Acta Scientific Neurology

Review Article Volume 3 Issue 1

The Impact of the Therapeutic Relationship and Contextual Issues on the Therapeutic Outcome

Khwaish Sharma*

Department of Neurology, India

*Corresponding Author: Khwaish Sharma, Department of Neurology, India.

Received: December 03, 2019; Published: December 13, 2019

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Abstract

   Previous research has looked at the therapeutic outcome as a function of the client’s expectations about the value of treatment and as a function of the match between clients and therapist on characteristics like race, social class, sex, general personal constructs, personality characteristics. This essay will specifically focus on how 2 elements i.e. the therapeutic relationship and the contextual issues of cultural sensitivity in the initial treatment phase impact the therapeutic outcome at the end of the therapeutic process. A critical evaluation related to how well they impact the outcome when tested within the controlled conditions in which they were designed will be offered.

Keywords: Therapeutic Relationship; Therapeutic Outcome

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References

  1. Abowd GD., et al. “Towards a better understanding of context and context-awareness”. Paper presented at the International Symposium on Handheld and Ubiquitous Computing (1999): 304-307.
  2. Alvidrez J., et al. “Demystifying the concept of ethnicity for psychotherapy researchers”. Journal of Consulting and Clinical Psychology 64.5 (1996): 903.
  3. Arredondo P and Toporek R. “Multicultural counseling competencies in ethical practice”. Journal of Mental Health Counseling 26.1 (2004): 44-55.
  4. Atkinson DR and Israel T. The future of multicultural counseling competence (2003).
  5. Atkinson DR., et al. “Effects of counselor race and counseling approach on Asian Americans' perceptions of counselor credibility and utility”. Journal of Counseling Psychology 25.1 (1978): 76.
  6. Bachelor A. “How clients perceive therapist empathy: A content analysis of" received" empathy”. Psychotherapy: Theory, Research, Practice, Training 25.2 (1988): 227.
  7. Bachelor A. “Clients' perception of the therapeutic alliance: A qualitative analysis”. Journal of Counseling Psychology 42.3 (1995): 323.
  8. Bachelor A., et al. “Clients' collaboration in therapy: Self-perceptions and relationships with client psychological functioning, interpersonal relations, and motivation”. Psychotherapy: Theory, Research, Practice, Training 44.2 (2007): 175.
  9. Baldwin JR and Lindsley SL. Conceptualizations of culture Urban Studies Center, College of Public Programs, Arizona State University (1994).
  10. Bedi RP., et al. “The client’s perspective on forming a counselling alliance and implications for research on counsellor training”. Canadian Journal of Counselling and Psychotherapy/Revue Canadienne De Counseling Et De Psychothérapie 39.2 (2005).
  11. Betancourt H and López SR. “The study of culture, ethnicity, and race in American psychology”. American Psychologist 48.6 (1993): 629.
  12. Bordin ES. “The working alliance: Basis for a general theory of psychotherapy”. In annual meeting of the American Psychological Association, Washington, DC (1975).
  13. Brenner C. “Working alliance, therapeutic alliance, and transference”. Journal of the American Psychoanalytic Association 27 (1979): 137-157.
  14. Castonguay LG., et al. “The working alliance: Where are we and where should we go?” Psychotherapy: Theory, Research, Practice, Training 43.3 (2006a): 271.
  15. Castonguay LG., et al. “The therapeutic alliance in cognitive-behavioral therapy”. The Therapeutic Alliance: An Evidence-Based Guide to Practice (2010):150-171.
  16. Coleman HL. “Multicultural counseling competencies in a pluralistic society”. Journal of Mental Health Counseling 26.1 (2004): 56-66.
  17. Constantino MJ., et al. “The association between patient characteristics and the therapeutic alliance in cognitive-behavioral and interpersonal therapy for bulimia nervosa”. Journal of Consulting and Clinical Psychology 73.2 (2005): 203.
  18. Cooley EJ and Lajoy R. “Therapeutic relationship and improvement as perceived by clients and therapists”. Journal of Clinical Psychology 36.2 (1980): 562-570.
