“Maybe if I blink this client with increased speed, while exposing his past, and add a bit of cognitive behavioral therapy when sitting next to a waterfall, he may be able to more effectively function in his life!” Yes, it is a bit exaggerated, but it shows that the idea as experts in the field of therapy, we often seek complex theories, techniques and strategies to more effectively with consumers. Many of our precious time is spent in search of new theories and techniques to treat customers, proof of this claim is by the thousands of theories and techniques that have been created to clients, demonstrating to seek the treatment to treat.
The fact that theories are created and the area is growing is absolutely beautiful, but we can do something that was always under the nose to search. Doctors often have to analyze and things more complicated than they really are, when in reality, what works is quite simple. This simple and basic ingredient for a successful therapy is what will be studied in this article. This drug is a therapeutic relationship. Some readers may agree and some may not agree, but the challenge is to be open and remember the consequences of “contempt prior to investigation.
Any successful treatment relies on a strong and continuous, real therapeutic relationship, or simply by Rogers, helps the “relationship”. Without qualified in this respect, no technologies are likely to be effective. You are free to learn and study, conduct research and work in CBT, DBT, EMDR, RET and ECT, and participation in training on the infinite, and many other techniques, but without the mastery of the art and science of building a therapeutic relationship with the customer , the treatment is not effective. You can even choose to spend thousands of dollars a PhD, PsyD, Ed.D, and other graduate degrees, no joke, but if you deny the vital importance of the relationship will help you failed again. Rogers has brilliantly articulates this point when he said: “Training and acquisition of intellectual information, I believe that many interesting results – but to be a therapist, is not one of those results (1957).”
This author will attempt to define the therapeutic relationship means you may experience clinical questions regarding the therapeutic relationship, and some empirical studies, the importance of the therapeutic relationship. Please note that the therapeutic relationship, therapeutic alliance, helping relationship, and are used interchangeably in this article.
Characteristics of the therapeutic relationship
The therapeutic relationship has several properties, but more important will be presented in this article. Features like simple and basic knowledge, although the constant practice and the integration of these characteristics should be the core of every customer who enters into therapy. The therapeutic relationship is the basis of treatment and success. Without the help of the relationship is priority number one in the process of treatment, clinicians are a very poor customer service and the treatment field as a whole.
The following discussion is based on the incredible work of Carl Rogers on the helping relationship. There are no psychologists to others when discussing this issue, turn to Dr. Rogers. His hard work gave us a basis for successful treatment, regardless of the theory or theories of the non-clinical practice. Dr. Rogers is unemployed remarkable success of the treatment available.
Rogers defines a helping relationship as “a relationship in which one intends to participants that have happened a game or two, more satisfaction, more drama, more functional use of the latent inner resources of the individual (1961).” There are three functions the present that says, Rogers and sufficient essential for therapeutic change, while the central aspects of therapeutic relationship (1957). added addition to these three properties, the author of two feature finally appears, will be effective in a helping relationship.
1st Therapist of authenticity in the relationship. Rogers discussed the vital importance of the clinician “breathe free” be himself. The therapist must be a “real” man. No one knows everything, all-powerful, rigid, and the check digit. A real person with real thoughts, real feelings and real problems (1957). All facades should be excluded from the therapeutic environment. The physician must be aware and have a look at themselves. It is important to help from colleagues and controls to try to develop this awareness and vision. This trust supports the specificity of the relationship. One of the easiest ways to conflicts to develop in the relationship in order to “better than” attitude when working with a particular customer.
2nd The unconditional positive regard. This aspect concerns the relationship experiencing a warm acceptance of every aspect of customer satisfaction as part of the customer. There are no conditions for the acceptance of customers, who they are. The therapist must be taken for the customer who they are as a unique individual to take. One thing that is often seen in therapy is the treatment or diagnosis of a specific problem. Clinicians need to treat the individual is not an identification tag. It is imperative to accept the client for whom they are and where they are in their lives. Remember diagnoses are not real people, but human beings are.
3rd Empathy. This is a basic therapy of clinicians has been taught repeatedly, but it’s crucial to be able to practice and understand the concept. A sensitive understanding of consciousness by the customer’s own experience is critical to helping relationships. It is important that the possibility of “customers” to enter private world “and understand, to judge their thoughts and feelings, without this (Rogers, 1957) have.
4th Agreement on common goals in therapy. Galileo once said, “You can not teach a man to help him, it in itself.” In therapy, clinicians need to develop goals to the client to work on, rather than to dictate or impose targets on the client wants. As clinicians have their own agenda and not cooperating with the customer, this can lead to resistance, and separation in the aid relationship (ER 2002). The fact is that a customer who is forced or obliged to work at something he has no interest in changes that could be compatible for the moment, but these changes will not be internalized. Just think of yourself in your personal life. If you are forced or compelled, to something that you are not interested in how much passion and energy that you put in and how much respect you for the person who are forced to work. You can complete the goal, but we do not have much to internalize or in the process.
5th Integration of the humor in the relationship. In the authors own clinical experience over the years is one thing that helped a strong therapeutic relationship with the customers, the integration of humor in the therapeutic process. There seems to teach customers to laugh at themselves and not take life too seriously. It also allows the therapist than on Earth to see people with a sense of humor. Humor is an excellent control and adjustment is very healthy for the mind, body and spirit. Try to laugh with your customers. There is a profound effect on relationships and in your personal life.
Prior to immersion in the empirical literature on this topic, it is important to some questions that recommended Rogers (1961) ask yourself as a therapist in the development of a relationship present. These issues should be investigated and often considered a normal life in your clinical practice. They help develop the clinician and continue to work, the know-how needed to create a strong therapeutic relationship and thus to develop the successful practice of the therapy.
