The goals are what the client hopes will happen because of the care needed -- and the bond the specifics that need to be met in order to meet those goals (iddowson, 2010, 83).
The Transference/Countertransference Section -- ithin this section of the therapeutic relationship, transference and countertransference are phenomenons in which feelings between the client and caregiver are directed and redirected to one another. This has been part of clinical psychology since Jung, and may be both harmful or positive. ithin the caregiver model, it is usually heightened empathy for the patient, with the client, a feeling of greater emotional bonding to the caregiver than that of a professional relationship (iener, 2009).

The Real Relationship -- This is the ideal outcome, the real or personal relationship between client and caregiver. It may, of course, include deception on the part of the caregiver or therapist depending on the actuality of the…...

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Watson, J. (1997). The Theory of Human Caring: Retrospective and Prospective. Nursring Science Quarterly, 10(1), 49-52.

Widdowson, M. (2010). Transactional Analysis: 100 Key Points and Techniques. New York: Taylor and Francis.

Wiener, J. (2009). The Therapeutic Relationship: Tranference, Countertranference. Austin, TX: Texas a&M Univeristy.

Often the client is unable to take steps to avoid the undesirable emotional attachment. The therapist must take the initiative in maintaining proper distance and personal space. However, it is important to be aware that a positive therapeutic relationship could become too much of a good thing. When it does, a positive relationship can become toxic to the therapeutic outcome.
Comparing and Contrasting the Therapeutic elationship and Client-Therapist Attachment

The therapeutic relationship and client-therapist attachment have many common elements, but the are major differences as well. Both the therapeutic relationship and the client-therapist attachment develop from the relationship between a therapist and their client. esearch cited earlier, tells us that the development of a relationship is necessary for the success of the treatment plan. The more intimate the relationship becomes, the more likely it is to result in the type of shared secrets that result in positive therapeutic outcomes. However, it…...

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References

Barrett-Lennard, G. (1962) Dimensions of therapist response as causal factors in therapeutic change. Psychological Monographs, 76 (43): 1-36.

Butler Center for Research (BCR) (2006): Therapeutic Alliance: Improving Treatment Outcome. Butler Center for Research. October 2006. Retrieved September 22, 2008 at  http://www.hazelden.org/web/public/document/bcrup_1006.pdf 

Cruz, M. & Pincus, a. (2002). Research on the Influence That Communication in Psychiatric Encounters Has on Treatment. Psychiatric Services. 53: 1253-1265.

DeWeert-Van, O., Dejong, C., Jorg, F. & Schrijver, G. (1999). The Helping Alliance Questionnaire: Psychometric properties in patients with substance dependence. Substance Use and misuse. 34 (11): 1549-1569.

The therapist does not attempt to change, control, or influence the client in any way (Tursi & Cochran, 2006).
A positive therapist-client relationship has been positively correlated to achievement of treatment outcomes (Cramer, 1990). A client who perceives their therapist as exhibiting unconditional positive regard, genuineness, and empathy is more likely to regard the experience as positive and to be motivated to make change (Cramer, 1990). The fact that the therapist does not attempt to influence the client allows the client to learn to change their thought patterns and behaviors in a manner that is conducive to their needs and current situation (Tursi & Cochram, 2006). Clients are in charge of the therapeutic intervention and determine the direction that they want therapy to take. The core conditions make this possible by assisting clients in recognizing what issues they would like to focus on and making them feel comfortable enough to…...

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References

Cramer, D. (1990). Towards assessing the therapeutic value of Roger's core conditions.

Counseling Psychology Quarterly, 3(1), 57-61.

Gallagher, M.D., & Hargie, O.D. (1992). The relationship between counselor interpersonal skills and the core conditions of client-centered counseling. Counseling Psychology Quarterly, 5(1), 3-17.

Tursi, MM., & Cochran, J.L. (2006). Cognitive-behavioral tasks accomplished in a person-

Therapeutic elationship
An Analysis of the Potential Detrimental Effects of Interference with the Therapeutic elationship

Virtually any type of treatment setting requires an effective therapeutic relationship to succeed. Therefore, this research paper will examine the potential detrimental effects on the client and the therapeutic relationship when an outside person interferes with the therapy in general, and the following two scenarios in particular: 1) the patient's family, friend, or significant other(s) do not refrain from intervening in the therapeutic relationship once it has begun; and, 2) once the patient develops an affectionate relationship with the therapist, the family member, friend, or significant other develops jealousy and attempts to destroy or undermine the therapeutic relationship. To this end, a discussion of what steps practitioners can take when these events interfere with the therapeutic relationship is followed by a summary of the research and recommendations for clinicians in the conclusion.

eview and Discussion

Background and Overview.

