Articles Tagged "therapeutic alliance" (Page 2)

Sigmund Freud originally described psychological resistance as a phenomenon wherein patients unconsciously “cling to their disease” through “tenacious” and “critical objections” in order to repress distressing thoughts, emotions and experiences as they are raised by the therapist (Freud, 1904; 1920; 1940). This understanding—a somewhat patronizing view that pitted expert doctor against oblivious patient—persisted in the […]

Termination of the Therapy Relationship As with all relationships, a therapeutic relationship has a beginning and an end. The end of a therapeutic relationship often offers an opportunity for the therapist and client to engage in the termination process, which can include looking back on the course of treatment, helping the client plan ahead and […]

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From October 17th through the 20th I had the opportunity to represent Division 29 at the American Psychological Association Education Leadership Conference in Washington, DC. The focus of the conference this year was Translating Psychological Science to Educational Practice, Policy, and the Public. There were many wonderful speakers who talked about using psychological principles as […]

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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? […]

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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 […]

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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 […]

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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 […]

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