Predicting Therapy Working Alliance Through Client Adult Attachment and Client Perceptions of Therapist Behaviors

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (61 download)

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Book Synopsis Predicting Therapy Working Alliance Through Client Adult Attachment and Client Perceptions of Therapist Behaviors by : Scott Eugene Bair

Download or read book Predicting Therapy Working Alliance Through Client Adult Attachment and Client Perceptions of Therapist Behaviors written by Scott Eugene Bair and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Therapist and Client Adult Attachment

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ISBN 13 :
Total Pages : 308 pages
Book Rating : 4.3/5 (129 download)

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Book Synopsis Therapist and Client Adult Attachment by : Eric Martin Sauer

Download or read book Therapist and Client Adult Attachment written by Eric Martin Sauer and published by . This book was released on 1999 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Client Attachment as a Predictor of Therapy Outcome and Premature Termination

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)

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Book Synopsis Client Attachment as a Predictor of Therapy Outcome and Premature Termination by : Gahee Choi

Download or read book Client Attachment as a Predictor of Therapy Outcome and Premature Termination written by Gahee Choi and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary purpose of this study was to examine how clients' self-reported adult attachment pattern and their attachment to the counselor are associated with working alliance and premature termination. A total of 65 clients at a large southeastern university counseling center were included in data analysis. Clients in this study completed survey packets including the Experiences in Close Relationships Scale (Brennan, Clark, & Shaver, 1998), the Working Alliance Inventory (Horvath & Greenberg, 1989), the Client Attachment to Therapist Scale (Mallinckrodt, Gantt, & Coble, 1995), the Outcome Questionnaire 45 and 30 items (Lambert et al. 1996), and the Therapeutic Distance Inventory (Mallinckrodt, 2011) at four different time points: (a) pretest, (b) after the 3rd session, (c) after the 5th session, and (d) at termination. The Therapeutic Distance scale is composed of four dimensions, Too Close, Too Distant, Growing Engagement, and Growing Autonomy. Results suggested that interactions between adult attachment (anxiety or avoidance) and therapeutic distance were not significantly associated with working alliance or premature termination. However, therapeutic distance subscales were correlated as direct effects with working alliance and premature termination. Other findings suggested adult attachment did not change over the course of therapy. The Client Attachment to Therapist (CATS) subscales at session 5 and at termination were significantly correlated with premature termination. In addition, working alliance at termination was significantly negatively associated with premature termination. Finally, the CATS-Avoidant-Fearful subscale at session 3 was associated with an increase in symptoms, and working alliance at session 3 was associated with a decrease in symptoms. Implications for theory, psychotherapy, and future research are discussed.

The Real Relationship in Psychotherapy

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Publisher : American Psychological Association (APA)
ISBN 13 :
Total Pages : 208 pages
Book Rating : 4.:/5 (1 download)

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Book Synopsis The Real Relationship in Psychotherapy by : Charles J. Gelso

Download or read book The Real Relationship in Psychotherapy written by Charles J. Gelso and published by American Psychological Association (APA). This book was released on 2011 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: The concept of the real or personal relationship between client and therapist has existed since the earliest days of psychotherapy. In this engaging book, Charles J. Gelso argues the case for the relevance of the real relationship to successful therapeutic outcomes.

Handbook of Psychological Change

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Publisher : John Wiley & Sons
ISBN 13 :
Total Pages : 792 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Handbook of Psychological Change by : C. R. Snyder

Download or read book Handbook of Psychological Change written by C. R. Snyder and published by John Wiley & Sons. This book was released on 2000-02 with total page 792 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychotherapeutic change in perspective : A Changing History of Efforts to Understand and Control Change: The Case of Psychotherapy (M. Mahoney) / - Effectiveness of psychotherapeutic change : Randomized Clinical Trials in Psychotherapy Research: Methodology, Design, and Evaluation / D. Haaga & W. Stiles / - Empirically Supported Treatments: A Critical Analysis / R. Ingram, et al. / - Components of psychotherapeutic change : Therapist Variables / E. Teyber & F. McClure / - Stalking the Elusive Client Variable in Psychotherapy Research / N. Petry, et al. / - Change at Differing Stages / J. Prochaska / - Hope Theory: Updating a Common Process for Psychological Change / C. Snyder, et al. / - The Long and Short of Psychological Change: Toward a Goal-Centered Understanding of Treatment Durability and Adaptive Success / P. Karoly & C. Anderson / - Enhancing Perceived Control in Psychotherapy / S. Thompson & M. Wierson / - Psychotherapeutic approaches : Psychodynamic Approaches to Psycho ...