According to…...

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References

Adam, E., Egeland, B., Korfmacher, J., & Ogawa, J. (1997). Adult attachment: Implications for the therapeutic process in a home visitation intervention. Personality and Social

Psychology Review, 1(1), 43.

Andolphi M., & Angelo C. (1988). Towards constructing the therapeutic system. Journal of Marital and Family Therapy, 14(3), 237-47.

Carroll, K.M., Connors, G.J., Dermen, K.H., Diclemente, C.C., Frone, M.R., & Kadden, R.

Diff/Equal/Therapeutic elationship
Issues of difference and equality can have a major impact upon a therapeutic relationship. The relationship between therapist and client should be strictly professional. It is not uncommon for clients to project certain ideas and perceptions onto the counselor. It is the counselor's role, in such cases, to shift the focus back to the client and the issues s/he needs to address. Because the job of the therapist is to help individuals, some people may feel the relationship is one between a superior and a subordinate. The counselor may have more education than the client, or in some cases less. The counselor's education was designed to provide the foundation from which therapy can be offered. This professional preparation does not make the counselor superior to clients in the absolute, but it does mean the counselor is trained to share insights and develop treatment plans. Some clients may transfer inappropriate…...

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References

Flaskerud, J.H. (2007). Cultural dissonance: Therapist and client. Issues in Mental Health

Nursing 28(9), pp. 1081-1083.

Norton, C.L. (2011). Developing empathy: A case study exploring transference and countertransference with adolescent females who self-injure. Journal of Social Work

Practice 25(1), pp. 95-107.

Therapeutic Relationships in Mental Health
Journal Summary Assignment

Complete this m andatory assignment.

SAVE it as docx

SUBMIT

it to your instructor from BLACKBOARD.

Review your journal entries with the aim of analyzing your learning.

Assess your development of therapeutic communication skills.

a) Analyze your own knowledge base: what areas are clear for you and which are fuzzy and need more work?

Type or paste your analysis below. You can add more space to each simply by continuing to type. You can remove unneeded white space by deleting it if you wish.

These areas of the knowledge base/these communication skills are clear to me: Listening skills, nonverbal messaging, empathetic understanding, understandable language, caring helper, genuineness.

I want to work more on these areas of the knowledge base or these skills:

Self-Reflection / self-analysis.

b) Determine how your understanding of the knowledge base guides your use of communication skills.

I apply my knowledge of therapeutic relationships and therapeutic communication by:

As a care aid, it…...

relationships among variables and setting limits or boundaries for the proposed study" (Writing the theoretical framework, 2013, BOLD Educational Software). In some instances, a theoretical framework may be derived from the existing literature in the form of a pre-existing theory such as feminism, functionalism, or conflict management. Or, in the case of a grounded theory approach, the theory may be derived after the research is conducted. In contrast, with the case of conceptual frameworks, there is no formal theory and the research is used to examine possible courses of action; to clarify observations, or to provide a prospective rather than a completely-formatted framework (Nalzaro 2012).
The qualitative research article by Clarkson (1996) entitled "Researching the 'therapeutic relationship' in psychoanalysis" offers a 'meta-analysis' of the discipline of psychology itself. Psychology is an arena which unites both theory and practice. Clarkson asks: "Why are there so many distinct and very different approaches…...

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Ascertaining the theoretical or conceptual frameworks of a study seems to get convoluted with semantics. Patton (2002) maintains "…reducing any complex and multifaceted disciplines to a singular burning question oversimplifies" (p. 80). If I did not know better, Ludwig Wittgenstein had his hand in defining these concepts. This discussion will attempt to make a distinction between theoretical and conceptual frameworks and ascertain which framework best fits the assigned article authored by Clarkson (1996).

Knight (2010) provides a clue when she asserts if a lot is known, there is often a theoretical base (para 1) & #8230; where little is known, it is a bit more conceptual (para 2). Creswell (2013) mentions "the philosophical assumptions are embedded within interpretive frameworks that qualitative researchers use when they conduct a study" (p. 22).

