Managing relationships and psychotherapy

Author(s):  
Kenneth Po-Lun Fung

Relationships are at the heart of all psychotherapies, as the therapeutic relationship serves as the bedrock for change and relationship issues are often the core concern of clients. Further, immigrants, refugees, and diverse clients often experience losses, changes, and conflicts in their relationship. Although attachment theory has empirical support and is clinically helpful, a much broader understanding of relationships can come from the application of cultural concepts (e.g. amae, jeong, yuan-fen, and familism); non-Western philosophies (e.g. Confucianism, Taoism, and Buddhism); and models that capture diverse cultural orientation and values (e.g. Horizontal and Vertical Individualism Collectivism model). A stepwise culturally competent approach, using RELATE (Relationship-building, Exploration of individual and sociocultural meaning, Laying off of cultural assumptions, Address sociocultural issues, Therapeutic use of culture, and Evaluation of impact), can help guide psychotherapy. Interventions may include pro-cultural or countercultural strategies. Ultimately, the use of a cultural lens can help the psychotherapist and the client to not only manage relationships, but also make them thrive.

2015 ◽  
Vol 6 ◽  
Author(s):  
Stefan Westermann ◽  
Marialuisa Cavelti ◽  
Eva Heibach ◽  
Franz Caspar

Author(s):  
Bronwen Williams

Purpose – The purpose of this paper is to examine how the skills involved in building therapeutic relationships, especially the therapeutic use of self, in clinical work can transfer in to teaching, making reference to the supporting education theory. Design/methodology/approach – A review of relevant education and health literature was undertaken. Findings – Mental health practitioners’ skills transfer with good effect to the classroom, therefore clinicians who deliver teaching to mental health colleagues can be seen to be highly effective in promoting excellent learning environments. The teacher, and their teaching, needs to be student focused in the same way that the clinician needs to be patient centred to build the best possible relationships to support development and change. Originality/value – The therapeutic relationship is a fundamental element of mental health work and similarly, the relationships that the teachers develop with students are essential to the promotion of learning environments. However, what creates the teacher-student relationship has been little examined in the literature and this paper suggests that the core elements of the therapeutic relationship, especially therapeutic use of self, transfer to the teaching relationship to impact on learning for mental health staff.


2013 ◽  
Vol 44 (4) ◽  
pp. 33-46 ◽  
Author(s):  
E. Theron ◽  
N. S. Terblanche ◽  
C. Boshoff

The focus of this study was on the relevance of trust, satisfaction and commitment in maintaining a long-term relationship (intention to stay) with an exchange partner in a Business-to-Business (B2B) context in the financial services industry. The perceptions of 238 B2B clients of a leading South African provider of development capital were investigated. Since support could not be found for the existence of trust, commitment and satisfaction as distinct individual dimensions, this study provides empirical support for the amalgamation of some well-established individual dimensions into broader, more holistic dimensions as drivers of long-term relationship building.Contrary to expectations, B2B banking clients participating in this study appeared to regroup individual dimensions, in a heuristic fashion, to form new dimensions that influenced their attitude towards staying in a B2B relationship. As a result, building long-term marketing relationships seems to be a less complicated process than previously thought. Against this background, the primary contribution of the study is that it highlights the need for marketing practitioners to reconsider their current relationship-marketing strategies. As the findings of the study are inconsistent with conventional wisdom, they also challenge marketing academics to reconsider the theoretical foundations of relationship building in a B2B context.


1981 ◽  
Vol 9 (4) ◽  
pp. 299-304 ◽  
Author(s):  
Rodney D. Vanderploeg

In the last issue (Vanderploeg, 1981), the concept of the Imago Dei was shown to be central to being human and as establishing human beings as essentially relational, called to relationship with God and with each other. God's election was seen as at the core of the Imago Dei and hence as a universal phenomenon. In the present article, the intrapsychic aspect of personality is also discussed as a third important relational aspect of the Imago Dei. The Imago Dei is seen as foundational to psychotherapy, providing both a ground for therapy and a mandate. The therapeutic relationship is understood as covenantal and as an affirmation of God's election, as it is a relationship in which clients are universally supported in enhancing their relationships, that is, the Imago Dei. The transpersonal, God-person relationship is also discussed, both as to how it manifests itself in therapy and how it can be dealt with therapeutically. Throughout, the focus is on questions which help therapists intergrate their faith with their vocation rather than segregating the two by imposing one on the other.


1984 ◽  
Vol 54 (1) ◽  
pp. 239-250 ◽  
Author(s):  
Gershen Kaufman ◽  
Lev Raphael

This paper presents a conception of the self's relationship with the self as a foundation for building inner security and competence. Interpersonal learning in the family becomes the model for the gradually unfolding relationship which the self comes to have with the self. What is first experienced interpersonally or observed outside the self is taken inside, or internalized, through identification; visual imagery mediates this transfer. Inherent parts of the self which are experienced as being disowned by significant others become disowned by the self. The inner strife caused by divisions within the self, which are often manifested through inner dialogue, can be healed by embracing those disowned parts. Changing inner dialogue is accomplished by consciously identifying characteristic devaluing dialogues and actively replacing them with self-affirming ones derived from the therapeutic relationship. Building a self-affirming relationship translates into behaving towards the self as worthy and adequate beyond question.


