摘要 :
Psychologists who have historically focused on relationships have tended to underestimate the radical nature of human relationship. A "serious" or an ontologi-cal relationality would change the nature of psychotherapy. We describe...
展开
Psychologists who have historically focused on relationships have tended to underestimate the radical nature of human relationship. A "serious" or an ontologi-cal relationality would change the nature of psychotherapy. We describe this change in a discussion of two approaches to relationship, weak and strong relationality. We argue that weak relationality, the general conception of relationship in mainstream psychology, does not ultimately take even the therapeutic relationship seriously. We then discuss and illustrate ten practical implications that a strong relationality would have for psychotherapy.
收起
摘要 :
Psychologists who have historically focused on relationships have tended to underestimate the radical nature of human relationship. A “serious” or an ontological relationality would change the nature of psychotherapy. We describ...
展开
Psychologists who have historically focused on relationships have tended to underestimate the radical nature of human relationship. A “serious” or an ontological relationality would change the nature of psychotherapy. We describe this change in a discussion of two approaches to relationship, weak and strong relationality. We argue that weak relationality, the general conception of relationship in mainstream psychology, does not ultimately take even the therapeutic relationship seriously. We then discuss and illustrate ten practical implications that a strong relationality would have for psychotherapy. Keywords Relationship - Therapeutic relationship - Therapeutic alliance - Philosophy - Therapeutic theory
收起
摘要 :
Psychologists who have historically focused on relationships have tended to underestimate the radical nature of human relationship. A "serious" or an ontologi-cal relationality would change the nature of psychotherapy. We describe...
展开
Psychologists who have historically focused on relationships have tended to underestimate the radical nature of human relationship. A "serious" or an ontologi-cal relationality would change the nature of psychotherapy. We describe this change in a discussion of two approaches to relationship, weak and strong relationality. We argue that weak relationality, the general conception of relationship in mainstream psychology, does not ultimately take even the therapeutic relationship seriously. We then discuss and illustrate ten practical implications that a strong relationality would have for psychotherapy.
收起
摘要 :
Clinical research suggests that therapists in their sessions be spontaneous, open to self and others on a moment-to-moment awareness, and to communicate in an honest and direct manner. These relationship skills can be difficult to...
展开
Clinical research suggests that therapists in their sessions be spontaneous, open to self and others on a moment-to-moment awareness, and to communicate in an honest and direct manner. These relationship skills can be difficult to teach. Theater improvisation skills increase spontaneity, animation and co-creation with the other, as well as enhance immediacy skills. This pilot study examines the effects of theater improvisation skills training on therapists' perceptions of therapy and their subsequent clinical interventions. This paper presents the qualitative arm of a larger mixed-methods study of therapists who participated in a 3-month theater improvisational skills course, given at a clinical graduate program in social work in a major university in Israel. Seventeen course graduates were interviewed regarding the training and its effects on their clinical work. Qualitative analysis shows that following the course participants experienced higher levels of therapeutic presence in terms of use of intuition, awareness in the here-and-now and mindfulness. In addition, reports of increased levels of animation, boldness and self-disclosure are discussed in relation to therapeutic charisma and therapeutic impact. Results suggest that training in theater improvisation skills constitutes an important addition to traditional training in relationship skills in psychotherapy. Implications for therapist training are also discussed. (C) 2017 Elsevier Ltd. All rights reserved.
收起
摘要 :
Background: Schizophrenia is a chronic mental illness that affects the client, family, and community. Nurses are educated to use the nurse-patient relationship to provide health education and collaborative health decision making. ...
展开
Background: Schizophrenia is a chronic mental illness that affects the client, family, and community. Nurses are educated to use the nurse-patient relationship to provide health education and collaborative health decision making. However, challenges abound for nurses and clients with schizophrenia to effectively utilize the relationship to reach these goals.
收起
摘要 :
Objective: Few studies conceptualize the adolescent's perceptions of what is helpful in gaming a positive therapeutic relationship. The aim of this study is to present a subjective understanding of what adolescent participants exp...
