Relational Genetic Counseling

2019 ◽  
pp. 125-142
Author(s):  
Barbara B. Biesecker ◽  
Kathryn F. Peters ◽  
Robert Resta
Keyword(s):  
Genetic Counseling ◽  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Genetic Information ◽  
Counseling Skills ◽  
Informed Decisions ◽  
Psychotherapeutic Approach ◽  
The Relationship

This chapter emphasizes the importance of the relational components of a psychotherapeutic approach to genetic counseling. It outlines the steps to developing a therapeutic alliance with a client that are implied but not stated in the Reciprocal Engagement Model. Reinforced are the need for safety and trust for the client, conveying respect, and being genuine in the relationship. Contracting is described as an exchange between the counselor and client to establish the session goals. Relational counseling skills are used to establish a relationship that fully addresses the implications of genetic information. These skills include asking open-ended questions, followed by closed-ended questions; clarifying understanding; paraphrasing; reflecting feelings; and summarizing the client’s perceptions and needs. They constitute the process used to establish a therapeutic relationship that is essential to addressing the threat of genetic information and clients’ related fears and hopes. What results from this process is an empathic connection with clients where informed decisions are made, coping is enhanced, and/or adaptation is facilitated.

scholarly journals Videoconferencing Psychotherapy: a literature review of the perspective of relationships for patients and psychologists (Preprint)

2020 ◽  
Author(s):  
Francesco Cataldo ◽  
Shanton Chang ◽  
Antonette Mendoza ◽  
George Buchanan
Keyword(s):  
Literature Review ◽  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Active Role ◽  
High Demand ◽  
Face To Face ◽  
Patient Relationships ◽  
The Impact ◽  
The Relationship

BACKGROUND During the COVID-19 pandemic, people are being encouraged to maintain social distance. Technology is helping people to reschedule meetings from “face-to-face” interactions to remote videoconferencing. Psychologists are in high demand, due to an increase in stress as a result of COVID. Many seek to both keep treating their current patients, and welcome new ones, given the current high demand for their services. Videoconferencing provides an opportunity to do this. However, shifting treatment from face-to-face to the videoconferencing is not simple as both the psychologist and the patient miss the in-person information and cues, such as body language provides. OBJECTIVE A new theoretical framework is proposed to guide the design of future studies on the impact of the computer as a mediator of psychologist-patient relationships, and the influence of videoconferencing on the whole relationship process. METHODS A literature review has been conducted, screening studies focusing on communication, and the key concepts of therapeutic relationship and therapeutic alliance. RESULTS Studies report that patients are generally satisfied with videoconference therapy in terms of the relationship with their therapists and the establishment of the “therapeutic alliance”. However, psychologists report difficulties in establishing same quality of therapeutic relationship and therapeutic alliance. The analysed studies lead us to interpret data under a different perspective. A new model of relationship is proposed, along with further hypotheses. CONCLUSIONS It is important to consider the computer as having an active role in psychologists and patients’ relationships. CLINICALTRIAL

Genetic Counseling in the Genomic Era

2019 ◽  
pp. 187-200
Author(s):  
Barbara B. Biesecker ◽  
Kathryn F. Peters ◽  
Robert Resta
Keyword(s):  
Genetic Counseling ◽  
Genetic Testing ◽  
Genome Sequencing ◽  
Genetic Information ◽  
Genetic Counselors ◽  
Counseling Skills ◽  
Test Results ◽  
Genetic Test Results ◽  
The Face

The nature and scope of genetic counseling is continuing to evolve in the face of the expanding application of new genetic testing technologies like exome and genome sequencing. This creates a new set of challenges for determining the role of genetic counselors and genetic counseling in the delivery of genetic services. Genetic counselors may shift from being gatekeepers to genetic testing to interpreters of complex genetic test results. While this may require learning new biomedical information, the application of basic counseling skills will continue to be critical to service delivery. While testing has become more sophisticated and complex, it still comes down to families and patients trying to integrate genetic information into their lives in meaningful ways. This has, on one level, not changed for at least the last half-century.

scholarly journals Therapeutic Relationship in eHealth—A Pilot Study of Similarities and Differences between the Online Program Priovi and Therapists Treating Borderline Personality Disorder

