This essay will explore the nature of the therapeutic process; using my fifty minute long real play session with one of my colleagues. Also, I will explore my experience of the therapeutic relationship and how it influences therapeutic change and increase the affectivity of the therapy. In addition to this, I will be attaining feedback from my client after discussing each stage of the therapeutic process in detail to help me understand what worked well for the client and gain more insight into what I need to improve in order for my future sessions to be more successful. Before the beginning of the session, I made sure I place the chairs in an appropriate position to promote equality and decrease the power dynamic between myself and the …show more content…
I made sure I used a welcoming tone as the way a counsellor greets their client will influence the clients feeling towards the counsellor, and their confidence in the counsellor. It is equally important to be friendly so that the client feels at ease and valued as a human being. However counsellors need to refrain from putting on an act and remain congruent and true to themselves from the beginning, while trying to meet them in a person to person encounter to avoid intimidation Geldard and Geldard (2005). i asked her brief questions about her name and how she was to get acquainted with her and build rapport. Asking questions helps facilitate a dialogue and encourages the client to talk and tell their story Miller (2006). The client seemed tense and uneasy and spoke with a very high tone of voice when she greeted me and introduced herself. When asked about the main reason for turning to therapy, she started fidgeting and looked unsettled; this could be because of the unfamiliar environment or she was not sure if she trusted me enough to tell me her story. Either way, I remained silent whilst maintaining eye contact to give her the space, time she needed in order to settle down and work out what she wanted to bring to the session. The client seemed very confused as though she was not sure of what to say and looked up the ceiling taking pauses, blinking, sighing as she spoke about the presenting issue. i nodded continuously to
When meeting the client for the first time you have to create a positive atmosphere, this is so it is easier to build up a rapport with your client. You have to remember to keep it formal and to use appropriate body language for instance, using a handshake and remaining eye contact whilst keeping a warm smile on your face when greeting your client, will help your client to feel comfortable around you. You should start your conversation on a neutral subject e.g. asking service user how their journey was to meet you; this will be a good conversation starter because this is more likely to encourage you and the client to want to carry on your conversation positively, than for you to have a blank facial
The beginning of the counselling process starts when the client first meets the counsellor, the saying “first impressions count” is absolutely true for both the client and counsellor, the client will be very nervous and unsure what is about to take place.
After I left the counselling session, I felt relieved as though I had a load off my chest. I realised the counsellor let me express what I wanted to but used history as a guise. I spoke freely about all aspects of my life and the counsellor didn’t need to say too much. She quietly, but professionally took notes when a point of interest arose but didn’t let the note-taking affect the flow of talk. I noted that expressions on people’s faces can greatly determine the nature of the conversation. If someone looks easy to talk to, then they probably are as their body language can emphasise and express feelings (Egan, 2007, p .84). I noticed the importance of simple and respectful questioning and how it promotes more talking. If the question requires the client to think and reflect on the situation at hand then I believe it is a worthy question to ask (Egan, 2007, p. 95). Open questions that my counsellor asked such as “how do you think you will react when your wife comes back to Australia?” challenged the way I was thinking at the time and promoted reflection (Egan,
The whole reason for a therapeutic relationship is to facilitate a successful patient outcome. Each person is unique and has different needs.
A therapeutic relationship is a key component in the nursing profession. Without therapeutic relationships, the best possible care can never be provided. The foundation in which trust is built upon is created from the nurse’s ability to truly listen and respond appropriately. Listening creates the base in developing a strong, trusting relationship. Sometimes it is simply hearing what a patient says that makes all the difference, empowering them to open up and become more comfortable with the nurse (Hawkins-Walsh, 2000).
