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Dissertations / Theses on the topic 'The therapeutic relationship'
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1
Sutter, Julianne V. "ASSESSING IMPACT OF AFFECT RECOGNITION ON THERAPEUTIC RELATIONSHIP." UKnowledge, 2010. http://uknowledge.uky.edu/gradschool_theses/14.
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Therapeutic alliance and its relationship to client nonverbal behavior, specifically facial expressions, were examined. Therapist interpretation of the client nonverbal behavior, or affect, influences the therapeutic alliance and process. Based on a sample of clients from a graduate school therapy training facility, results suggest therapist training in facial expressions, and how they relate to client emotion, improve the therapeutic alliance between therapist and client. After a micro-expression training for therapists, clients reported higher life functioning on the Outcome Rating Scale (ORS) and an improved therapeutic alliance on the Session Rating Scale (SRS). Overall, these findings support the benefit of incorporating micro-expression training into therapy instruction.
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Johnson, Janet. "Therapeutic relationship in primary care." Thesis, Cardiff University, 2005. http://orca.cf.ac.uk/55546/.
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This inquiry stems from my work as a psychological counsellor working in primary care. The late 20th century has seen an increasing focus on self and emotions (e.g. McCarthy 1989) with technologies such as psychotherapy and counselling (Rose 1999) as key means through which transformation of self takes place. The demand for therapeutic services continues to rise, and NICE guidelines (2004) recommend counselling as a treatment of choice in primary care, that is, in the surgeries of General Practitioners. Referral for counselling is for those with mild to moderate mental health problems (Cocksedge 1997), and counselling is offered typically for six to eight sessions. There is much research in the NHS concerned with evidence-based practice, whereas I sought to examine the client's voice with regard to their counselling, and how counselling fits within their life-world (Schutz & Luckman 1973). My aim was to gather accounts from people who had attended for counselling at their GP surgery. Using qualitative methodology, this was achieved via individual interviews with former clients. Following ethical approval, interviewees were recruited from 16 practices in South Wales. The focus is of client perceptions of counselling, examined through the ways in which the clients present themselves, their problems, and their counselling. The research questions are concerned with how former clients describe their counselling, and how client accounts can inform debates about how to enhance the delivery and practice of counselling in primary care settings. From the analysis of client accounts it can be seen that unique client factors, the diversity in interventions appreciated by clients, and contextual factors relating to the primary care setting, suggest that counsellors working in primary care be adaptive to their environment and sufficiently responsive to offer techniques and interventions from a range of therapeutic approaches, to best meet the needs of their clients.
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Hein, Rebecca Kristine. "Exploring the therapeutic relationship an autoethnography /." Online version, 2009. http://www.uwstout.edu/lib/thesis/2009/2009heinr.pdf.
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Toye, Laura. "Attachment, alexithymia and the therapeutic relationship." Thesis, Queen's University Belfast, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.675478.
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Objective: The aim of the current study was to compare two clinical groups on attachment, alexithymia and the therapeutic alliance, as well as investigate the potential mediating influence of alexithymia on the relationship between attachment and the therapeutic alliance. Method: Data was analysed for 203 individuals; 44 attending therapy for an addiction related problem, 59 attending therapy for complex trauma and 100 healthy controls. All participants completed self-report measures on Attachment style (ASQ) and Alexithymia (TAS-20). The addictions and trauma groups also completed a measure of Therapeutic Alliance (W AI). Results: No significant differences were found between the addictions group and the trauma group with respect to attachment and the therapeutic alliance. Both the addictions group and the trauma group reported significantly greater insecure attachments compared to healthy controls. For the addictions group, preoccupied attachment emerged as the significant attachment variable related to the therapeutic alliance. This relationship was partially mediated by alexithymia. Conclusions: The findings have implications for understanding the role of attachment and alexithymia in influencing the development of a positive alliance in individuals across the addiction and complex trauma clinical populations.
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Johnson, Loree Anitra. "The early therapeutic relationship with MFT trainees /." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2006. http://proquest.umi.com/login?COPT=REJTPTU0NWQmSU5UPTAmVkVSPTI=&clientId=3739.
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Isaac, Miriam Kendrick. "The class dynamic in the therapeutic relationship." Thesis, University of Leicester, 2012. http://hdl.handle.net/2381/27810.
