INTERVENTION: Subdomain 7: Therapeutic Alliance Flashcards
1
Q
What is the therapeutic alliance?
A
(Hovarth et al., 2011)
- Therapeutic alliance: emergent quality of partnership and mutual collaboration between therapist and client
- Built on:
—Positive emotional bond
—Ability to agree on treatment goals
—Mutual consensus on therapy tasks - One of strongest predictors of positive therapy outcomes
—Correlation increases with therapy course
—Client’s evaluation of alliance = best predictor
2
Q
How do you build the therapeutic alliance?
A
(Hovarth et al., 2011)
- Actively monitor alliance from client’s perspective
- Respond non-defensively to client negativity
- Therapist need to be professional, friendly, empathetic, and flexible
- CONSTANT PROCESS
- Open, agreeable, extraverted, conscientious clients = stronger alliance
- Clients who struggle with interpersonal (PDs) = more difficult
3
Q
How do you build alliances with children + adolescents, and couples + families?
A
(Shirk & Karver, 2011)
- Attend to alliance with both child and parents
- Don’t take sides
(Friedlander et al., 2011) - Couple/family therapy – multiple alliances
—Don’t ally with one member
—Create safe place with shared sense of purpose
4
Q
What is countertransference?
A
(Hayes et al., 2011)
- Countertransference = Therapist’s internal and external reactions to the client related to their personal vulnerabilities and conflicts
- High self-insight, empathy, and anxiety management = better management of countertransference
- Unresolved countertransference conflicts
—antitherapeutic effects of countertransference → poorer outcomes - Should resolve conflicts via:
—Personal reflection
—Supervision
—Both - Clients may benefit from disclosure of countertransference → insight about reactions they elicit
5
Q
What to do about an alliance rupture?
A
(Safran, 2011)
- Ruptures involve episodes of tension or breakdown in alliance
- Exploring and repairing ruptures is important to therapy outcomes
- Therapists should take lead in recognizing/repairing
- Therapists should be empathic and take responsibility for the rupture
- Patients need to express bad feelings/thoughts about treatment to therapist
6
Q
SUBDOMAIN 7 CITATIONS
A
SUBDOMAIN 7 CITATIONS
7
Q
Hovarth et al., 2011
A
Hovarth et al., 2011
- What is the therapeutic alliance?
- How do you build the therapeutic alliance?
8
Q
Shirk & Karver, 2011
Friedlander et al., 2011
A
Shirk & Karver, 2011
Friedlander et al., 2011
- How do you build alliances with adolescents/children and couples/families?
9
Q
Hayes et al., 2011
A
Hayes et al., 2011
- What is countertransference?
10
Q
Safran, 2011
A
Safran, 2011
- What to do about an alliance rupture?