2020 ◽  
Vol 17 (17) ◽  
pp. 6436
Author(s):  
Sandra Köhne ◽  
Ulrich Schweiger ◽  
Gitta A. Jacob ◽  
Diana Braakmann ◽  
Jan Philipp Klein ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Qualitative Content Analysis ◽  
Treatment Phase ◽  
Borderline Personality ◽  
Structured Interviews ◽  
One Year ◽  
The Relationship

eHealth programs have been found to be effective in treating many psychological conditions. Regarding Borderline Personality Disorder (BPD), few programs have been tested; nevertheless, results are promising. The therapeutic alliance is an important factor predicting treatment outcome in BPD. However, we do not know yet to what extent BPD patients form a therapeutic alliance with an eHealth tool and how this relationship differs from the relationship with their human therapist. This study aims to address this question using priovi, an interactive schema therapy-based eHealth tool for BPD. Semi-structured interviews were conducted to explore how patients perceived the therapeutic alliance with priovi and its differences compared to the alliance with their human therapist (N = 9). Interview data were analyzed following the procedures of qualitative content analysis. Additionally, the Working Alliance Inventory (WAI-SR) was administered in two versions (regarding the human therapist and priovi, N = 16) every three months during the treatment phase of one year. Results indicate that patients were able to form a good therapeutic relationship with priovi, but it differed from the relationship to their human therapist. Important categories were “priovi is helpful, supportive and always there” and “priovi is less flexible”. WAI ratings for the task subscale were high in both relationships but significantly higher in WAItherapist compared to WAIpriovi in two measurements (nine-months measurement: t = 2.76, df = 15, p = 0.015; twelve-months measurement: t = 3.44, df = 15, p = 0.004). These results indicate that BPD patients can form a functioning alliance with an eHealth program and that eHealth programs may be especially useful for psychoeducation and cognitive exercises.

scholarly journals Η θεραπευτική σχέση στη γνωσιακή συμπεριφοριστική θεραπεία

2021 ◽  
Vol 26 (2) ◽  
pp. 65
Author(s):  
Giorgos Efstathiou
Keyword(s):  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Behavioral Therapy ◽  
Therapeutic Change ◽  
Distinctive Features ◽  
Therapeutic Interaction ◽  
Socratic Questioning ◽  
Cogntive Behavioral Therapy ◽  
Relationship Factors ◽  
The Relationship

The article describes the distinctive features of the therapeutic relationship in cognitive behavioral therapy (CBT) and the ways of dealing with problems in the therapeutic interaction. The development of the way that the therapeutic relationship is understood within the context of cogntive behavioral therapy is presented, from the initial view that the therapeutic relationship is a necessary but not sufficient condition in order to achieve therapeutic change, to the modern view that the therapeutic change is produced by the therapeutic techniques, as well as the therapeutic relationship. The role of the therapist and the features of the therapeutic alliance in CBT are described, central among which is collaborative empiricism and Socratic questioning. The difficulties in the therapeutic relationship and the ways that can be addressed are discussed in the context of the related concepts of resistance, of ruptures in the therapeutic alliance and of transference and countertransference. The rationale regarding boundaries to the therapeutic relationship is discussed. In conclusion, in CBT the emphasis on the therapeutic relationship is not so central as in other therapeutic models and the relationship is integrated with techniques, although there is ongoing effort to enhance and expand the understanding of the therapeutic interaction.  Nonetheless the quality of the relationship is not inferior to that of other treatment models and the therapeutic change in CBT is attributed equally to the implementation of techniques and relationship factors.

Introduction to Genetic Counseling

2019 ◽  
pp. 1-6
Author(s):  
Barbara B. Biesecker ◽  
Kathryn F. Peters ◽  
Robert Resta
Keyword(s):  
Genetic Counseling ◽  
Genetic Information ◽  
Professional Growth ◽  
Ethical Issues ◽  
Genetic Counselor ◽  
Historical Context ◽  
Counseling Skills ◽  
Critical Component ◽  
Sociological Perspective ◽  
Research Questions

A critical component of a genetic counselor’s professional growth is to develop the counseling skills to be able to “read” patients to gain a better understanding of the psychological underpinnings of their hopes, dreams, fears, choices, actions, suffering, reactions, strengths, and apparent weaknesses, as well as their cognitive understanding of genetic information. The purpose of this book is to help the reader to develop and expand some counseling skills that are key to the professional development of a genetic counselor. This chapter provides an overview of the issues to be addressed in the chapters that follow—counseling skills, and theories, how to critically think about ethical issues and how they may be addressed in clinical practice, laying a foundation for developing expertise to develop and investigate research questions relevant to the practice of genetic counseling, providing a sociological perspective on genetic counseling patients and genetic counselors, and offering a historical context to create a better understanding of why genetic counseling looks the way it does today.