2021 ◽  
Vol 12 ◽  
Author(s):  
Michael Hase

Since the introduction of EMD by Dr. Shapiro in 1987, which led to the development of EMDR Therapy, clinical experiences and research contributed to a variety of protocols and procedures. While this dynamic evolution within EMDR Therapy is offering more options to treat a variety of patients suffering from various disorders, there is a greater risk of deviations from the core framework of this approach that would no longer be understood as EMDR Therapy. While research shows that following Shapiro’s standard protocols and procedural steps is important to achieve positive treatment effects, it seems prudent to define the core elements in EMDR Therapy beyond adherence to the standard protocol given the complexity of clinical demands in a variety of treatment contexts. The author proposes that best practices requires not only an adherence to the fidelity of the model, but a willingness to adapt the model in order to best meet the needs of our clients in a variety of clinical contexts. Defining the core elements that constitute EMDR Therapy offers both a structure that has been well established and offers a foundation from which clinical adaptations can be made that are within the realm of what is widely accepted as EMDR Therapy. Such a structure could also be used to define research as well as clinical applications. Additionally EMDR Therapy as a comprehensive psychotherapy approach implies that the therapeutic relationship is an important component and should be considered a core element of this methodology.


2020 ◽  
Vol 8 (3) ◽  
Author(s):  
Eleni Rizou ◽  
Vaitsa Giannouli

Therapeutic Relationship has been regarded as a profound element of the psychotherapeutic procedure and crucial for the outcome of therapy. Research evidence so far claims that both therapist’s and client’s personality can impact the Therapeutic Relationship. Based on the well-researched Attachment Theory there has been some research mostly focused on how clients’ attachment patterns can affect the Alliance. Limited research, though, on how therapists experience the Relationship in relation with their Attachment Styles do exist. The current study investigates trainee therapists’ experience of the Therapeutic Relationship in the light of their Attachment Style. A qualitative approach was used for this research to investigate in depth the experience of five trainee Integrative psychotherapists who were recruited to take part in semi-structured interviews. Interviews were transcribed and verbatim was divided into superordinate and subordinate themes and analyzed by Interpretative Phenomenological Analysis method. Four master themes were identified. Findings were then compared and discussed according to existing literature. All participants referred to the relevance of Attachment Theory in psychotherapy. They also agreed on the activation of their Attachment Styles during the therapeutic process. The securely attached therapist confirms previous studies on her capability to offer a secure base for her clients. On the other hand therapists with insecure Attachment Styles appeared sensitive in their collaboration mostly with insecure clients. Anxiously attached therapists proved to experience difficulty in the initial stages of the Therapeutic Relationship while the combination of avoidant therapist-avoidant client appeared to be the most demanding one, regarding the concept of trust and relationship ruptures. We suggest that the exploration of trainee therapists’ Attachment Styles as well as the study of the Attachment Theory should be added to all Counseling and Psychotherapy curricula regardless the therapeutic orientation because of its contribution to forming positive Therapeutic Relationships.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eric Badu ◽  
Anthony Paul O’Brien ◽  
Rebecca Mitchell ◽  
Akwasi Osei

Abstract Background Evidence-based clinical practice is an inherent component of mental health professional practice in developed countries. However, little is known about professional perspectives of evidence-based practice in mental in developing countries such as Ghana. This paper describes the processes involved in the delivery of best practice in Ghana. The paper reports on a realistic evaluation of mental health nurses and allied health professionals’ views on the evidence-based therapeutic process in Ghana. Methods A purposive sample of 30 mental health professionals (MHPs) was recruited to participate in semi-structured, in-depth interviews. Thematic analysis was used to analyse the data. A program theory of Context + Mechanism = Outcome (CMO) configuration was developed from the analysis. Results The thematic analysis identified two contexts, mechanism and outcome configurations (themes): 1) technical competency stimulates evidence-based mental health services, and 2) therapeutic relationship building ensures effective interaction. The study demonstrates that contextual factors (technical competencies and therapeutic relationship building) together with mechanisms (intentional and unintentional) help to promote quality in mental health service provision. However, contextual factors such as a lack of sign language interpreters yielded unintended outcomes including barriers to communication with providers for consumers with hearing impairment and those from linguistic minority backgrounds. Conclusion Government stakeholders and policymakers should prioritise policies, periodic monitoring and adequate financial incentives to support the mechanisms that promote technical competence in MHPs and the building of therapeutic relationship.


Author(s):  
Joshua R. Itzkowitz Shifrinson

The Conclusion summarizes the volume and extends its findings. The chapter first reviews the evidence in chapters 2-5, emphasizing that there is significant empirical support for the argument developed in chapter 1. In contrast, alternative explanations do not fare well in the case studies. Next, the chapter provides additional tests of the theory by discussing the British, Russian, and German responses to the declines of Austria-Hungary and France from the mid nineteenth century through World War I in light of predation theory; again, the history offers significant support for the core argument. Lastly, the Conclusion discusses implications of the volume for scholarship, policy debates – particularly surrounding the rise of China – and future research.


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