Working Alliance Skills for Mental Health Professionals

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Publisher : Oxford University Press, USA
ISBN 13 : 019086852X
Total Pages : 249 pages
Book Rating : 4.1/5 (98 download)

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Book Synopsis Working Alliance Skills for Mental Health Professionals by : Jairo N. Fuertes

Download or read book Working Alliance Skills for Mental Health Professionals written by Jairo N. Fuertes and published by Oxford University Press, USA. This book was released on 2019-10-28 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: Working Alliance Skills for Mental Health Professionals provides expert guidance to mental health providers who wish to develop and augment their skills and competence in this area of practice. Each chapter deconstructs a dimension of the working alliance in psychotherapy, defining and describing specific mechanisms and interventions that can help professionals establish an alliance with their clients. The book includes skills in nonverbal communication, ways to foster the working bond with diverse clients, goal and task setting strategies, and verbal and interpersonal therapeutic skills, as well as mechanisms for repairing ruptures and for fostering the working alliance through supervision. The authors provide "in session" examples of how each skill may be implemented, and highlight the use of interventions through clinical vignettes and masked clinical cases. Working Alliance Skills for Mental Health Professionals is ideal for use in training programs in counseling, clinical psychology, and social work. It may also be valuable to professional-level practitioners interested in honing their skills in optimizing the working alliance.

Adult Attachment

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Publisher : Academic Press
ISBN 13 : 0124200761
Total Pages : 348 pages
Book Rating : 4.1/5 (242 download)

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Book Synopsis Adult Attachment by : Omri Gillath

Download or read book Adult Attachment written by Omri Gillath and published by Academic Press. This book was released on 2016-03-29 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adult Attachment: A Concise Introduction to Theory and Research is an easy-to-read and highly accessible reference on attachment that deals with many of the key concepts and topics studied within attachment theory. This book is comprised of a series of chapters framed by common questions that are typically asked by novices entering the field of attachment. The content of each chapter focuses on answering this overarching question. Topics on the development of attachment are covered from different levels of analysis, including species, individual, and relationship levels, working models of attachment, attachment functions and hierarchies, attachment stability and change over time and across situations, relationship contexts, the cognitive underpinnings of attachment and its activation of enhancement via priming, the interplay between the attachment behavioral system and other behavioral systems, the effects of context on attachment, the contribution of physiology/neurology and genetics to attachment, the associations/differences between attachment and temperament, the conceptualization and measurement of attachment, and the association between attachment and psychopathology/therapy. TEDx talk: The Power of (Secure) Love by Omri Gillath: https://youtu.be/PgIQv-rTGgA Uses a question-and-answer format to address the most important topics within attachment theory Presents information in a simple, easy-to-understand way to ensure accessibility for novices in the field of attachment Covers the main concepts and issues that relate to attachment theory, thus ensuring readers develop a strong foundation in attachment theory that they can then apply to the study of relationships Addresses future directions in the field of attachment theory Concisely covers material, ensuring scholars and professionals can quickly get up-to-speed with the most recent research

Attachment Theory and Research in Clinical Work with Adults

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Publisher : Guilford Press
ISBN 13 : 1606239287
Total Pages : 544 pages
Book Rating : 4.6/5 (62 download)

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Book Synopsis Attachment Theory and Research in Clinical Work with Adults by : Joseph H. Obegi

Download or read book Attachment Theory and Research in Clinical Work with Adults written by Joseph H. Obegi and published by Guilford Press. This book was released on 2010-06-09 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written with the practicing psychotherapist in mind, this invaluable book presents cutting-edge knowledge on adult attachment and explores the implications for day-to-day clinical practice. Leading experts illustrate how theory and research in this dynamic area can inform assessment, case formulation, and clinical decision making. The book puts such concepts as the secure base, mentalization, and attachment styles in a new light by focusing on their utility for understanding the therapeutic relationship and processes of change. It offers recommendations for incorporating attachment ideas and tools into specific treatment approaches, with separate chapters on psychoanalytic, interpersonal, cognitive-behavioral, and emotionally focused therapies.

Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance

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ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.:/5 (123 download)

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Book Synopsis Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance by : Kevin C. David

Download or read book Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance written by Kevin C. David and published by . This book was released on 2020 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: The current study examined whether attachment style, interpersonal problems, and treatment expectations predict outcome in psychotherapy and whether the working alliance may act as mediator for this prediction. Participants were 226 clients at an outpatient psychotherapy training clinic housed within a medium-sized Midwestern university. Clients completed measures of attachment, interpersonal problems, and treatment expectations prior to beginning therapy. Clients were administered the Outcome Questionnaire-45 at intake and session 3 and Working Alliance Inventory (Short, Revised) at session 2. Using structural equation modeling, it was found that both more secure adult attachment and higher treatment expectations were predictive of a stronger working alliance, though neither were predictive of outcome. Results were consistent across models whether measuring outcome at session 3 or termination (median treatment length = 8 sessions). However, interpersonal problems were not found to be predictive of either working alliance or outcome in therapy. These findings indicate that both the client's attachment security and attitudes regarding treatment both play a role in predicting the working alliance. Implications and ways of utilizing these findings to better affect the course of psychotherapy are discussed.

