Therapeutic Alliance: A Case Study

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Therapeutic alliance is a variable that needs to be effective in order to have a successful therapeutic outcome. Carl Rogers initiated the role purpose of the therapeutic alliance. Rogers (1965) identified empathy, genuinessness and unconditional positive regard as therapeutic tools during counselling sessions. In order to re-evaluate my skills, I performed a brief counselling session with my client, Mona. I found that using certain skills such as paraphrasing, reflecting feelings, summarising, challenging and asking open questions to explore options were required to form a therapeutic alliance between my client and me. Despite using these skills effectively, certain situations evoked anxiety during the session. Hovarth and Symonds (1994) believe teamwork between therapists and client is the key element of a therapeutic alliance. It provides a safe environment for clients to explore themselves, a relationship where the client’s key issues are explored,…show more content…
Therefore, I asked her “what keeps you staying at Uni?” By asking this question, it encouraged her to see that it is her dream to complete this degree. I also stated, “You want to finish Uni, but you’re wondering where that light at the end of the tunnel is?” By using the metaphor “the light at the end of the tunnel”, it formed hunches behind her real message. Mona then stated “definitely..I do think is there light at the end of the tunnel and I do believe it will be there one day...” Lydon, Clay and Sparks (2001) believed “therapists need to facilitate and guide their client’s exploration and meaning in a supportive but challenging manner” (p.271). Egan (2007) also believed that challenging the clients’ values helps them clarify what they really
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