Psychotherapist and patient relationship

What Makes a Successful Therapist-Patient Relationship? | HuffPost Life

psychotherapist and patient relationship

Oliver Burkeman (Therapy Wars, The long read, 7 January) falls into the trap of polarising the wrong point about contemporary psychotherapy. Why is the client-therapist relationship important? Answer by Vera Mkrtchian, Clinical Psychologist at Liv Psychotherapy, on Quora. The therapeutic relationship refers to the relationship between a healthcare professional and a client (or patient). It is the means by which a therapist and a client.

The third aspect that is important for the therapeutic relationship is empathy and understanding. He also needs to be able to communicate this understanding and empathy to the client.

It is not enough to just accept the client; the therapist needs to fully understand his feelings, thoughts and personal significance. The client must feel free to explore his feelings and experiences without fear of judgement or criticism.

The client should never feel that he is being pushed into the areas that he does not want to go to and the therapist needs to allow the client to take any direction he chooses. Rogers [2] believes that if the therapist can provide this type of relationship then the client will discover within himself the capacity to use that relationship for his personal development, growth and change.

The Therapy Relationship – Key Ideas in Therapy (1/3)

The client needs the therapist to believe him and to feel that he is on his side. Wilde McCormick [4] explains that a therapist needs to have respect for both the inner and outer life of the client and needs to have an open, non-judgemental approach.

The therapist needs to develop trust and empathetic resonance, to have his heart open to another in true compassion.

The importance of a therapeutic relationship - in psychotherapy and beyond

He should avoid labelling the client by his pathology and instead see him as a person that is struggling with life. Jung [5] suggests that we should not see problems and psychological processes as the obstacles on the way that one needs to overcome but that they should be seen and used as vehicles for change, growth and transformation of consciousness.

psychotherapist and patient relationship

The therapeutic relationship is a working alliance where the therapist and the client join forces and work together as a team. Through my clinical experience I've realised that when I am able to provide the supportive environment that Rogers suggests, the healing process begins and a patient uses this supportive relationship for change and growth.

However, the question arises here: Therapeutic relationship in other helping professions I think that every communication between a doctor and a patient could to some extent be therapeutic if a doctor is able to truly MEET his patient.

The importance of a therapeutic relationship - in psychotherapy and beyond | Life Labs

What I mean by this is that not every communication is a true meeting between two people; a real meeting only happens when we are open and fully present to another. My homeopathy patients often say that they started to feel better after the consultation not only emotionally but in terms of their illness as welljust as a result of being truly listened to, feeling understood and empathized with.

We often tend to forget that when our patients come to see us, even if they came purely because of the physical illness, they are often also in a great emotional distress, as one cannot disconnect one's body form one's emotions.

This brings us to another question. Who are we really trying to heal — a disease or a patient? This is the question that many people in medical profession often forget, not due to recklessness or lack of knowledge but due to the pressure of the large number of patients that they are seeing daily and due to having rather limited financial resources. So under these circumstances we often concentrate on the symptoms of the illness and try to find the quickest and easiest way to remove these, namely prescribing medication.

But we need to ask ourselves if this approach is really in the best interest of our patients?

psychotherapist and patient relationship

Firstly, is it really ethically correct to prescribe something, for example, to help with the symptoms of depression, without looking at what really CAUSED this depression or any other symptom that the patient is suffering from? We now have extensive medical research examining psychosomatic phenomena which confirms the fact that psychological factors such as trauma, grief, anger, fear, suppressed emotions, unfulfillment, etc affect not only emotional well-being but also physical state of an individual.

We can even go as far as to say that there is almost no physical illness in which a psychological factor doesn't play a part and often in many cases it directly causes the illness. To go back to Rogers and the importance of the therapeutic relationship, it is not difficult to understand why patients start to feel better if their doctors provide them with the type of relationship that Rogers suggests. Personally I find this very unfortunate. I believe that even when we are under pressure because of limited resources and limited time that we have for each patient, we therapists, doctors and medical practitioners in general could still offer our patients the therapeutic presence that Rogers suggest.

Even under these circumstances we could still try to practice genuineness, empathy, acceptance, understanding and unconditional positive regard. Constable [3] Rogers, C. She has a special interest in work around somatic expression of emotional issues and trauma. In addition to her private practice, where she works one-to-one with clients, Katarina also facilitates psychotherapeutic and personal development workshops and groups, as well as dance and movement and meditation workshops.

psychotherapist and patient relationship

Katarina worked at several clinics across London over 15 years, including the Polyclinic at the University of Westminster. She also works with people who are looking for spiritual guidance and those who want to explore or reconnect with their creativity. Katarina had been practicing various forms of meditation for over 20 years, so she was particularly interested in how she could bring the therapeutic elements of meditation into psychotherapeutic work.

They may flutter and flop, but after a few attempts, they're on their way. I wondered why similar conversations never seemed to be a reality for Ms. Of all those shrinks, had it not occurred to one of them that not being dependent on therapy might possibly help her?

I also wondered what it must be like to keep digging at the same old wounds for 40 years. Would it not make them worse and less likely to heal, like scratching at a scab? I felt sorrow for her and others who have devoted valuable time focused on the past in lieu of living for the future.

psychotherapist and patient relationship

And, I struggled with my own desire to hold the doctors accountable for not calling it a day and evaluating themselves as to whether their efforts were working -- or not. See, I think of shrinks -- the good ones, that is -- as teachers. We're there to learn how to look at ourselves and live life in a healthy way And like anything else where we pay for "lessons," there should be levels, with criteria to measure whether one is making progress or not.

But to swim around in the vapors of the past for no real gain or to not have a marker that deems the time and money well spent, is crazy at best and irresponsible at worst. Eventually, someone needs to ask -- and answer -- the question, "What's the point?

At some point, someone must question if the effect of all that talk is paralyzing.

psychotherapist and patient relationship

At some point, someone needs to assess whether there has been any change and if not, make one. Personally, I benefited immensely from what both of my shrinks taught me because they did just that.

As a result, looking back, this is what I learned about what makes a therapeutic relationship successful, effective and worth the time, effort and money. You need someone who is willing to tell you that you are full of shit. Otherwise, the game keeps going around and around and the patient goes in circles, only to end up right back from where he or she started. In many cases, the net outcome is that you create situations where current behaviors are justified with explanations from the past, and the cycle never ends.

Where the power lies in the therapist-client relationship

Seeing the past is important, but not at the expense of stifling the future. A good shrink will balance what needs to be brought into the conscious mind with creating a new consciousness that will help his or her patient move forward. Bottom line, if you don't let go of the bogeymen, you will not be free to advance in the right direction. Start doing, stop thinking. I got homework from my shrinks because of the value in turning cognitive thought to behavioral action.