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In counselling and psychotherapy, the issue of class is neglected both theoretically and in practice. This thesis aims to address this anomaly by focusing on the class dynamic in the therapeutic relationship. First, the study offers a theoretical exploration of the three major concepts of class. Second, the empirical research aims to highlight how the working class research participants perceive therapists and counselling, and how the counsellor participants perceive class and manage class difference. I argue that class is complex and multidimensional. Therefore, no one theory about class offers a complete account. With this in mind three theoretical concepts are explored demonstrating their potential usefulness to the provision and practice of therapy. The position taken is that two of these concepts, class as a relational phenomenon, and class maintained and reproduced through habitus, capital and dispositions of the therapist and the client provide a means by which the class dynamic can be analysed, with consequences for the therapeutic transference. The empirical inquiry constitutes a theory led, constructionist, thematic focus group analysis, cross referenced to individual counsellor interviews. The data was gathered from six focus groups situated in Sure Start Children Centres across the West Midlands. Each centre was located within the highest percentile of nationally delineated deprivation factors. The research findings suggest that all participants called on latent socio-cultural accounts of class in relationally defining themselves in opposition to others; that the power dynamic in the therapeutic relationship is constructed differently between the working class participants and the counsellors; that therapists symbolise a homogenous middle class to the working class participants; that the cultural capital of the therapist is resisted by the working class client; and that the focus group participants’ constructions of therapy, coupled with the counsellors’ terms of therapeutic engagement when working in Sure Start centres, signal implications for practice. Class, as addressed in this study, indicates it is an issue in primary processing, and confirms its centrality to the therapeutic relationship.
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Apostolopoulou, Angelika. "A portfolio on the therapeutic relationship, therapeutic ruptures and repairs, and counselling psychology." Thesis, City, University of London, 2016. http://openaccess.city.ac.uk/16746/.
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The role and impact of a positive therapeutic alliance on psychotherapy outcome has been vastly documented. However, ruptures in the therapeutic alliance are a common phenomenon posing marked challenges on the work of therapists. Although outcome research indicates that rupture-repair processes contribute to an enhancement of the therapeutic relationship, as well as positive treatment outcome, there is a relative lack of qualitative research on the topic. The aim of the current research project was to address this gap by exploring the ways therapists experience, make sense of and repair therapeutic ruptures. Ten semi-structured interviews with counselling psychologists of various therapeutic orientations were conducted, and subsequently analysed using Interpretative Phenomenological Analysis. Four superordinate themes emerged from the data: ‘The Threat’, ‘The Struggle’, ‘The Meaning-Making’, and ‘The Resolution’. Ruptures were perceived as threatening to the therapeutic endeavour, and experienced in the form of withdrawal, breakage or misattunement. Participants’ accounts also revealed experiences of heightened struggles in the form of power and control issues, personal and professional dilemmas, as well as negative emotionality. Participating counselling psychologists appeared to make sense of ruptures in relation to intense intrapsychic and interpersonal dynamics, personal vulnerabilities, as well as pacing of therapeutic interventions. Unique and idiosyncratic ways of processing ruptures were employed, whilst successful resolution was ultimately experienced as transformational for the therapeutic relationship and outcome, and was perceived as a valuable learning experience for both therapists and clients. Overall, therapeutic ruptures and repairs were conceptualised as fundamentally relational, intersubjective acts, co-created and co-experienced by both members of the therapeutic dyad. The emerged findings are examined in relation to existing literature and, the implications for the research, training, and practice of Counselling Psychology are discussed.
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Manning, Vivien. "A qualitative study of self-perception in the context of complex post traumatic stress disorder and the helping relationship." Thesis, University of Essex, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268703.
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Peart, Stefan. "The relationship between model fidelity and therapeutic practice." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12289/.
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Section A provides a review of empirical literature researching therapists’ experiences, opinions and attitudes towards the practice of model fidelity. Sixteen studies are reviewed, synthesized and critiqued, and findings are categorised into themes. Results of the review suggest therapists have complex relationships with model fidelity, shaped by multifaceted combinations of attitudes, values, personal, professional and skill development, clinical complexity, and experience. Findings are also considered in relation to pertinent theories. Clinical and research implications are discussed. Section B presents a grounded theory of model fidelity in clinical psychologists’ therapeutic practice. The theory was developed from semi-structured interviews conducted with 13 clinical psychologists with varying expertise. Through analysis, a hierarchy of categories emerged from the data, describing stages of therapeutic practice. The grounded theory suggests that clinical psychologists have evolving relationships with model fidelity, moving from model-centred practice to person-centred approaches with greater experience. Implications for clinical practice and research are discussed.
