real, live psychotherapy patient[1] was at a university counseling center in New England. I was in my second year of graduate school. My only previous experience that even resembled doing therapy was limited to interviewing my classmates as pretend patients. In those role-plays, everyone was agreeable and talkative. They gave […]
Michael Hendery, Psy.D.
October 17, 2016
Finding the Right Fit for Intensive Short Term Dynamic Psychotherapy
If you are a psychotherapist of a certain age you no doubt remember the 1982 New York Times Magazine article on Short-Term Dynamic Psychotherapy (STDP; Davanloo, 1980) by journalist Dava Sobel. In contrasting STDP (“the most aggressive form of psychic medicine to rest on the principles of Sigmund Freud”) to traditional psychoanalytic psychotherapy, Sobel noted, […]
David Hellerstein, M.D.
September 22, 2016
Evaluating the Importance of the Therapist-Client Relationship
Currently, there is a paradigm clash between different visions of the nature of psychotherapy. The clash is not merely about what psychotherapy is, how it helps, and how it should be practiced. It is also about the nature of scientific evidence and what the evidence shows about effective practice. In the forward to this book […]
Arthur C. Bohart, Ph.D.
August 2, 2016
Psychotherapy with Lesbian, Gay and Bisexual Clients
Psychotherapy with Lesbian, Gay and Bisexual Clients Psychotherapy is a complex and often vulnerable experience for clients, and the therapy relationship is vital to the process and success of psychotherapy (Gelso & Carter, 1994). The therapy relationship has been conceptualized as a Tripartite Model (Gelso, 2014) which posits that the therapy relationship consists of three […]
Frances A. Kelley, Ph.D. + 1 more
December 6, 2015
Clients’ Perspectives on Treatment Failure
Despite our best efforts as therapists or supervisors, some clients will fail to improve while in treatment. A significant amount of research has been conducting seeking to identify the client, therapist, treatment, and process variables associated with client change. A number of methods have been developed to decrease the number of clients who stay the […]
Joshua K. Swift, Ph.D.
October 25, 2015
Reflections on Authenticity in Psychotherapy
Lately I’ve been thinking about therapist authenticity. Since moving to private practice three years ago I have worked primarily with adult survivors of childhood sexual, physical, and emotional abuse. Due to years of chronic violence during developmentally important periods, clients’ life experiences are typically characterized by an insecure (often disorganized) attachment style, a chronically activated […]
Suzanne Friedman, Ph.D.
October 13, 2015