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The concept of therapeutic alliance dates back to Sigmund Freud. Over the course of its evolution, the meaning of the therapeutic alliance has shifted both in form and implication. What started as an analytic construct has become, over the years, a transtheoretical formulation, [ 1 ] an integrative variable, [ 2 ] and a common factor.
There is research to support common factors theory. One common factor is the client–therapist interaction, also known as the therapeutic alliance. A 1992 paper by Michael J. Lambert showed that nearly 40% of the improvement in psychotherapy is from these client–therapist variables. [15]
A summary of research in 2014 suggested that 11.5% of variance in therapy outcome was due to the common factor of goal consensus/collaboration, 9% was due to empathy, 7.5% was due to therapeutic alliance, 6.3% was due to positive regard/affirmation, 5.7% was due to congruence/genuineness, and 5% was due to therapist factors. In contrast ...
The therapeutic alliance, or the working alliance may be defined as the joining of a client's reasonable side with a therapist's working or analyzing side. [6] Bordin [7] 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.
Some research suggests that clients who have experienced complex trauma may deliberately or unconsciously test clinician's boundaries by missing or arriving late for appointments, bringing the clinician gifts, attempting to photograph the therapist, calling during non-office hours, or trying to extend the session either in person or with a ...
Research also suggests comparable therapeutic factors, such as changes in problematic thinking or behaviour. [145] It can improve access to mental health services for some but might also represent a barrier for those lacking access to a suitable device, the internet or the necessary digital skills.
Integrative therapy emphasizes mutual respect, empathy, and understanding, believing that meaningful change is more likely to occur within a trusting and collaborative environment. This alliance empowers clients to take an active role in their therapy thereby enhancing motivation, engagement, and the long-term effectiveness of treatment. [21 ...
A Balint group is a group of clinicians who meet regularly and present cases to each other to discuss. [2] The aim is a group process of exploration and for the medical participants to transform uncertainty and difficulty in the doctor-patient relationship into a greater understanding and meaning that nurtures a more therapeutic alliance between clinician and patient.