empathetic attunement and therapeutic relationship – Flashcards

understanding the clients frame of reference or way of experiencing the world non-judgemental, attentive, open to discuss any topic, paying attention to details understand overall goals, as well as moment to moment experiences to sense the clients world and emotions but not confuse them with your own

70% carl rogers responses where to meaning rather than to feeling

carl rogers disdains sympathy

developing rapport - compassionate attitude toward client, demonstrate you understand clients experience communicative attunement - active and ongoing method to stay attuned to the moment-to-moment with the clients communications and unfolding experience e.g. empathetic responses person empathy - understanding of the clients world, understanding the kinds of experiences the client has had both historically and presently

Somehow you are not in a space to work, it's hard for you to concentrate

Yeah, really hard, being pulled in a million different directions and there hasn't been time for you no wonder it feels like things are a mess

Its like being caught in a whirlpool as if it is hard to keep your boat from being sucked in or capsizing

Just a continual sense of being intruded on. I guess this leaves you feeling so, feeling so invaded?

need to be aware that some people may find it aggressive or intrusive so need to build on perspective taking and give client space - offered with humility but held lightly

development of bonds between analyst and patient,empathy

cognitive processes

affect

joining of reasonable self of the client with the therapist analysing self for the purpose of the work BOND - positive attachment, including trust acceptance and confidence (emathy, warmth, trustworthiness, unconditional positvie regaurd, genuineness) TASK- counselling behaviours interventions and cognitions that form the counselling process (specific technique) GOAL- agreed ideal outcomes and priorities. The working alliance also influences transference, mostly through its facilitation of clients' awareness and direct expression of transference-based feelings and its buffering of the relationship against the effects of negative transference. The working alliance influences and is influenced by therapist countertransference. Furthermore, the working alliance is fostered by therapists' careful monitoring of their own countertransference reactions to the client. The working alliance also influences the real relationship. The stronger the alliance, the more likely are therapy participants to express directly genuine and realistic feelings toward one another. The working alliance is more than an additive summation of the transference configuration and the real relationship. It is an attachment that exists to further the work of therapy and contains participants' role expectations regarding the work of therapy. The existence of a sound working alliance is especially important during crises in the relationship, at which times the alliance facilitates the participants' working through of those crises.

repetition of past conflicts with significant others displaced onto therapist Transference influences the working alliance, with positive transference at times serving to strengthen the alliance and negative transference serving to weaken it In the early stages of therapy, transferences toward the therapist are highly similar to the client's attitudes and perceptions of people in general and authority figures in particular. In brief therapy, the early transference that occurs must be largely positive if the work is to proceed effectively The effects of transference (both positive and negative) on process and outcome will depend on the amount of insight that accompanies the transference

occurs when a therapist transfers emotions to a person in therapy, is often a reaction to transference Countertransference can manifest in different ways, such as excessive self-disclosure on the part of the therapist or an inappropriate interest in irrelevant details from the life of the person in treatment. A therapist who acts on their feelings toward the person being treated or that person's situation or engages in behavior not appropriate to the treatment process may not be effectively managing countertransference.

ability and willingness to be what one truly is in a relationship - authentic, open and honest

perceptions that are uncontaminated by transference distortions and other defences

genuineness and realistic perceptions The more positive the therapy participants are toward one another within the context of the real relationship, the stronger will be the working alliance It is possible for the client or the therapist to be too positive toward the other, thus impeding the working alliance As the therapy relationship progresses, the real relationship deepens. Each participant holds a wider range of realistic perceptions of the other, and each is able to be more fully genuine.

working alliance, transference configurations, real relationship

genuineness - the willingness to transparently relate to clients without hiding behind a professional or personal facade