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Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding. The long war among theoretical orientations in counseling and see more has come to a truce. Numerous studies have found that all approaches can produce positive change, but consistent superiority of one approach has not been found.
As Asay and Lambert state in their review of the outcome research:. On the contrary, much of what is effective in psychotherapy is attributable to pantheoretical or common factors, those shared by many schools of therapy. One other major variable of promise is that of the therapist.
Edited by Thomas M. Skovholt and Len Jennings
Moreover, adherence to the treatment protocol does not account for the variability in outcomes. Nevertheless, therapists within treatment account for a large proportion of the variance. Clearly, the person of the therapist is a crucial factor in the success of therapy. A CClient effective therapist does seem to make a difference.
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We know this implicitly as people and consumers when we actively search for a really good practitioner: a doctor, Case Analysis Counselor And Client Relationship, attorney, or therapist. We know that some are better than others. Yet, this notion of exploring the therapist variable has been less of a focus in contemporary research. The present research investigates the working alliance as constructed by a sample of the best of the best, a group of master therapists. The recognition of the importance of the therapeutic relationship has a long and varied history. The therapeutic relationship has been given an important theoretical role in psychoanalysis Freud,Https://amazonia.fiocruz.br/scdp/essay/mormon-bank-utah/mckinsey-7s-framework.php,humanistic therapy Rogers,and social influence theory Strong, In recent history, the therapy relationship has primarily been studied through formulations of the therapy alliance Bordin, Horvath and Luborsky report that there are at least eleven different alliance scales in use.
The scales, to varying extents, incorporate aspects of earlier formulations of the therapy relationship. What therapist contributions to the therapy relationship are associated with an optimal therapy relationship? The interplay between therapist, client, and therapist-offered therapy conditions is complex.
The research literature on the therapy alliance is extensive. Bachelor and Horvath report that more than empirical studies have been carried out. Several therapist variables that bear on the therapy relationship have been studied. These include: a therapist theoretical orientation Krupnick et al. For example, therapist theoretical orientation does not predict successful therapy; rather, it is the best therapists from any theoretical orientation that have the most successful therapy Ana,ysis.
As Luborsky et al. Similarly, Krupnick et al. What are the qualities or characteristics of therapists that form strong therapy relationships?
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The research literature provides only a few indicators. Mallinckrodt and Nelson found therapist ability to form good therapy relationships increased as therapist experience increased, but their study design included relatively inexperienced interns and students.
Dunkle and Friedlander found that therapist personal characteristics and social skill attainment, not therapist experience, predicted good therapy relationships. A study by Kivlighan et al.]
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