Studieboek - The therapeutic relationship
26 important questions on Studieboek - The therapeutic relationship
What is known about the effect of the therapeutic relationship to treatment results? (3)
2. The nature of a client's participation is the most important
3. Client's perception of empathy is better predictor of treatment outcome
How can a working alliance or a therapeutic collaboration be described?
What are important factors to a working alliance or therapeutic relationship? (3)
2. Based on trust, rapport, and collaboration (empathic collaboration)
3. The therapists' behaviors and characteristics can influence the conversation and the beliefs developed early in life of the client
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In what way is a therapeutic relationship considered as 'a relationship in its own right'?
When should the alliance be established?
What qualities in the working alliance do clients consider to be important? (4)
2. Encouraged to face whatever situations cause them distress
3. Able to talk to an understanding person
4. At ease with the personality of the therapist
What is important in the role of the therapist? (5)
2. A guide or mentor rather than an instructor
3. Open-minded curiosity and respect for the client: do not assume that you know how he feels or thinks
4. Tone of interaction is crucial (genuine & concerned interest)
5. Still maintain scepticism about what the client is saying due to cognitive errors
What different roles can a therapist have? (3)
2. Practical scientist
3. Collaborative natures
What is important in the role of a practical scientist as a therapist? (3)
2. Adopt an open-minded approach
3. Look for evidence that contradict your initial hypotheses
What is important in the collaborative nature of a therapist? (2)
2. Be open about your ideas and share your take on the formulation in a way that allows the client to give feedback on it's relevance or accuracy
What are the Rogerian values? (4)
2. Empathy
3. Genuineness
4. Unconditional positive regard
What do clients want their therapist to be/do? (4)
2. Respectful and competent and treating the client's concerns seriously
3. Prioritise client interest over their own
4. Share practical information about how to make life improvements
What are ways to establish a positive and collaborative client-therapist relationship that is connected to the general principles of the CB approach? (4)
2. Taking time to set a shared agenda
3. Making it clear that feedback is welcome
4. Carefully establishing the client's goals for treatment
What is important to be aware of about the client?
What are the signs of a rupture in the therapeutic relationship? (3)
2. Observation of own feelings
3. Outward signs
What is recommended regarding a rupture that has to do with the client-therapist bond?
What can you do if the issue is on your side? (2)
2. Self-supervision (recordings/ATs and images/look for hot cognitions)
What questions can you ask yourself to tackle the client's poor motivation and ambivalence? (5)
2. What idiosyncratic beliefs may be fuelling the impasse?
3. What fears may the client have about complying?
4. What skills may he lack?
5. What environmental features may contribute?
How can the problem of a therapeutic rupture be tackled? (Just like in other problems in CBT? (7)
2. Use Socratic methods to clarify the issues
3. Collaborating and providing choices while still providing structure
4. Reviewing the pros and cons of change
5. Communication with the client's language, metaphors or images
6. Gently persisting when to client subtly avoids answers
7. Maintaining an empathic attitude, and avoiding blaming or negative interpretations for your client's behavior
What should be the emphasis on when developing a good therapeutic alliance and engagement when working with diversity? (3)
2. Acknowledge the difficulties he may face through discrimination
3. Be open about issues that have to do with race or minority issues
What is important to keep in mind when working with different groups? (4)
2. Demonstrate your credibility early on
3. Acknowledge differences in belief about the nature of the client's problems
4. Be aware of differences in beliefs about the therapeutic relationship
What is important when using an interpreter? (5)
2. Should be protected from traumatization or despair
3. Acceptability of the interpreter to the client
4. Interpreter should understand the importance of confidentiality
5. Keep in mind differing non-verbal and social behaviors between groups and the different meanings of words and concepts
What are the main governing principles of therapeutic encounters? (2)
2. Gratification of the therapist's needs is excluded from consideration in the therapeutic setting
In what ways should therapeutic boundaries be set?
What are important boundaries within CBT? (5)
2. Evaluate the effect of boundary violation on the client
3. Make choices about boundaries that minimize the risk of harm to the client
4. Do not express opinions about the client's life other than relevant to the therapy
5. Seek to increase the client's independence and autonomy. Increase his freedom to explore and the choices available to him
What three boundary issues are considered? (3)
2. Self-disclosure
3. Physical contact
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