This first topic will be a reflection of content that has been applied to and the strengths of the roleplay. The very start of the therapy process from the point to meeting a client is very important to engage the therapeutic alliance (Wener, et al., 2015, p. 312). A way to start engaging with the alliance is by presenting an open and respectful manner to the client, during the role play this initial phrase was
My goals for the session were to introduce myself to the client, understand the client’s concerns, learn her background and current situation for several areas relevant to her life and her concerns, such as medical, family, legal, educational, and vocational. I
Allowing for our ethical codes of conduct, if the client is someone we feel we can proceed with, then as always, the first stage would be to develop a good rapport and gain the clients trust to develop an honest and open relationship with them. The client centred approach as always is the best method for this – to put the client at ease in a non-judgemental space where they can express their emotions and explore what it is they want to achieve with therapy. In giving the therapist an
The foundation of therapy starts by building rapport with the client and applying strategies when necessary to overcome a variety of barriers. It is imperative to have rapport with a client and to be aware of barriers to facilitate a good treatment outcome. This will take practice and the use of methods and strategies ready to be implemented when needed. There are many components to building a good client rapport such as: intimacy, vulnerability, exploration of inner challenges, self-awareness, staying present; inner resiliency, empathy, anxiety management, and self-integration, and relationship acceptance. The two types of barriers are internal and external and this is for both the client and the therapist. The common barriers to rapport are countertransference and transference. Strategies for overcoming barriers are: Pause Moment and self-awareness. It also requires skills such as being genuine, sensitive, open, and
In this essay, I am going to give a structured reflective account on the development of a therapeutic relationship with a client on one of my clinical placements as part of my training as a student nurse. I will be using a reflective model which explores the processes involved in developing and maintaining such relationships bearing in mind theoretical knowledge and how it applies to this clinical experience. Jasper (2003) describes reflective practice as one of the ways that professionals learn from experience in order to understand and develop their practice. As a trainee health care professional, I have learnt the importance of reflection in
Therapists' Attitudes in the Field. International Journal of Play Therapy. 20 (2): 51-65, DOI: 10.1037/z0023410.
The therapist and client relationship is important in effective therapy. The therapeutic relationship must be built upon before any technique and theory will be effective. Communicating real empathy and showing a genuine interest in the client will begin a solid therapeutic foundation. However, the therapist must “have the ability to stay outside the system while maintaining some emotional attachment to its members” (Patterson, Williams, Edwards, Chamow, & Grauf-Grounds, 2009, p. 107). This paper reviews and critiques an interview I recorded of a couple that pertains to clutter building up around the house. The goal of this activity was to seek out information using various questioning techniques and basic interviewing skills, and
Understanding the counseling session from the client’s perspective is a very important aspect in the development of a therapeutic relationship. A clinician must be an excellent listener, while being to pay attention to the client’s body language, affect and tone. The dynamics in the counseling session that is beneficial to the client include the recognition of the pain that the client is feeling. The detrimental part of this includes a misunderstanding of the real issues, a lack of consideration of the cultural aspects of the client, and a lack of clinical experience or listening skills. In this presentation, we will discuss the positive and negative aspects of the counseling session from the client’s perspective which
There are many variables that influence the success of therapy for the client, none more so than the therapeutic relationship. The therapeutic relationship is defined as the strength and collaborative relationship between the client and therapist that emphasises mutually agreed goals and tasks within the context of a strong affective bond (Horvath, 1994.) In the therapeutic relationship, the clinician offers care, touch, compassion, presence, and any other act or attitude that would foster healing, and expects nothing in return (Trout, 2013.) Some clinicians believe that the “therapeutic relationship is a precondition of change, others as the fertile soil that permits change, while others see it as the central mechanism of change itself” (Norcross, 2010.) This is not to devalue other variables that impact the success of the therapy such as client involvement and the treatment method.
Solidarity is generally considered as a communicative approach to improve personal relationships. Individuals may express their feelings, attitude, opinions or belief which are rather indicative of an orientation towards solidarity (Koester, 2006). The core intention of individuals expressing solidarity is mutuality. The individuals convey their solidarity in different ways, which include expressing approval, showing interest, sympathy or claiming common grounds (Koester, 2006). In health care context, solidarity approaches in conversations were used the health professionals to attain various aims. For instance, it is used as a simple way for a medical professional to find out more about the