In the article under scrutiny, Clarkson (1996) states the conceptual framework is broadly drawn from the disciplines of psychoanalysis, psychotherapy, psychology and counseling (para. 11). Moreover, and emergence of a theory is discussed (para.11) and uncover "new knowledge" (para 7). Finally, from the beginning of the article it is asserted that no one theory is correct based on prima facie (para 1). Based on my understanding of

Counselor as a Therapeutic Person:
As an intimate form of learning, counseling profession requires the practitioner to shed off stereotyped roles and be real in the therapeutic relationship. This is largely because the therapeutic relationship is the platform with which the client experiences growth. In cases where counselors hide behind the safety of the professional role, the clients tend to hide themselves from the counselor. On the other hand, sterile counseling is likely to occur in situations where these practitioners simply become technical experts who leave their reactions, self, and values out of their work. Consequently, there is need for counselors to be real people in the relationship through personal qualities and characteristics that are important in mobilizing change in the client or other individual.

Becoming a Therapist:

The effectiveness of the counseling relationship is dependent on the ability of counselors to become therapists in the process. Through being therapists, counselors serve…...

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References:

"Chapter 2 -- The Counselor: Person and Professional." (n.d.). People Server at UNCW.

Retrieved from University of North Carolina Wilmington website: http://people.uncw.edu/myersjg/451/Counseling.pdf

Corey, G. (2010, March 21). Keynote Address for the American Counseling Association

Pittsburg Conference. Retrieved May 10, 2012, from  http://www.counseling.org/handouts/2010/Keynote-Speaker-Gerald-Corey.pdf

Dual elationships
The relationship between a service provider and their client is particularly sensitive because the circumstances that bring the two individuals into contact are usually necessitated by a state of mental unrest in the client. Accordingly, the issue of whether or not to engage in a dual relationship (when the doctor has a relationship with their patient distinct from the clinical context) with the client must be treated in a very sensitive manner; the therapist has a responsibility to not only operate in their own best interest but also that of the patient they are hired to assist. This paper examines the relationship between a therapist and an unhappily married Latin American female client, determining whether or not the therapist should advocate divorce and pursue a romantic relationship with his client. Although the therapist has decided that they will pursue the relationship and advocate divorce, this is not recommended.

The patient…...

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References

Dewane, C.J. (2010). Respecting boundaries -- the don'ts of dual relationships. Social Work Today, 10, 1, 18.

Freud, S., & Kreug, S. (2002a). Beyond the code of ethics, part II: Dual relationships revisited. Families in Society, 83(5), 483-492.

Dual elationship
One of the most important ethical standards for psychologists (as well as others in similar therapeutic relationships) is the avoidance of dual relationships. Put simply, a dual relationship is one in which the psychologist has any other relationship with a client. In the scenario that we are presented with, the nature of the potential dual relationship is fairly straightforward. The psychologist and the student have an established relationship with each other with clearly defined roles as student and instructor. Because this is an established, ongoing relationship, it would not be ethical for the psychologist to engage in a therapeutic relationship with the student.

If we consider the possible future direction of such a hypothetical relationship, we can see why it would be so problematic. For example, if the psychologist began to see the student as a client and the student/client then did not pay for a session, this would cause…...

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References

Meyer, J. (n.d.). Fresh legal perspectives: Psychologists in dual relationships.  http://www.apa.org/divisions/div12/legalper.pdf .

" (Giovacchini, 1996, pg. 2)
According to Giovachinni research into the psychodynamics of individuals in their experience of current adjustments and symptom formation is "much more interesting and fulfilling than monitoring surface behavior. processes are innately fascinating and their study creates dimensions and viewpoints that expand our appreciation of the versatility of the psyche as our in-depth understanding is increased, in itself, an aesthetic experience." (Giovacchini, 1996, pg. 2) Unconscious motivation is the "essence of the intrapsychic focus..." which serves to transform patients into "interesting human beings rather than the passive recipients of pharmacological ministrations. How the treatment procedures fits into the therapeutic relationship is taken into account, enabling patients to pursue autonomy and mastery of their emotions." (Giovacchini, 1996, pg. 2)

The work of Halil entitled: "Personality and Coping: A Multidimensional Research on Situation and Dispositional Coping" (2004) states that coping is defined "as a constantly changing cognitive and behavioral efforts…...

