Therapeutic alliance in family therapy

Therapeuticalliance in family therapy

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Abstract

Therapeutictreatment isa healthprofessionthat has beenin existencesforlong.Psychologistsdevelopedtheir wayof addressingmentalproblems,andsomeelementsof thesemethodsare in useeventoday.Someof themethodsthat wereusedlongagohavebeenprovedfutilethrough researchandinnovationof newmethods.However,ithas beendemonstratedthatthetraditionalandmoderntherapeuticmethodscan beusedcross-culturally. Theevidenceof thisis thepropagateduseof Greek methodsby otherWestern therapists.Thispaperanalyzesthedifferentviewsof psychologicaltherapists whoare inclinedto thepropagationof traditionalmethodsandthosewhodismissthetraditionalmethods.Thepaperreviewsthebondof contentionthat existsbetween thetwo schoolof practiceandits possiblecauses.Arelationshipexistsbetween clientsandclinicians. Therelationshipneedsto be cultivatedandstrengthened.Thestrengthening of thisbondcan onlybe possibleifthenecessaryconditionsareputin place.In additionto this,thepaperproposesa standbased on a validrationalein relationto thetraditionalmethodsusedby clinicians.

Therapeuticmethodsboth traditionalandmodernusedby clinicians utilizeyield results,thoughnot with thesamefrequency.Traditionalmethodsare beingsurpassedby timeandresearchhas provedsomeof them futile.Modernandtraditionalclinicians are, forthisreason,in a tagof witswith eachcriticizingtheother`smethods.

Traditionaltherapeuticmethodsare stronglyinclinedto theapplicationof pre-set methodsto providesolutionsto mentalhealthproblems.Earlypsychologistsadoptedthesemethods.Whenappliedto clients,theoutcomesexpectedare not achievabledueto lackof similarityin thecases(Smith &amp Maidenhead, 2011, p. 30).

Amajorissuethat is likelyto ensuebetween traditionalandmoderntherapists is thepluralistic approach.Theapproachtakesnearlysimilarcasesas homogenous, andtheyare subjectedto thesametreatmentmethod(Thomas, 2013, p. 1.70). Acountermechanismof a pluralistic approachis beingadoptedto helpclinicians interactwith their clientsbetter.Ithelpsthem to findtheunderlying causeof individualcaseswithout makingdirectreferenceto othernearlysimilarsituations.In therapeuticalliance,thepluralistic approachtakesthefamilyas a systemmadeup of variousplayers.Theseplayerslivein theenvironmentcontrolledby differentfactors,andthegeneses of their problemsare different.

Thetraditionalmethodsare alsoquantitative, andtheydonot capturetheprincipleof individualism andsynergy in cases.Theunitsof referenceusedby thetraditionalmethodsaremainlybasedon quantifiable valuables. Itminimizesthecollaboration between theclientsandclinicians due to lackof contextual digressing (Thomas, 2013, p.2.83).

Anotherdebatethat is likelyto ensueis clientmatching. Traditionaltherapists upholdclientmatching due to its perceivedhigheroutcomes.Moderntherapists donot referto thisas a cornerstoneto favorableresultsof therapysessions.Of muchinterestin thisis pre-conditioned andgendermatching(Kuldhir, 2014, p.565).

Ifirmlybelievethatclientandclinician relationshipis a criticalfactorforthesuccessfuloutcomeof therapy.First,theforgedrelationshipis an instigatingfactorin clientmotivation,andthismakesitmoreefficientthan thepre-set models.Secondly,therelationshipgivestheclinician a chanceto investigatethelifeof a client.Aclinician can identifythecriticallifestagesof an individualwhomay be detrimentalto their mentalhealth.Therelationshipestablishesa fertilegroundto presentfactsthat can be hardto accepttheclient.During therelationship,a situationof ‘allis well`is broken.Theprofessionalcan digforpainfulinformation,anditfacilitatesthehealing process.

Thequestionas to whetherclinician should discardtheir traditionalmethodsforthenewonesis quitecontentious.Notallmethodsthat are usedby clinicians are obsolete.Integrationofthemodernapproachesencouragesinteractionbetween theclientandtheclinician. Clinicians should doawaywith methodsthat, not relying on anyevidencefrom research.Someclinicians employthetraditionalmethodsusesomeapproachesthat donotrely on research.Theseare useddepending on their experienceandsimilarcasestudies(Dattilio &amp Sean, 2014, p.8).

Cliniciansshould alsodoawaywith empiricaltherapymethodsthat performtrialson clients.Thesemethodsdonot rely on theprincipleof practicalbased evidence.Theyare alsonot clientorientedper se becausetheyrarelyevaluatewhatis workingfortheclientandwhatis not working.Methodsthat arebasedon practicalresearchneedsthe approvalof both clinicians.Somemethodsusedby thosewhopracticetraditionalapproachesdonot allowtheclinician andtheclientto interact.Theyare highlyinclinedto acquiringof quantitative data that doesnot requirea lotof digressingandprobing.Themethodsdonot providea platformfortheclientsto shareabout their past.

Aninteractive approachwill takerootifsomeconditionsare present.Asuccessfulinteractionresultsin betteroutcomesonlywhenfoundedon individualfactors.One of thecriticalelementsis clinician expertise. Aqualifiedandinformedclinician will setthebenchmark fortherelationto propagating.Aclinician should be ableto addressthecasesindividuallywithout theobviousgeneralization. Expertise is necessarybecauseclinicians may needto usea setof methodsto solvea singlecase(Wei et al., 2014, p. 567).