The Therapeutic Community

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Publisher : Springer Publishing Company
ISBN 13 : 0826116671
Total Pages : 471 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis The Therapeutic Community by : George De Leon, PhD

Download or read book The Therapeutic Community written by George De Leon, PhD and published by Springer Publishing Company. This book was released on 2000-04-15 with total page 471 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive review of the essentials of the Therapeutic Community (TC) theory and its practical "whole person" approach to the treatment of substance abuse disorders and related problems. Part I outlines the perspective of the traditional views of the substance abuse disorder, the substance abuser, and the basic components of this approach. Part II explains the organizational structure of the TC, its work components, and the role of residents and staff. The chapters in Part III describe the essential activities of TC life that relate most directly to the recovery process and the goals of rehabilitation. The final part outlines how individuals change in the TC behaviorally, cognitively, and emotionally. This is an invaluable resource for all addictions professionals and students.

An Investigation Into the Associations Between Therapist and Client Attachment Styles and the Working Alliance

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (855 download)

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Book Synopsis An Investigation Into the Associations Between Therapist and Client Attachment Styles and the Working Alliance by : Annily Victoria Seymour-Hyde

Download or read book An Investigation Into the Associations Between Therapist and Client Attachment Styles and the Working Alliance written by Annily Victoria Seymour-Hyde and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This thesis explores the associations between therapist and client attachment styles and the working alliance. It is presented as three papers: a literature review, a report of the empirical research study, and a critical reflection of the research process. In the first paper, the author provides a systematic review of studies that have investigated the association between therapist attachment and the working alliance and therapist attachment and clinical outcome. A total of nine research studies met the inclusion criteria and were included in the final review. The studies varied considerably in terms of their design and methodology, as well as, the different tools used to measure the therapeutic alliance, attachment style and outcome. The findings were then organized in terms of the relationship between therapist attachment and client-rated therapeutic alliance; the relationship between therapist attachment and therapist-rated alliance; the relationship between therapist attachment and alliance as rated by an observer and finally, the relationship between therapist attachment and outcome. The key findings were that therapist attachment security was associated with client-rated and therapist-rated working alliance. However, the overall association between therapist attachment and alliance was not straight forward. There was evidence to suggest that the attachment style of therapist and the client interact to produce a combined effect on perceptions of the working alliance and outcome. The empirical research paper examined the extent to which client and therapist self-reported attachment styles were related to the working alliance. The study also investigated any role for client attachment to therapist and psychological mindedness. Both these variables were included as exploratory. It was hypothesised that psychological mindedness may be related to secure attachment and the alliance. Specifically, we investigated the extent to which self-reported attachment styles were related to the working alliance and assessed the relative contribution of psychological mindedness to attachment security and the quality of the working alliance. Thirty clients and 42 therapists from primary care services were recruited. Participants completed measures of anxiety and depression, attachment style, working alliance and psychological mindedness. Therapist attachment security was not related to the alliance. No significant relationships were found between client attachment style and the working alliance. However, therapists and clients with oppositional attachment styles had more favourable alliances. The clinical implications and future research directions is then discussed. The final paper provides a critical reflection of the research process. It begins by outlining the rationale for the development of the literature review and the empirical research paper, and goes on to discuss some of the methodological considerations of the research paper. The implications for therapeutic practice are then suggested, followed by the wider service-related issues. Attachment theory is then critiqued, and the clinical implications discussed. Finally recommendations are made for future research.

Therapeutic Presence

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Publisher : American Psychological Association (APA)
ISBN 13 : 9781433810602
Total Pages : 0 pages
Book Rating : 4.8/5 (16 download)

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Book Synopsis Therapeutic Presence by : Shari M. Geller

Download or read book Therapeutic Presence written by Shari M. Geller and published by American Psychological Association (APA). This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors present their empirically based model of therapeutic presence, along with practical, experiential exercises for cultivating presence.