Therapeutic alliance in vocational rehabilitation counseling: assessing client factors and functioning

2021 ◽  
pp. 1-10
Author(s):  
Ayse Torres ◽  
Patricia Diaz ◽  
Robert Freund ◽  
Tracy N. Baker ◽  
Andrew Z. Baker ◽  
...  
Keyword(s):  
Therapeutic Alliance ◽  
Vocational Rehabilitation ◽  
Therapeutic Relationship ◽  
Rehabilitation Counseling ◽  
Client Outcomes ◽  
Client Factors ◽  
Rehabilitation Agency ◽  
The Impact ◽  
The Relationship ◽  
Overall Functioning

BACKGROUND: The therapeutic relationship is often acknowledged as one of the most significant factors in clinical process that influences client outcomes. OBJECTIVE: While considerable research has been conducted on the therapeutic relationship in psychotherapy, there is a paucity of research on the impact of the therapeutic relationship in vocational rehabilitation counseling settings. METHODS: This study explored the relationship between areas of client functioning (individual, interpersonal, social, and overall) and the therapeutic alliance among clients who receive services from the State vocational rehabilitation agency. RESULTS: In this study, younger clients (ages between 16 to 29) reported stronger therapeutic alliance. CONCLUSION: The findings of this study suggest that clients’ perceived individual, interpersonal and overall functioning have a significant positive relationship with the task and bond components of therapeutic relationship.

scholarly journals Η θεραπευτική συμμαχία: ορισμοί, αναστοχασμοί και θεραπευτικές προεκτάσεις

2021 ◽  
Vol 26 (2) ◽  
pp. 8
Author(s):  
Angelika Apostopoulou ◽  
Theodoros Giovazolias
Keyword(s):  
Literature Review ◽  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Critical Evaluation ◽  
Practical Significance ◽  
Research And Practice ◽  
Therapeutic Implications ◽  
Relational Practice ◽  
Alliance Theory ◽  
The Relationship

The present literature review aims to offer an in-depth examination and critical evaluation of the concept of the therapeutic alliance, as it has been historically unfolded in psychotherapy theory, research and practice. The construct of the alliance holds particular theoretical and practical significance for counselling psychologists, who are expected to demonstrate an understanding of the therapeutic relationship and alliance as conceptualised in different models (HCPC, 2015), as well as the ability to engage in relational practice (BPS, 2015). The critical literature review therefore opens with an examination of the concept of the therapeutic alliance as defined and conceptualised in the major schools of psychotherapy. Core alliance measures are also presented and critically evaluated in relation to their methodological rigour and usefulness in alliance research and practice. The relationship between the therapeutic alliance and outcome is critically reflected upon, whilst giving thorough consideration to therapist, client and interactive factors impacting the development and maintenance of the therapeutic alliance, thus possibly mediating and/ or moderating the relationship between alliance and treatment outcome. Contemporary re-conceptualisations and critiques of alliance theory and research are in turn thoroughly examined and critically discussed. Taking into account the primacy of the therapeutic relationship in Counselling Psychology (BPS, 2005), the literature review concludes with a presentation of the therapeutic implications of alliance theory and research for practitioner psychologists in general and counselling psychologists in particular, irrespective of their therapeutic orientation, in order to enhance their therapeutic skills and efficacy.

Client-Clinician Relationships and Concomitant Factors in Stuttering Therapy

1966 ◽  
Vol 9 (2) ◽  
pp. 194-207 ◽  
Author(s):  
Eugene B. Cooper
Keyword(s):  
Young Adult ◽  
Therapeutic Relationship ◽  
Graduate Student ◽  
Adult Male ◽  
Personality Characteristics ◽  
Young Adult Male ◽  
Concomitant Factors ◽  
Client Progress ◽  
The Relationship ◽  
As If

Interrelationships among client progress in stuttering therapy, the nature of the affect interchange between client and clinician, and certain personality characteristics of both client and clinician were studied. Sixteen young adult male stutterers and their 11 graduate student clinicians served as subjects. Results support observations that the clinicians' and clients' personalities are significant variables in the stuttering therapy situation, support observations that important similarities exist between stuttering therapy and psychotherapy, and suggest that it is more accurate to note stages in the therapeutic relationship, rather than to characterize the relationship as if it were the same throughout therapy.

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