Anotherimportantfactoris thesettingof expectations of both theclinician andtheclient.Theexpectations helpthetwo partiesdevelopthepossibleoutcomes.Whengettingfeedback from theclient,theclinician will be assessingthehealing process.Feedback is importantin maintainingan effectivecommunicationuntil theprocessis complete.

Inthepast,clinicians havebeenidentifyingcasesandassigningthem to thepeople,theyfeelas appropriateto handlethem. I feelthatthere has beennomistakein thisbecauseof variousreasons.First,in someinstances,clinicians may not be ableto empathizewith clientsiftheydonot understandtheir racialorculturalbackground.Itis whentheyknowtheunderlying factorsfrom theenvironmenttheindividuallive.Theenvironmentcan be ethnic orcultural.Clinicians whounderstanda client`sbackgroundwill be in a positionto helpthecustomerbetterthan therest.

Second,theissueof gendermatching is alsoin thespotlight.During therapy,individualsmatchedwith clinicians of their sexhavebeenknownto havebetteroutcomesfrom their treatment(Kuldhir, 2014, p.567). However,lackof clientmatching should not be usedto explainunsuccessfultreatments.Clinicians havea setof methodsthat can be usedin all theclientsespeciallywhentriangulation isused.Clientscan bematchedwith specifictreatmentmethodsthat are favorableto their problems.Since itis not possibleto pre-assign clientstheir mostsuitableclinicians based on their background,a setof methodscan be usedto treatparticularproblems.

Inconclusion,therapeuticalliancehas gaineda newfacethat is moreinteractive than theuseof traditionalmethods.Theinteractive approachhas beenfacilitatedby researchthat has proveditto be moreefficientthan thetraditionalmethods.Thetwo schoolsof thought,thatis, thetraditionalandmodernclinicians, should be guidedby methodsthat havebeenknownto yieldresults.Notall themethodsusedby clinicians whoapplythetraditionalmethodsare obsolete.In fact,somemodernmethodshaveborrowedtheir fundamentalprinciplesfrom thetraditionalapproaches.Thetraditionalmethods,forthisreason,cannot be regardedas unusable in familytherapy.Theyneedto be upgradedby injectingnewtreatmentprogramsthat havebeensupportedby research.Theprincipleof practicalevidenceshould be theguidingfactorin theselectionof methodsto beused.Methodsthat are based on clinical trialsshould not bepracticediftheyare not backedby empiricalevidenceof positiveresults.Modernandtraditionalclinician s should cometogetherandestablishthestandardmethodsthat should be usedin familytherapyin orderto resolvetheconflict.Researchon therapeuticmethodsshould continueto be carriedout to identifymoretraditionalapproachesthat can beintegratedinto themodernapproach.

References

Dattilio,M., &amp Sean, D. (2014). Thedivide between evidence-based approachesandpractitioners of traditionaltheoriesof familytherapy.Journalof Marital andFamily Therapy, 40(1),5-16. Retrieved fromhttp://eds.a.ebscohost.com.proxy.ccis.edu/eds/viewarticle?data=dGJyMPPp44rp2%2fdV0%2bnjisfk5Ie4pq9Iq66uSKzj34HspON88bavR7CurUqup7M4r6i4TLGwsk2et8s%2b8ujfhvHX4Yzn5eyB4rOrSbettUuwr7NPsJzqeezdu33snOJ6u9vkjKTq33%2b7t8w%2b3%2bS7UbGvsE6vq7Y%2b5OXwhd%2fqu4ji3MSN6uLSffbq&amphid=4102

Kuldhir,S. (2014). Effectof clienttherapygendermatchon thetherapeuticrelationship:An exploratory analysis.PsychologicalReports,115(2), 565-583. Retrieved fromhttp://eds.a.ebscohost.com.proxy.ccis.edu/eds/detail/detail?vid=24&ampsid=540af006-4912-4951-96a8-4735ae4971ab%40sessionmgr4002&amphid=4102&ampbdata=JnNjb3BlPXNpdGU%3d

Smith,M., &amp Maidenhead, M. (2011). RelationshipTherapy.McGraw-Hill Education Publishers: Berkshire. Retrieved fromhttp://eds.a.ebscohost.com.proxy.ccis.edu/eds/detail/detail?vid=21&ampsid=540af006-4912-4951-96a8-4735ae4971ab%40sessionmgr4002&amphid=4102&ampbdata=JnNjb3BlPXNpdGU%3d#

Thomas,G. (2013). AbnormalPsychologyacross theages.Praeger: California. Retrieved fromhttp://eds.a.ebscohost.com.proxy.ccis.edu/eds/detail/detail?vid=19&ampsid=540af006-4912-4951-96a8-4735ae4971ab%40sessionmgr4002&amphid=4102&ampbdata=JnNjb3BlPXNpdGU%3d

Wei,C., Anderson, T., &amp Patterson, C. (2014).Client`spre-treatment roleexpectations, thetherapeuticallianceandclinical outcomesin out-patient therapy.Journalof Clinical Psychology,70(7), 673-680. Extracted fromhttp://eds.a.ebscohost.com.proxy.ccis.edu/eds/viewarticle?data=dGJyMPPp44rp2%2fdV0%2bnjisfk5Ie4pq9Iq66uSKzj34HspON88bavR7CurUqup7M4r6i4TLGwsk2et8s%2b8ujfhvHX4Yzn5eyB4rOrSbettUuwr7NPsJzqeezdu33snOJ6u%2bbggKTq33%2b7t8w%2b3%2bS7UbSrsUyxqrQ%2b5OXwhd%2fqu37z4uqM4%2b7y&amphid=4102

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