  19. Crits-Christoph P., et al. “Does the alliance cause good outcome? recommendations for future research on the alliance”. Psychotherapy: Theory, Research, Practice, Training 43.3 (2006): 280.
  20. Falicov CJ. “Commentary: On the wisdom and challenges of culturally attuned treatments for Latinos”. Family Process 48.2 (2009): 292-309.
  21. Folman RZ. “Therapist-patient sex: Attraction and boundary problems”. Psychotherapy: Theory, Research, Practice, Training 28.1 (1991): 168.
  22. Gelso CJ and Carter JA. “The relationship in counseling and psychotherapy: Components, consequences, and theoretical antecedents”. The Counseling Psychologist 13.2 (1985): 155-243.
  23. Graves JR and Robinson JD. “Proxemic behavior as a function of inconsistent verbal and nonverbal messages”. Journal of Counseling Psychology 23.4 (1976): 333.
  24. Griner D. Culturally adapted mental health treatments: A meta-analysis (2006).
  25. Herman KC., et al. “Culturally sensitive health care and counseling psychology: An overview”. The Counseling Psychologist 35.5 (2007): 633-649.
  26. Horvath AO. “The therapeutic relationship: Research and theory: An introduction to the special issue”. Psychotherapy Research 15.1-2 (2005): 3-7.
  27. Horvath AO. “The alliance in context: Accomplishments, challenges, and future directions”. Psychotherapy: Theory, Research, Practice, Training 43.3 (2006): 258.
  28. Horvath AO and Greenberg LS. “Development and validation of the working alliance inventory”. Journal of Counseling Psychology 36.2 (1989): 223.
  29. Horvath AO and Symonds BD. “Relation between working alliance and outcome in psychotherapy: A meta-analysis”. Journal of Counseling Psychology 38.2 (1991): 139.
  30. Horvath AO., et al. “Psychotherapy relationships that work”. Psychotherapy relationship that work (2002).
  31. Horvath AO., et al. “Alliance in individual psychotherapy”. Psychotherapy 48.1 (2011): 9.
  32. Hougaard E. “The therapeutic alliance–A conceptual analysis”. Scandinavian Journal of Psychology 35.1 (1994): 67-85.
  33. Hwang WC. “The psychotherapy adaptation and modification framework: Application to Asian Americans”. American Psychologist 61.7 (2006): 702.
  34. Jones L., et al. “Examining the ethnic minority student experience at predominantly White institutions: A case study”. Journal of Hispanic Higher Education 1.1 (2002): 19-39.
  35. Joyce AS., et al. “The alliance as mediator of expectancy effects in short-term individual therapy”. Journal of Consulting and Clinical Psychology 71.4 (2003): 672.
  36. Karver MS., et al. “Meta-analysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature”. Clinical Psychology Review 26.1 (2006): 50-65.
  37. Knapp ML. “Social intercourse: From greeting to goodbye”. Allyn and Bacon, Incorporated (1978).
  38. Lamb DH., et al. “Psychologists reflect on their sexual relationships with clients, supervisees, and students: Occurrence, impact, rationales and collegial intervention”. Professional Psychology: Research and Practice 34.1 (2003): 102.
  39. Lambert MJ and Barley DE. “Research summary on the therapeutic relationship and psychotherapy outcome”. Psychotherapy: Theory, Research, Practice, Training 38.4 (2001): 357.
  40. Lau AS. “Making the case for selective and directed cultural adaptations of evidence‐based treatments: examples from parent training”. Clinical Psychology: Science and Practice 13.4 (2006): 295-310.
  41. Lopez SR. Cultural competence in psychotherapy: A guide for clinicians and their supervisors (1997).
  42. Lopez SR., et al. “Strategies in developing culturally congruent family interventions for schizophrenia: The case of Hispanics”. Family Interventions in Mental Illness: International Perspectives (2002): 61-90.
  43. Mitchell KM., et al. “A reappraisal of the therapeutic effectiveness of accurate empathy, nonpossessive warmth, and genuineness”. Effective Psychotherapy: A Handbook of Research (1977): 482-502.
  44. Mullen J and Abeles N. “Relationship of liking, empathy, and therapist's experience to the outcome of therapy”. Journal of Counseling Psychology 18.1 (1971): 39.
  45. Neukrug E., et al. “Creative and novel approaches to empathy: A neo-Rogerian perspective”. Journal of Mental Health Counseling 35.1 (2013): 29-42.
