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Counselling (The Relationship (Clarkson (1990) - 5 relationship modalities…
Counselling
The Relationship
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Clarkson (1990) - 5 relationship modalities: working alliance; transferential/counter-transferential; reparative/developmentally needed; I-You; Transpersonal (Spiritual) - I-You most resonates with me - here and now
Working alliance: contract; mutuality of commitment; core conditions; physical environment time/space; goals (from Relationships slide)
McLeod (2007) Counselling Relationship Principles - Being there for the person; being trustworthy; Genuine concern for the person; Belief change is possible; Reflexivity; Collaborative stance
Need to build a safe relationship, including acknowledging the bravery of entering into relationship and sticking with therapeutic process
BACP Ethical Principles: Being trustworthy; Beneficence; Non-maleficence; Autonomy; Justice; Self-respect
Qualities: Empathy; Care; Respect; Courage; Humility; Sincerity; Identity; Integrity; Resilience; Wisdom; Diligence
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Research
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Assay and Lambert's Pie (Assay and Lambert 1999)
Improvement down to : - 40% other life events
-15% technique and model
-15% placebo
-30% therapeutic relationship
Horvath and Bedi, 2002 discuss correlation between outcome and extent to which client values the therapeutic relationship
Demonstrably effective factors: - Therapeutic alliance; empathy; goal consensus and collaboration; cohesion (group therapy) from relationship slides. Further promising and probably effective factors
Attachment
John Bowlby (1907-1990)
Attachment Patterns
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Attachment working models/templates built up during childhood - expectations of how attachments will play out
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