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Bale, Robert John. "Engagement and the therapeutic relationship in assertive outreach." Thesis, University of London, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.409637.
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Lake, Linda Louise. "The relationship of race to the therapeutic alliance." Online full text .pdf document, available to Fuller patrons only, 2002. http://www.tren.com.
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Hollingworth, Tracy J. "Female Sexual Abuse Survivors and the Therapeutic Relationship." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6582.
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Childhood abuse can impact the survivors' life in many ways. Children learn various skills from their caregivers, such as the tools needed to develop and maintain healthy relationships. When a child is abused by their caregiver, there can be a drastic impact on how the child perceives the world, and the therapeutic relationship is important in the healing process. This interpretative phenomenological analysis (IPA) study explored the lived experiences of therapists who work with adult women who are survivors of childhood sexual abuse to better understand the effects that childhood sexual abuse has on the therapeutic relationship. The theoretical base for the study was attachment theory that was conceptualized within a traumatic framework. Participants were recruited through online media forums and with the use of flyers posted at local counseling offices in the metro area of Albuquerque, New Mexico. Eight therapists who self-identified as meeting the criteria for this study were recruited and interviewed in-person; the data was analyzed by hand. Five themes emerged during the analysis: the enhancing effects of disclosure, seeking to empower clients, the client's emotional distress, negative feelings and loss of self, and ability to maintain boundaries. This study contributes to provide avenues for social change by developing awareness and education resources for therapists to increase their effectiveness of treatment and develop ways in which support can be employed to serve the affected population through education and rapport building. This in turn has the potential of increasing successful treatment outcomes, which allows clients to build better external positive, healthy relationships.
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O'Moore, G. "Hope and the therapeutic relationship : an 'interactive dance'." Thesis, City University London, 2014. http://openaccess.city.ac.uk/12299/.
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Within psychotherapy research there is a general consensus on the important role that clients’ hope plays in successful therapeutic outcomes. However little is known about how practitioner psychologists understand and experience their own hope in their clinical practice. It is anticipated that focusing on this under-researched phenomenon will provide initial insight into the role that their hope plays in their work with corresponding implications for practice. This research study investigated practitioner psychologists’ understanding and experience of their own hope in their clinical work. It employed an Interpretative Phenomenological Analysis (IPA) methodology with semi-structured interviews used as the means of data collection. Eight qualified practitioner psychologists (six counselling, two clinical) were interviewed, with the transcripts of their interviews analysed in accordance with the IPA method. Three master themes emerged from the data: Making sense of hope, which explores the participants’ attempts at articulating their understanding and experience of hope in their clinical work; hope is intrinsic, which explores the innate and essential role that the participants’ hope plays in their work; and Responsibility towards hope, which explores the responsibility that participants felt towards sustaining hope. The themes were explored and interpreted using the extant literature on hope. Accounts of the participants’ understanding and experience of hope are presented. The findings suggest a number of implications for the practice of counselling psychology and the wellbeing of counselling psychologists. These include the understanding of the therapeutic relationship as a key source of psychologist hope, the necessity of the psychologist having hope to engage in clinical work and the importance of the psychologist aligning their hopes to their clients’. The findings are discussed as well as limitations of the study and suggestions for future research.
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Svien, Harold Thomas. "Describing Therapeutic Relationship Change and Failure in Group Psychotherapy." BYU ScholarsArchive, 2019. https://scholarsarchive.byu.edu/etd/8570.
