Theraputic relationship

Question 1

Literature (such as______ et al.) shows a strong relationship between therapeutic relationship and _________

Answer 1

Literature (such as Gelso 2018 et al.) shows a strong relationship between therapeutic relationship and treatment outcome

Question 2

Can get hung up on skills we forget about the relationship
Findings suggest clients more interested in a _________

Answer 2

Can get hung up on skills we forget about the relationship
Findings suggest clients more interested in a genuine relationship

Question 3

However, for CBT therapeutic relationship is just as _____ but it alone is not _____

Answer 3

However, for CBT therapeutic relationship is just as NECESSARY but it alone is not SUFFICIENT

Question 4

______(____) found these 3 necessaries for a working alliance/therapeutic relationship:
1)
2)
3)

Answer 4

Bordin (1979) found these 3 necessaries for a working alliance/therapeutic relationship:
1) Agreement on the task
2) Agreement on therapy goals
3) Positive bond between therapist and client

Question 5

• Need to establish early (first ____ sessions)

Answer 5

• Need to establish early (first 3-4 sessions)

Question 6

Characteristics improve/facilitate change:

Answer 6

• empathy,
• warmth (but too warm = too attached),
• flexibility,
• supportively challenging,
• genuineness,
• uses humour,
• emotional responsibility,
• honesty,
• confidence,
• encouraging/rewarding

Question 7

Characteristics don’t facilitate change:

Answer 7

confronting (not challenging supportively),
- supporting (without direction),
- inflexible

Question 8

Carl Rodgers (1951) identified
1
2
3

there is also

4
5

Answer 8

Carl Rodgers (1951) identified
- Empathy – asking, summarising, listening, and empathy statements
- Warmth
- Genuine – natural, honest, open manner, constructive criticism, genuine optimism

Also there’s:
- Collaborative – shared goals, agenda, feedback
- Empiricism – literature

Question 9

Strategies to build (Beck):

Answer 9

1) Collaborate
2) Adapt therapeutic style
3) Elicit feedback

Question 10

What can therapist do/ think about

Answer 10

• Not just one time – pay attention to it throughout the course
• Transference / counter transference
  Need to be aware of the therapist’s own contribution
  Maintain unconditional positives regard despite any problems
  Elicit feedback
  Discuss in supervision

Question 11

Signs its gone wrong

Answer 11

Signs of problems
- Not doing Hw, expressing scepticism, poor attendance. Not engaged
- Emotional cues: discomfort, anger, mistrust

Question 12

Repair

Answer 12

• Need to deal with this – Prioritise – ignoring won’t go away – see as tx target –

“some ratings appear lower = important to talk about that to get back to running smoothly”

• remiane Genuine, warm, unconditional positive regard