Henry Kronengold (2017) invites readers to experience with him a “curious space” of relational connections, playfulness, symbols, and metaphors that characterize psychotherapy with children and adolescents. What is it like for both client and therapist as they tentatively begin a therapeutic relationship, find common channels of communication, solve problems, and make sense of life’s experiences? […]
Psychotherapy research has made significant strides over many decades in identifying treatment ingredients that bode well for a successful outcome (Greenberg, 2016; Lambert, 2013; Norcross, 2011). Yet, relatively little empirical evidence or transtheoretical consensus has been produced about the closing moves in effective terminations. Instead, attention has more frequently been turned to the problem of […]
The importance of considering individual differences and diversity in our clinical work has rightly received increased attention in recent years. The relevance of individual differences and diversity to all aspects of the professional services psychologists provide is clearly articulated in the Ethical Principles of Psychologists and Code of Conduct (Ethics Code, APA, 2010) in Principle […]
Abstract Therapists often struggle to determine the most important things to focus on during termination. Reviewing the treatment, identifying plans for the future, summarizing positive gains, and saying goodbye receive the most attention. Despite our best intentions, termination can end up becoming intellectualized. Attachment theory and recent developments in neuroscience offer us a road map […]
Evidence-based practice in psychology has been defined as the integration of the best available research, clinical expertise, and the individual client’s characteristics, values, and preferences (APA, 2006). This definition suggests that psychotherapists should be able, and willing, to integrate techniques from different theoretical orientations based on the context. Although integration is important, it is also […]
It is ironic that while most therapists champion the role of the therapeutic relationship in the success of therapy, there has been little research on how the transfer process and prior therapy relationships may have an impact on the therapeutic relationship. Clients are often transferred from one therapist to another in clinics when therapists-in-training leave […]
Psychological resistance refers to patients’ conscious or unconscious opposition to aspects of the therapy process. When not skillfully addressed, resistance can lead to therapeutic alliance ruptures, “deteriorations in the relationship [indicated by] patient behaviors or communications that are interpersonal markers indicating critical points in therapy for exploration” (Safran & Muran, 1996, p. 447). While ruptures […]
The therapeutic alliance had been found to be one of the most robust predictors of treatment retention and therapeutic outcome (Horvath, Del Re, Flückiger, & Symonds, 2011). In his seminal transtheoretical formulation, Bordin (1979) emphasized purposeful collaboration and the affective bond between patient and therapist as essential. This laid the foundation for its consideration as […]
An area of diversity often overlooked is socioeconomic status. Homeless clients are at an extreme end of the socioeconomic status continuum and present with concerns and stressors related to poverty. People often start psychotherapy due to a major stressor in their lives. Finally, after some apprehension, they make the initial leap to get help and […]
Background Research has demonstrated significant between-therapist variability in both process (e.g., working alliance) and outcome (e.g., symptom reduction), pointing to the so-called therapist effect (Baldwin & Imel, 2013). Although still in its infancy with regard to empirical scrutiny, thinking in this area has largely assumed that more effective therapists possess specific characteristics that foster consistently […]