Clients often develop a close relationship with therapists but is it possible to become The Facts About the Therapist-Client Relationship. The relationship between patient and therapist traditionally has been viewed as an important determinant of treatment outcome and is considered central to the. Why is the client-therapist relationship important? This question was originally answered on Quora by Vera Mkrtchian.
See, I think of shrinks -- the good ones, that is -- as teachers. We're there to learn how to look at ourselves and live life in a healthy way And like anything else where we pay for "lessons," there should be levels, with criteria to measure whether one is making progress or not. But to swim around in the vapors of the past for no real gain or to not have a marker that deems the time and money well spent, is crazy at best and irresponsible at worst.
Eventually, someone needs to ask -- and answer -- the question, "What's the point? At some point, someone must question if the effect of all that talk is paralyzing. At some point, someone needs to assess whether there has been any change and if not, make one.
Personally, I benefited immensely from what both of my shrinks taught me because they did just that. As a result, looking back, this is what I learned about what makes a therapeutic relationship successful, effective and worth the time, effort and money.
You need someone who is willing to tell you that you are full of shit. Otherwise, the game keeps going around and around and the patient goes in circles, only to end up right back from where he or she started.
In many cases, the net outcome is that you create situations where current behaviors are justified with explanations from the past, and the cycle never ends. Seeing the past is important, but not at the expense of stifling the future.
A good shrink will balance what needs to be brought into the conscious mind with creating a new consciousness that will help his or her patient move forward.
What Makes a Successful Therapist-Patient Relationship?
Bottom line, if you don't let go of the bogeymen, you will not be free to advance in the right direction. Start doing, stop thinking.
I got homework from my shrinks because of the value in turning cognitive thought to behavioral action. Again, we could have sat on our butts and talked about it all day, but if I was unable to put the learning into motion, the entire therapeutic effort would have been moot. A chance to grow up. Good shrinks also understand the importance of a normal, healthy maturation process. They are able to sensitize patients to the feelings and needs of others rather than allowing the individual to exclusively perpetuate the self-absorbed environment that so often accompanies self-analysis.
At the end of the day, analyzing one's childhood should not equate with being stuck in one's childhood for that prevents us from becoming adults. The silent treatment is not so golden. Despite conventional wisdom, there is nothing wrong with psychologists speaking up and offering their knowledge and observations.
It is plausible, therefore, that the relationship between the alliance and the outcome seen in psychotherapy or general medicine settings is not transferable to physical rehabilitation settings.
It is thus of great importance to determine whether the alliance of rehabilitation therapists is similar to that of psychotherapists and general practitioners and whether this alliance influences outcome in the physical rehabilitation setting.
Where the power lies in the therapist-client relationship | Letters | Science | The Guardian
To our knowledge, there has been no systematic review of the primary research in this area. The aims of this study were: We hypothesized that the patient-therapist alliance would have a positive correlation with treatment outcome. Citation tracking was performed by manually screening reference lists of eligible trials. Theses and conference proceedings also were included. Additionally, personal communication with content experts in the therapeutic alliance field was conducted. Study inclusion was not restricted by language.
The search strategy and exclusion process are illustrated in the Figure. Figure Search strategy and exclusion process. Study Selection From the titles identified by the search strategy, original studies were included if they: Physical rehabilitation is defined as an intervention that aims to enhance and restore functional ability and quality of life in those with physical impairments or disabilities. It can include a combination of physical modalities, therapeutic exercise, activities modification, assistive devices, orthoses, and prostheses.
The interventions can be delivered by a single therapist or a combination of therapists in a multidisciplinary setting, including physical therapists, occupational therapists, psychologists, chiropractors, speech pathologists, and recreation therapists. In addition, correlation or regression coefficients and odds ratios for alliance and outcomes were extracted.
Where the power lies in the therapist-client relationship
For each included study, descriptive data regarding participants, interventions, measures of alliance, and other outcome measures were extracted. If different data were reported by the 2 reviewers, data were rechecked by both reviewers. If disagreement continued, a third author would arbitrate.
However, a third author was not necessary, as consensus was reached for all extracted data. Studies meeting the eligibility criteria were assessed for methodological quality.
The methodological quality of the studies was independently assessed by 2 authors using a checklist that comprised 7 criteria: These criteria have been used in previous studies, 2324 and their inclusion in checklists for rating methodological quality has been recommended by a recent systematic review of quality assessment tools for observational studies 25 and by the STROBE Statement. Similarly, if different data were reported by the 2 reviewers, data were rechecked by both reviewers.
If disagreement continued, a third reviewer was used to arbitrate. Data Synthesis and Analysis Studies were grouped according to the study population and outcome measure.