展开
Objective: Few studies conceptualize the adolescent's perceptions of what is helpful in gaming a positive therapeutic relationship. The aim of this study is to present a subjective understanding of what adolescent participants experience as helpful in engaging them in psychotherapy and forming a positive therapeutic relationship.Method: Through the use of a semi-structured interview, 42 adolescents who were in psychotherapy described the factors that they felt promoted a therapeutic relationship. The interviews explored three major themes: motivation to attend psychotherapy, initial fears in attending therapy, and what qualities and experiences in therapy helped enhance the relationship.Results: Adolescents report a unique set of fears about psychotherapy that are tied into their developmental issues. If these fears are addressed, the majority were motivated to seek out psychotherapy. Subjects also reported specific variables of the therapist and the therapy that enhanced the therapeutic relationship: an egalitarian and non-judgmental stance, empathy, being heard and listened to, receiving help with problem solving, feeling safe, expressing affect and the experience of feeling special.Conclusion: The study shows that adolescents' motivation, fears, and ability to form a positive relationship rest on whether the therapist is attuned to and responsive to their developmental needs. Implications for treatment and strengthening of the therapeutic relationship are discussed.
收起
摘要 :
Attachment theory provides a framework for examining closeness-distance experiences in the development of the therapeutic relationship. Objective To examine changes in clients' and therapists' experiences of therapeutic distance a...
展开
Attachment theory provides a framework for examining closeness-distance experiences in the development of the therapeutic relationship. Objective To examine changes in clients' and therapists' experiences of therapeutic distance along with psychodynamic therapy. Hypotheses: Clients' and therapists' comfort with closeness and distance will increase, and the client's autonomy and engagement will increase with time. Method A total of 67 clients and their 27 therapists underwent Relationship Paradigm interviews in which they told narratives about their experience with each other, three times during therapy. The narratives were rated on the Therapeutic Distance Scale-Observer (TDS-O) version. Results Growth curve analysis of the TDS-O ratings showed that clients decrease in perceiving therapists astoo distantand increase in engagement. Therapists showed a decrease in perceiving clients astoo closeand an increase in grantingautonomyandengagement. A clinical illustration depicts these experiences in a client-therapist dyad. Conclusions Therapists' awareness of clients' changing needs of closeness and autonomy may enhance attunement.
收起
摘要 :
Two questions were central: What are the current and what were the past new developments in the therapist–client relationship? By means of a “philosophy of science analysis,” what principles may be taken as helping to account f...
展开
Two questions were central: What are the current and what were the past new developments in the therapist–client relationship? By means of a “philosophy of science analysis,” what principles may be taken as helping to account for these new developments? Nine principles were identified in a review, including the articles in the present theme issue of the journal. The proposal and invitation are to use these nine principles to generate further, future, promising new developments in the therapist–client relationship.
收起
摘要 :
Based on the attachment framework, therapeutic distance conceptualization focuses on closeness-distance dynamics in the therapeutic relationship. We aimed to evaluate the psychometric properties of the Therapeutic-Distance-Scale, ...
展开
Based on the attachment framework, therapeutic distance conceptualization focuses on closeness-distance dynamics in the therapeutic relationship. We aimed to evaluate the psychometric properties of the Therapeutic-Distance-Scale, Observer-version (TDS-O) and apply a dyadic approach to examine associations between attachment characteristics and therapeutic distance experiences of clients, therapists, and mutual effects. Sixty-six clients and their 29 therapists completed the ECR and relational narratives collected in RAP interviews at early, mid, and late psychodynamic-therapy were rated on TDS-O scales: too close, too distant, autonomy, and engagement. The TDS-O showed good IRR, internal reliability and content validity. Client anxiety was not associated with therapeutic distance but associated with autonomy. Client avoidance associated with clients' experiencing therapist as too close, and lower engagement only at early therapy, but was not associated with therapists' experience. Therapist anxiety was not related to closeness-distance at early therapy but related to gaps between client and therapist experiences at mid and late therapy. Therapist avoidance related to clients experiencing therapists as too close and granting less autonomy at early and mid-therapy, and to therapist experience of distance at late therapy. The findings underscore the importance of therapists' regulating therapeutic distance through attunement to client's interpersonal needs and therapy phase.
收起
原文获取