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Bibliography

Intrapsychic (2008) Definition - Biology Online available at  http://www.biology-online.org/dictionary/Intrapsychic 

Intrapsychic (2008) Definition - the Free Library. Online available at  http://www.thefreedictionary.com/intrapsychic 

Giovachinni, Peter L. (1996) Intrapsychic Focus Can Have Lasting Benefits for Patients. 1996, December 1, Psychiatric Times, Vol. 13, No. 12. Online available at  http://www.psychiatrictimes.com/display/article/10168/49006?pageNumber=2 

Halil, EKSI (2004) Personality and Coping: A Multidimensional Research on Situational and Dispositional Coping. 2004 Egitim Danishmanligi ve Arastirmalari Iletisim Hizmetleri Tic. Ltd. Sti. (EDAM)

Ethics
Ensuring proper professional behavior

The nurse-client relationship is novel. No formula exists for judging the crossing of boundaries as good / bad, in the absence of considering the features of therapeutic relationship for every scenario. The suitable behavior must be measured with respect to professional's intent, respecting confidentiality, patient-client advocacy and corroborating the CAN Code of Ethics for egistered Nurses (Corey anad Callanan, 2007).

Violations of professional boundary

The crossings of boundaries are deemed as insignificant, but with the increase in frequency of such incidents of professional boundary violations, it could be serious. The nurse works on the patient-nurse relationship and fulfils the therapeutic needs of a patient and neglects his own. The professional boundary violation is not acceptable as it can spark other occurrences. The professional boundaries occur when conflict arises between client's needs and professional's needs. ationalization can be used to justify this behavior. The violation of boundary is characterized by:

Secrecy

eversal…...

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References

Bond T, 1997, 'Standards and Ethics for Counselling in Action', pgs Sage Publications Ltd., London

Brammer LM & MacDonald G, 2003, 'The Helping Relationship, Process and Skills', pgs Library of Congress Cataloging-in-Publication Data, United States of America

Corey G & MS & Callanan P, 2007, 'Issues and Ethics in the Helping Professions', pgs Thomson Brookes/Cole, a part of The Thomson Corporation, United States of America

Egan G, 2007,'The Skilled Helper', pgs * Thomson Brookes/Cole, a part of The Thomson Corporation, United States of America

Empathy Today
Empathy is increasingly viewed as more that an essential aspect of effective person-centered counseling. It is arguably the key humanizing aspect of the effective type of relationship through which a true and honest exchange of understanding can take place to facilitate healing or psychological improvement (Hakansson, 2003).

Carl ogers, one of the recognized founders of this conceptualization, attached an increasing significance to this reality as he reconsidered the issue of the role of empathy over the course of his professional life. Initially, in his earlier writings (1959), he focused on the "state" of meaning wherein a therapist could "perceive the internal frame of reference of another with accuracy" as if he or she were in alignment with what it was that the client experienced. Not losing this "as if" condition would allow the therapist to stay honest and genuine while still being objective and nonjudgmental about the conditions that the…...

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REFERENCES

Counseling Psychology Model (2009). Counseling Psychology Model Training Values Statement Addressing Diversity. The Counseling Psychologist. Vol. 37. No. 5. DOI: 10.1177/0011000009331930.

Hakansson, J. (2003). Exploring the phenomenon of empathy. Doctoral Dissertation. University of Stockholm. Viewable at  http://www.emotionalcompetency.com/papers/empathydissertation.pdf .

Mulhouser, G. (2011). An introduction to person-centered counseling. Counseling Resources. Viewable at  http://counsellingresource.com/lib/therapy/types/person-centred/ .

Patterson, C.H. (1985). Empathic understanding. The Therapeutic Relationship. Viewable at  http://www.sageofasheville.com/pub_downloads/EMPATHIC_UNDERSTANDING.pdf .

unning Head: BOUNDAIES ISSUES BOUNDAIES ISSUES 5Boundaries IssuesProfessional boundaries are elements within the therapeutic system that define the limits or \\\"edge\\\" of proper behavior on the part of a psychotherapist within therapeutic settings. The basic idea here is: emphasis on the key elements of the client-therapist relationships professional nature cultivates an environment of predictability and safety, facilitating the clients ability to make the most of treatment received (Gabbard, 2005). Professional boundaries constitute structural facets of the therapeutic relationship which enable therapist interactions with spontaneity, compassion, and understanding, and within particular conditions which generate a safe clinical environment.Flexibility during the conceptualization and implementation of professional boundaries results in effective differentiation between crossing boundaries and violating them. Violation of boundaries entails non-sexual or sexual transgressions which potentially harm or abuse patients. They are generally repetitive, with the therapist normally discouraging their exploration (Gabbard, 2005). On the other hand, boundaries are said to…...

