Tag
therapeutic relationship
Articles tagged "therapeutic relationship".
52 articles
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
Trainee Therapist Characteristics Related to Therapeutic Alliance and Technique
Ample research suggests that therapists differ in their level of effectiveness (Baldwin & Imel, 2013; Blow, Sprenkle, & Davis, 2007; Wampold, 2001). Even more striking is that therapist effects appear to be larger than treatment effects (Kim, Wampold, & Bolt, 2006; Lindgren, Folkesson, & Almiqvist, 2010). Moreover, therapist training, experience, and theoretical orientation do not […]
Jenelle Slavin-Mulford, Ph.D. + 4 more
August 26, 2015
Attachment Theory and the Psychotherapy Relationship
In 1988 John Bowlby published a groundbreaking collection of his lectures and essays. He inspired a generation of researchers by asserting that the therapist-client relationship has key features in common with parent-child attachments. Roughly coinciding with the 25th anniversary of Bowlby’s book, four meta-analyses have recently been published. These articles and other summaries take stock […]
Brent Mallinckrodt, Ph.D.
May 31, 2015
The Therapy Relationship in Multicultural Psychotherapy
The most consistent and robust predictor of outcome in psychotherapy is the quality of the client-therapist relationship (Lambert, 2013). While we know that therapists’ overall competence and client factors, such as motivation, are relevant and important to treatment, the client-therapist relationship is considered essential to effective treatment, at least in most therapies (Norcross & Lambert, […]
Jairo N. Fuertes, Ph.D., ABPP, LMHC + 3 more
May 12, 2015