Adult Attachment Style and the Therapeutic Alliance as Predictors of Premature Therapy Termination: A Retrospective Chart Review

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (119 download)

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Book Synopsis Adult Attachment Style and the Therapeutic Alliance as Predictors of Premature Therapy Termination: A Retrospective Chart Review by : Joshua Green

Download or read book Adult Attachment Style and the Therapeutic Alliance as Predictors of Premature Therapy Termination: A Retrospective Chart Review written by Joshua Green and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Premature termination in psychotherapy is associated with negative consequences for clients, therapists, and the institutions that employ them, in the form of poorer mental health, diminished confidence, and lost revenue, respectively. Missed appointments in the form of late cancellations and no-shows exert similarly negative effects on client outcomes and treatment providers (Berrigan & Garfield 1981; Edlund et al., 2002; LaGanga & Lawrence, 2007; Oldham, Kellett, Miles, & Sheeran, 2012). Approximately one out of every five patient/clients in treatment will drop out of therapy before goals are met, regardless of treatment settings or intervention (Swift & Greenberg, 2012). The current study sought to explore relational variables - the therapeutic alliance and adult attachment style - as they relate to premature termination and missed appointments. A total of 110 case files, collected at a university training clinic over a period of 38 months, were consulted to determine rates of premature termination and missed appointments, as well as the relationships of these dispositions with alliance and attachment. The effects of attachment and alliance on premature termination could not be adequately tested due to missing data; missed appointment rate was analyzed instead. The results of regression analyses indicated that individuals who missed more sessions were more likely to prematurely terminate. Client-reported adult attachment style did not predict missed appointment rate; effects of client-reported alliance were confounded with a low sample size and positively skewed distribution and as such results were not conclusive. Implications and recommendations are suggested for future research.

Therapist Attachment Styles and Therapeutic Alliance in Family Therapy

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (855 download)

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Book Synopsis Therapist Attachment Styles and Therapeutic Alliance in Family Therapy by : Yusmarhaini Yusof

Download or read book Therapist Attachment Styles and Therapeutic Alliance in Family Therapy written by Yusmarhaini Yusof and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: There is some evidence from individual psychotherapy that the ability to build therapeutic alliances with clients may be related to the therapist's adult attachment style. These are patterns of expectations, needs, emotions and social behaviour, learn from our history of attachment experiences with our caregivers (Fraley and Shaver in Mikulincer and Shaver, 2007). There are no published empirical studies of the association between therapist's attachment style and therapeutic alliance in family therapy. Aim The overall aim was to investigate family therapist's attachment styles and explore the association between the therapist's attachment style and therapeutic alliance in family therapy. Method Participants were registered UKCP family therapists. The research comprised three linked studies. Study 1 was a survey using two different self-report attachment measures, the Relationship Questionnaire (Bartholomew and Horowitz, 1991) and the Experiences in Close Relationships questionnaire (Brennan et al., 1998) to examine the variety of therapists' attachment styles; Study 2 sought to examine therapists' and families' perceptions of the therapeutic alliance using the System for Observing Family Therapy (SOFTA, Friedlander et al., 2006) and to examine their association with the therapists' attachment styles; and Study 3 explored therapists' (of different attachment styles) views on alliance and their therapeutic work using semi-structured interviews. Quantitative data derived from the survey of therapists' attachment styles (Study 1) and the survey of therapists' difficulties with Study 2 were analysed using descriptive, and where possible, inferential statistics. Open ended questions for Study 2 were analysed thematically. Digital recordings of the interviews with therapists (Study 3) were analysed using Interpretive Phenomenological Analysis (Smith, 1999) and a template analysis based on a conceptual model of the therapeutic alliance in family therapy, the System for Observing the Therapeutic Alliance (SOFTA, Friedlander et al., 2006). In addition, observational field notes and self- reflections on the interview process were analysed using the method of Interpretative Observational Analysis (Dallos and Vetere, 2005). Results Study 1 showed that therapists (N=82) tended to self-report as having a 'secure' attachment style (74.4%) when assessed using the RQ, a more obvious measure. However, only just over a quarter of them were assessed as having a 'secure' attachment style on the, less transparent, ECR measure. Attachment style, as measured by the ECR, was not associated with therapists' prior profession, 3. gender and preference for a model of therapy. The attempt to investigate the association between therapists' attachment styles and family members' and therapist's perceptions of the therapeutic alliance in family therapy (Study 2) was unsuccessful. In a follow up questionnaire, therapists (N = 13) who had agreed to participate reported that they were unable to carry this through for a number of reasons. These explanations included a feeling that they were overloaded with new paperwork, that they had no time beyond their regular work, and that they had no suitable new cases. The 'failure' of Study 2 showed the difficulty of engaging practitioners in research on their practice. The interviews with therapists (Study 3) showed differences between the 'secure' and 'insecure' therapists (N=13) in alliance building according to their attachment styles. The 'secure' therapists were able to be more reflexive and used richer explanations to guide their therapeutic work than their 'insecure' counterparts. In two cases there was a discrepancy between the therapists self- reported assessments of themselves as 'secure' and their interview presentations. Discussion and Conclusions It is assumed in the literature that effective family therapy requires a 'secure' base/strong therapeutic alliance and that family therapists should have a 'secure' adult attachment style. However this study indicates: 1. On what is probably the more reliable measure, the ECR, around three- quarters of family therapists in this study appeared to have 'insecure' attachment styles. 2. There are differences between participating 'secure' and 'insecure' family therapists in their accounts of therapeutic alliance in family therapy, suggesting that participating 'insecure' therapists have difficulty in some of the key elements of therapeutic alliance building. Nonetheless, this research cannot say for certain whether therapists' attachment styles influenced the formation of therapeutic alliance because this part of the study was unsuccessful. Consequently, it would be desirable to make another attempt to investigate the possible association and to explore whether it was associated with the outcomes of therapy. 4. Given that it would appear that a high proportion of family therapists in this study manifested 'insecure' attachment styles and may have unresolved attachment issues arising from family of origin experiences, personal development/therapy for family therapists would seem to be desirable, both as part of training and subsequently.