  46. O'Sullivan MJ., et al. “Ethnic populations: Community mental health services ten years later”. American Journal of Community Psychology 17.1 (1989): 17-30.
  47. Patterson CH. “Do we need multicultural counseling competencies?” Journal of Mental Health Counseling 26.1 (2004): 67-73.
  48. Rogers CR and Truax CB. “The therapeutic conditions antecedent to change: A theoretical view”. The Therapeutic Relationship and its Impact: A Study of Psychotherapy with Schizophrenics (1967): 97-108.
  49. Rogler LH., et al. “What do culturally sensitive mental health services mean? the case of Hispanics”. American Psychologist 42.6 (1987): 565.
  50. Ryan DW and Gaier EL. “Student Socio‐Economic Status and Counselor Contact in Junior High School”. The Personnel and Guidance Journal 46.2 (1968): 466-472.
  51. Safran JD and Muran JC. “The resolution of ruptures in the therapeutic alliance”. Journal of Consulting and Clinical Psychology 64.3 (1996): 447.
  52. Safran JD and Muran JC. “Resolving therapeutic alliance ruptures: Diversity and integration”. Journal of Clinical Psychology 56.2 (2000): 233-243.
  53. Safran JD and Muran JC. “Has the concept of the therapeutic alliance outlived its usefulness?” Psychotherapy: Theory, Research, Practice, Training 43.3 (2006): 286.
  54. Safran JD and Wallner LK. “The relative predictive validity of two therapeutic alliance measures in cognitive therapy”. Psychological Assessment: A Journal of Consulting and Clinical Psychology 3.2 (1991): 188.
  55. Safran JD., et al. “Therapeutic alliance rupture as a therapy event for empirical investigation”. Psychotherapy 27.2 (1990): 154-165.
  56. Safran JD., et al. “The therapeutic alliance: Cultivating and negotiating the therapeutic relationship”. Clinical Strategies for Becoming A Master Psychotherapist (2006): 37-54.
  57. Smith TB and Griner D. Culturally adapted mental health interventions: A meta-analytic Review (2006).
  58. Strupp HH. “Toward the refinement of time-limited dynamic psychotherapy”. Forms of Brief Therapy (1981): 219-242.
  59. Sue S. “Community mental health services to minority groups: Some optimism, some pessimism”. American Psychologist 32.8 (1977): 616.
  60. Sue S. “Psychotherapeutic services for ethnic minorities: Two decades of research findings”. American Psychologist 43.4 (1988): 301.
  61. Sue S. “In search of cultural competence in psychotherapy and counselling”. American Psychologist 53.4 (1998): 440.
  62. Sue S and Zane N. “The role of culture and cultural techniques in psychotherapy: A critique and reformulation”. American Psychologist 42.1 (1987a): 37.
  63. Sue S., et al. “Community mental health services for ethnic minority groups: A test of the cultural responsiveness hypothesis”. Journal of Consulting and Clinical Psychology 59.4 (1991): 533.
  64. Sue S., et al. “Psychopathology among Asian Americans: A model minority?”. Cultural Diversity and Mental Health 1.1 (1995): 39.
  65. Summers RF. “Therapeutic alliance as a measurable psychotherapy skill”. Washington, DC (2003). 
  66. Truax CB. “Counseling and psychotherapy: Process and outcome”. Arkansas Rehabilitation Research and Training Center, University of Arkansas (1966).
  67. Weiner IB “The future of psychodiagnosis revisited”. Journal of Personality Assessment 47.5 (1983): 451-461.
  68. Weinrach SG and Thomas KR. “A critical analysis of the multicultural counseling competencies: Implications for the practice of mental health counselling”. Journal of Mental Health Counseling 24.1 (2002a).
  69. Whaley AL and Davis KE. “Cultural competence and evidence-based practice in mental health services: A complementary perspective”. American Psychologist 62.6 (2007): 563.
  70. Zetzel ER. “An approach to the relation between concept and content in psychoanalytic theory: With special reference to the work of Melanie Klein and her followers”. The Psychoanalytic Study of the Child 11.1 (1956): 99-121.
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Citation

Citation: Khwaish Sharma. "The Impact of the Therapeutic Relationship and Contextual Issues on the Therapeutic Outcome".Acta Scientific Neurology 3.1 (2020): 15-21.



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