The importance and difficulties of a therapeutic alliance between therapist and client

The first course, Becoming a Trauma-Aware Therapist: Definitions and Assessment, covers questions of what constitutes a trauma, and how to assess for its effects in a range of ways.

The importance and difficulties of a therapeutic alliance between therapist and client

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A Guide to avoiding Procrustean Psychotherapy. By developing Jung's Cross Diagram inspired by an Alchemical woodcut this paper clarifies the distinct processes of transference, counter-transference and co-transference.

The author underpins his critique throughout with the contention that a clear understanding of the psychology behind transference enables therapists to go beyond offering their clients the Procrustean bed of normal adaptation and facilitate a process of profound personal transformation in both their clients, and themselves.

This paper was first presented at the Bristol C. Jung Public Lectures on 13th November, and revised on 30th April, The first three he sees as processes leading to the attainment of normal adaptation.

It is the fourth stage of transformation that these individuals require, where the meeting of the personalities of Doctor and patient is likened to the mixing of two different chemical substances wherein if there is any mixing at all, both are transformed.

He is equally a part of the psychic process of treatment and therefore equally exposed to the transforming influences. Indeed, to the extent that the doctor shows himself impervious to this influence, he forfeits influence over the patient.

What Jung is alluding to here is what I call the process of co-transference sometimes confusingly referred to as transference and countertransference, or sometimes simply as the countertransference as distinct to the discrete and separate processes of transference and counter-transference.

It is the purpose of this paper to define these three nebulous processes so that co-transference can be seen for the subtle and powerful tool of personal transformation it is rather than subsumed within the other two. Any cursory reading of the subject quickly reveals diverse definitions, beliefs and opinions about transference, counter-transference and co-transference along with ever more convoluted intellectual attempts to nail down the subject.

I think that the historical evolution of the subject has lead to an overly complex body of theory generating much misunderstanding in its use and significant harm to clients. The first part of this paper describes the historical evolution of transference and counter-transference theory from Freud's discovery of transference and counter-transference, through to Jung's alchemically inspired contribution.

I end the paper by reflecting on the practical use of transference and counter-transference and present a case example that shows the working through of a co-transference. My interest in this subject derives from my own predilection to use or be used by the transference process in my work.

It also comes from my personal experience of being on the receiving end of what I experienced as an abusive transference and counter-transference muddle.

The importance and difficulties of a therapeutic alliance between therapist and client

Only with the help of a skilled analyst was I able to extricate myself from the situation and learn more about the psychology of transference. My involvement with the Client Voice Movement has revealed to me how widespread the harm caused by the misuse of transference and counter-transference is.

This paper is my contribution towards trying to reduce this and future harm, whilst also pointing to the potential for a more useful understanding of the psychology of transference in order to change people's lives, for the better. Projection and Transference Projection is the tendency to ascribe to another person, unconscious contents such as feelings, thoughts, or attitudes present in one-self, or to regard external reality as embodying such feelings, thoughts, etc, in some way.

Transference is the term applied to projection from a client to the therapist that occurs in the analytic setting.

The importance and difficulties of a therapeutic alliance between therapist and client

Projection is something we all do most of the time without ever realising it. We distort how we see and relate to the outer world by laying over it the dynamic and autonomous images of our inner world, including all the feelings, wishes, wants, beliefs etc that they embody.

The contents of our inner world, or the unconscious, include not only elements from our past, but also what we may be, our potential. Additionally we share a common, or objective psyche i.

The Therapeutic Alliance: The Essential Ingredient for Psychotherapy | HuffPost Life

The influence of the objective psyche is explored later in this paper with particular reference to alchemical processes and imagery. For now it is sufficient to recognise that our inner world, however it is formed can significantly influence how we perceive and relate to the outer world.

The effectiveness of positive thinking and affirmations is testament to how an individual can consciously affect how they see the world. Projection is the unconscious version of these processes, for better or worse. The distortion in our perception becomes a problem when it brings us into conflict with the outer world and this is most likely when we encounter the polarity opposite to that to which we are identified.

Then we are likely to either try to force our view and wishes onto the other person or become subject to them.

Powerful unconscious feelings and desires may be behind the projection and can cause even normally balanced people to behave out of character. By becoming aware of our projections, through internal reflection or external acting out, we get to take back parts of ourselves we have inappropriately put out into the world.The therapist client relationship refers to how the P/T interaction is seen within the therapist's modality In fact the therapeutic alliance is essentially the same across all modalities.

4 years. Event Schedule. To search by title, date or author please use the search bar below. Click on the listing to view more information. Michele L. Zimmerman APRN CS BC is a Board Certified Clinical Specialist in child, adolescent, and adult psychiatric nursing.

She has over thirty five years experience in mental health and has completed two years of post graduate training in family therapy. Dr. Gastgeb is the licensed clinical psychologist for the Pitt Early Autism Study at the University of Pittsburgh and performs assessments for the Autism & Development Disorders Inpatient Research Collaborative (ADDIRC) Pittsburgh site at Western Psychiatric Institute and Clinic.

Table 1 - Red Flags: Proceed with Caution. Wishing For a Different Relationship from Client/Therapist. Disclosing considerable, irrelevant details about your own life to a client.

Another part of enhancing client cooperation, and thus strengthening the therapeutic alliance, is for counselors to demonstrate knowledge of and respect for diversity and multiculturalism.

Possessing an understanding and appreciation of the client’s culture can play an important role in the approach a counselor takes.

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