Therapist and Client Attachment and the Therapeutic Alliance

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Publisher :
ISBN 13 :
Total Pages : 69 pages
Book Rating : 4.:/5 (768 download)

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Book Synopsis Therapist and Client Attachment and the Therapeutic Alliance by : Nicholas J. Sibrava

Download or read book Therapist and Client Attachment and the Therapeutic Alliance written by Nicholas J. Sibrava and published by . This book was released on 2009 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Psychotherapy Relationships That Work

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Publisher : Oxford University Press
ISBN 13 : 0199930503
Total Pages : 457 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Psychotherapy Relationships That Work by : John C. Norcross

Download or read book Psychotherapy Relationships That Work written by John C. Norcross and published by Oxford University Press. This book was released on 2011-05-04 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in 2002, the landmark Psychotherapy Relationships That Work broke new ground by focusing renewed and corrective attention on the substantial research behind the crucial (but often overlooked) client-therapist relationship. This thoroughly revised edition brings a decade of additional research to the same task. In addition to updating each chapter, the second edition features new chapters on the effectiveness of the alliance with children and adolescents, the alliance in couples and family therapy, real-time feedback from clients, patient preferences, culture, and attachment style. The new editon provides "two books in one"--one on evidence-based relationship elements and one on evidence-based methods of adapting treatment to the individual patient. Each chapter features a specific therapist behavior that improves treatment outcome, or a transdiagnostic patient characteristic (such as reactance, preferences, culture, stage of change) by which clinicians can effectively tailor psychotherapy. All chapters provide original, comprehensive meta-analyses of the relevant research; clinical examples, and research-supported therapeutic practices by distinguished contributors. The result is a compelling synthesis of the best available research, clinical expertise, and patient characteristics in the tradition of evidence-based practice. The second edition of Psychotherapy Relationships That Work: Evidence-Based Responsiveness proves indispensible for any mental health professional. Reviews of the First Edition: "A veritable gold mine of research related to relationships, this is a volume that should be an invaluable reference for every student and practitioner of psychotherapy."--Psychotherapy "This is a MUST READ for any researcher, clinician, or counselor who is genuinely interested in the active ingredients of effective psychotherapy and who appreciates the importance of applying empirical evidence to the therapy relationship."--Arnold A. Lazarus, Ph.D., Distinguished Professor Emeritus, Rutgers University "Psychotherapy Relationships That Work is a superb contemporary textbook and reference source for students and professionals seeking to expand their knowledge and understanding of person-related psychotherapy." --Psychotherapy Research "One is struck with the thoroughness of all the chapters and the care and detail of presentation."--Brief Treatment and Crisis Intervention

The Working Alliance

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Publisher : John Wiley & Sons
ISBN 13 : 9780471546405
Total Pages : 320 pages
Book Rating : 4.5/5 (464 download)

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Book Synopsis The Working Alliance by : Adam O. Horvath

Download or read book The Working Alliance written by Adam O. Horvath and published by John Wiley & Sons. This book was released on 1994-04-14 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past decade, the working alliance has emerged as possibly the most important conceptualization of the common elements in diverse therapy modalities. Created to define the relationship between a client in therapy or counseling and the client's therapist, it is a way of looking at and examining the vagaries and expectations and commitments previously implicit in the therapeutic relationship, explaining the cooperative aspects of the alliance between the two parties.