1st Can I in a manner that will be perceived by the client as a trustworthy, reliable, consistent or in a deep sense?
2nd Can I be true? This means being aware of thoughts and feelings and be honest with yourself about these thoughts and feelings. Can I know who I am? Clinicians must accept before they can be real and accepted by the customer.
3rd Can I let myself experience positive attitude towards my clients – for heat, for example, care, respect) without fear of these? Often, doctors can see at a distance, and as a “professional” attitude, but it creates an impersonal relationship. Then I remembered that I treat a human being, just like me?
4th Can I be to the customer the freedom of who they are?
5th Can I disconnect it from the customer and not a relationship?
6th Can I use the client’s private world so deeply that I lose all desire to evaluate or to judge?
7th Can I use this client as it is? Can I accept it fully and communicate this assumption?
8th Can I be neutral when it comes to this client?
9th Can I respond to such person as a person is, or will I to be bound by his past or my past?
Empirical literature
There are obviously many empirical studies in this area in this short article, or anything to discuss, but the author wants to present a synthesis of studies over the years and what has been completed.
Horvath and Symonds (1991) conducted a meta-analysis of 24 studies, which have maintained high standards of design, experienced therapists and clinical settings valid. They found an effect size of 0.26 and concluded that the working alliance, a relatively robust variable linking process results. The relationship and the results do not seem to feature the kind of treatment is practiced, or the duration of treatment may be.
Another study conducted by Lambert and Barley (2001), summarized Brigham Young University more than a hundred studies on the therapeutic relationship and psychotherapy outcome. They focused on four areas of the client to influence outcomes, they were extra-therapeutic factors, the impact expected, specific treatment techniques and common factors and therapeutic relationship factors. Within these 100 studies, they average the size of the contribution that each indicator is the result. They found that 40% of the variance is due to external factors, 15% of unwanted life expectancy, 15% predicted a specific treatment techniques, and 30% of the variance of the therapeutic relationship / common factors. Lambert and Barley (2001) found that, “Development of psychotherapy can be better served to improve and adapt to individual customers by learning the relationship with the customer and the ability to develop relations.”
Another important addition to these studies is a study of more than 2000 processes the results of studies by Orlinsky, Grave, and Parks conducted (1994), the multiple variables and therapist behaviors that always have a positive effect shown identified on the treatment results. These variables included the therapist’s credibility, competence, empathic understanding, affirmation of the customer and the ability to focus on the customer and are committed to customer questions and emotions.
Finally, this author would still be an interesting statement made mention of Schore (1996). Schore suggests that “experience is encoded in the therapeutic relationship as an implicit memory, and often make changes in synaptic connections of the memory system in terms of bonding and attachment. Be careful, this relationship will help with some clients to transform negative memories implicit relations through the creation of a new encoding a positive experience of the system. “This proposal is a topic for an entire article to others, but they suggest that the therapeutic relationship to create or create the opportunity for customers to deposit or to develop, attachment, their future relations. For this author, it is what a deep and inspiring. Much more discussion and research in this area is necessary, even just mention briefly that raises another important reason why the therapeutic relationship is essential to therapy.
In this report, the therapeutic relationship has been discussed in detail in order to explore issues such as clinicians have been articulated, and empirical evidence for the importance of the therapeutic relationship have been combined. You can challenge the validity of this article, or research, but please take an honest look at this part of the process, begin to practice and develop strong therapeutic relationships. You see the difference in treatment and client outcomes. This author’s experience of the therapeutic relationship gift every day, I work with clients. In fact, one customer recently told me that I “was the first therapist he trusted in 9:11 and he saw himself as a real person. He continued by saying,” Therefore I hope that I can be better and actually trust other people. “It’s a reward for the therapeutic relationship and process. What a gift!
Ask yourself how you like to be treated if you were a customer? Always remember that we are all part of the human race and every human being is unique and important, they should be treated in this way. Our goal as clinicians is to help other people, enjoy the journey of life, and if the field is not the most important area on the ground, I do not know what that is. We identify and help the future of man. Finally Constaquay, Goldfried said Wiser, Raue, and Hayes (1996): “It is imperative that not forget doctors that decades of research consistently shows that the correlation factors closer relationship with the result that the client is not technical specialist treatment. ”
References
Constaquay, LG, Goldfried, MR, Wiser, S., Raue, PJ, Hayes, AM (1996). Bet the effect of cognitive therapy for depression: A study of the unique and common factors. Journal of Consulting and Clinical Psychology, 65, 497-504.
Horvath, A. and O. Symonds, B. D. (1991). Relationship between working alliance and outcome in psychotherapy: a meta-analysis. Journal of Counseling Psychology, 38, 2, 139-149.
Lambert, M., J. & Barley, D. E. (2001). Summary of studies on the therapeutic relationship and psychotherapy outcome. Psychotherapy, 38, 4, 357-361.
Orlinski, DE, Grave, K., and Parks, BK (1994). Process and outcome of psychotherapy. In AE Bergin & SL Garfield (Eds.), Handbook of psychotherapy (p. 257-310). New York: John Wiley & Sons.
Roes, N. A. (2002). Solutions for the treatment of resistant dependent clients, Haworth Press.
Rogers, C. R. (1957). to change the necessary and sufficient conditions of therapeutic personality. Journal of Consulting Psychology, 21, 95-103.
Rogers, C. R. (1961). On Becoming a Person, Houghton Mifflin Company, New York.
Schore, A. (1996). Experience maturation of a regulatory system in the orbital prefrontal cortex and the origin of the development of psychopathology. Development and Psychopathology, 8, 59-87.
