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Essay / Research Paper Abstract
A 10 page paper that discusses specific issues in this course. Topics discussed include: building working relationships between therapist and client with an emphasis on alliance; gathering information and data, including the use of motivational interviewing; and the importance of cultural competence with an example of a therapy session gone wrong. Bibliography lists 8 sources.
Page Count:
10 pages (~225 words per page)
File: ME12_PG690441.doc
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Unformatted sample text from the term paper:
process depends on the exact type of relationship we are trying to develop. Psychotherapy will not be successful unless there is a trusting relationship between client and therapist. Three of
the major building block to developing a positive therapeutic relationship are establishing an alliance, empathy, and listening. Castonguay, Constantino, and Holtforth (2006) discuss the importance of a working alliance between
client and therapist. An alliance reflects the interactive and collaborative components in the relationship. Horvath (2000) cited Bordins description of an alliance as consisting of three agreements between therapist and
client: the bonds which are the interpersonal attachments, trust, etc. between the two; tasks and activities the therapist and client agree on; and goals which have to do with the
expectations of both therapist and client (Horvath, 2000). The alliance has been linked to the outcomes of therapy; the stronger the alliance, the more successful therapy will be. When
clients believe there is an alliance, they are more likely to exhibit more positive behaviors during therapy. Clients tend to avoid behaviors that would be detrimental, such as avoidance, and
adopt behaviors that are more helpful, such as having expectations of positive outcomes (Castonguay, Constantino & Holtforth, 2006). When an alliance is established early in therapy, the outcomes seem
to be more positive than when an alliance is either established late in therapy or not at all. A lack of an alliance early in the process of therapy has
led to clients dropping out of the process (Castonguay, Constantino & Holtforth, 2006). Because the importance of the alliance has been known for so many decades, there are now
instruments that can measure alliance and it is a good idea to use these early in the process. The authors note that most therapist think they can accurately gauge their
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