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ReferencesGabbard, G. (2005). Patient-Therapist Boundary Issues | Psychiatric Times. Psychiatrictimes.com. Retrieved 12 February 2018, from O. (2007). Boundaries in psychotherapy. Washington, DC: American Psychological Association.http://www.psychiatrictimes.com/schizophrenia/patient-therapist-boundary-issuesZur,

As per Dr. Sacks, Alzheimer patients take advantage from listening to the familiar music. The music entails them memory stimulus, restoring the accessibility to personal history. It is said to have motivated the powers of speech and the thought process. However, his entire emotional as well as intellectual configuration, his life history, his identity, is greatly influenced by the music. The study of psycho-neuroimmunology narrates the influence of neuropeptides on human emotions. The beta-endorphins appear to be released and the body is permitted to perform its own healing work on physiological level, while the person is in a relaxed condition. The music therapy attempts to bring such state which is revealed to be 'audio analgesisa'. (Music Heals: Music for Healing and Transition)
5. What facilities practice this form of therapy and where and is it becoming more and more popular?

The Kaiser-Permanente Medical Center in Los Angeles was regarded to be…...

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References

Alzheimer's and Other Dementias: Understanding the Differences. Retrieved at   Accessed 6 June, 2006http://www.helpguide.org/elder/alzheimers_dementias_types.htm .

Forgeron, Nicole. The Impact of Music Therapy on Alzheimer's Disease Patients. March, 1999. Retrieved at Accessed 6 June, 2006http://faculty.uccb.ns.ca/gcarre/courses/health/music.htm.

Gerosa, Cristina. M; Bonanomi, Claudio. Observation of the Alzheimer Patient and Music

Therapy. Retrieved from www.musictherapyworld.de/modules/mmmagazine/issues/20020801160643/20020801170306/Bonamifinal.htm. Accessed 6 June, 2006

1. The Art of Integrative Massage Therapy: Unlocking the Synergistic Power of Healing

2. From Fragmented to Whole: Exploring the Holistic Approach of Integrative Massage Therapy

3. Beyond the Physical: Delving into the Emotional and Spiritual Dimensions of Integrative Massage Therapy

4. A Symphony of Touch: Unveiling the Therapeutic Potential of Integrative Massage Techniques

5. Bridging East and West: An Exploration of Integrative Massage Therapy's Global Influences

6. From Ancient Wisdom to Modern Science: Tracing the Evolution of Integrative Massage Therapy

7. The Healing Power of Integrative Massage Therapy: A Comprehensive Overview of Benefits

8. Massage Therapy in the 21st Century: Embracing Integrative Approaches for Optimal Well-being

9.....

1. The effectiveness of Cognitive Behavioral Therapy (CBT) for trauma survivors
2. The role of cognitive distortions in trauma and the benefits of addressing them through CBT
3. How CBT can help individuals process and cope with traumatic memories
4. The importance of establishing safety and stability before starting CBT for trauma
5. The role of creating and implementing coping strategies in CBT for trauma
6. Cognitive restructuring and its impact on trauma symptoms in CBT
7. The intersection of CBT and mindfulness techniques for trauma recovery
8. The utilization of exposure therapy in CBT for trauma survivors
9. Challenges and limitations of using CBT for complex trauma....

1. Introduction:
- Brief overview of trauma-related issues and symptoms
- Explanation of how cognitive behavioral therapy (CBT) can be effective in treating trauma

2. Assessment:
- Comprehensive assessment of trauma-related experiences and symptoms
- Identification of triggers, maladaptive thoughts, and behaviors

3. Building rapport and trust:
- Establishing a safe and trusting therapeutic relationship
- Acknowledging and validating the client's traumatic experiences

4. Psychoeducation:
- Providing education on the effects of trauma on the brain and body
- Explaining how trauma can impact thoughts, emotions, and behaviors

5. Cognitive restructuring:
- Identifying and challenging negative and distorted beliefs related to the trauma
-....

Cognitive behavioral therapy (CBT) is a widely used and effective treatment for individuals coping with trauma. Here are some ways in which CBT provides relief for individuals dealing with trauma:

1. Cognitive restructuring: CBT helps individuals identify negative thought patterns and beliefs that are contributing to their trauma symptoms. Through cognitive restructuring, individuals learn to challenge and change these negative thoughts and replace them with more positive and adaptive thoughts.

2. Exposure therapy: CBT incorporates exposure therapy techniques, which involve gradually exposing individuals to triggers or memories associated with their trauma in a safe and controlled environment. With repeated exposure, individuals can....