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Objectives. This study reanalyzed data from Burlingame and colleagues’ (2018) randomized controlled trial on the effect of adding Group Questionnaire (GQ) to Outcome Questionnaire (OQ-45) feedback. These data were assessed for the feedback effect using the amount of GQ alerts in one session reported by the group member to track change in GQ subscales as a measure of reversing therapeutic relationship failure.Methods. 374 participants engaged in 58 psychotherapy groups. Every participant provided GQ measurements after every group session. These GQ measurements formed ‘person-session units’ representing whether or not each type of alert was present following each group meeting. Person-session units showing one, two, and three or more GQ alerts were selected for analysis. The GQ subscales of positive bond (PB), positive work (PW), and negative relationship (NR) were tracked over the following two sessions using hierarchical linear models (HLMs) to correct for group membership and analyze slopes of change between GQ feedback and no-feedback conditions.Results. Insignificant results were shown in condition by session interactions for every GQ subscale following every specified amount of co-occurring GQ alerts. These results contrast with Burlingame and colleagues’ (2018) findings that half of all condition by session interactions shown were significant using GQ change and status alerts to trigger analyses.Conclusions. The results of this study do not appear to better discriminate the effect of adding GQ to OQ feedback for group leaders. Thus, it does not appear that group leaders can better reverse the tide of relationship failure in psychotherapy groups when there are specific numbers of GQ alerts presented to them versus the alert types offered in GQ feedback reports.
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Peternelli, Loris. "The relationship between emotionality and in-session therapeutic phenomena." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape16/PQDD_0019/NQ37011.pdf.
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Wiebe, Linda Marie. "Connection in the therapeutic relationship, sharing a subjective world." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ63578.pdf.
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Maslin, Jennifer. "Clinical psychology and asylum seeker clients : the therapeutic relationship." Thesis, University of Hertfordshire, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.401017.
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Poullis, Joseph. "The therapeutic relationship and its links to emotional intelligence." Thesis, City University London, 2015. http://openaccess.city.ac.uk/13778/.
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The importance of emotional intelligence (EI) as a theoretical construct to understand human emotions has become quite prominent over the last two decades. However, the concept of EI has not been frequently applied to the therapeutic setting. This study investigated the role that EI plays in therapy, the therapist’s perspective of trait EI in his or her work, and the meaning of the therapeutic relationship from therapists’ perspectives. From interviewing 12 counselling psychologists and therapists, and analysing their responses using a grounded theory approach. The main themes that emerged from the data collected were empathetic balance, benevolent connection and mindfulness. Within these themes a number of findings were established. Most EI traits appear to be present within the therapy setting, albeit not in an overtly conscious way. There was also a sense that EI cannot adequately explain or describe the subtle yet very real emotional connection and empathy that the therapist and the client share and experience. From these findings, I present various recommendations for future research to explore the relevance of EI in the therapeutic setting. One suggestion is to explore the differences between ability and trait EI within the therapeutic relationship while another recommends development of appropriate EI teaching modules for psychotherapy training purposes.
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Crafford, Melody. "Attachment and the therapeutic relationship an elucidation of therapeutic process in a single child psychotherapy case." Thesis, Rhodes University, 2006. http://hdl.handle.net/10962/d1002464.
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The overall objective of this study was to delve into the intricacies of the therapeutic process and the therapeutic relationship from an attachment perspective. A single retrospective child case study was conducted, which entailed the construction of a narrative synopsis of the process. The hermeneutic approach of a Reading Guide Method was applied, and through a repeated re-reading of the narrative, pertinent themes emerged that shed light on therapy as a process in motion. Specifically, the motion of the therapeutic process manifested through a scrutiny of the therapeutic relationship in view of the participant’s attachment style. The results of this study revealed the capacity of the participant to move away from an avoidant and somewhat ambivalent organisation of defences by virtue of establishing a secure base and exercising her faculty for emotional and self-expression. Accordingly, it can be established that in view of psychotherapy from an attachment perspective, the seemingly imperceptible vicissitudes of change are indeed appreciable.
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Cameron, Rose Ann. "Unseen dance : subtle interactions and their implications for the therapeutic relationship." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/11811.
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This thesis examines an aspect of embodied relationship that is recognised in colloquial figures of speech but is not theorised, nor even much acknowledged in the psychotherapeutic literature. It argues that when we experience subtle sensations of extending towards another person, as we might when our "heart goes out" to them, and of pulling away, as we might when we "draw back", this seemingly internal experience is snesed by the other. Using a phenomenological-hermeneutic methodology underpinning by Merleau-Ponty, van Manen and Todres, exercised were used to bring such experiences to the awareness of several cohorts of experienced and inexperienced therapists attending a training course. Verbal and written accounts of what was felt during the exercised, and of similar experiences from more naturalistic settings, were collected along with the researchers' own accounts. These accounts are discussed within the framework of a Gadamerian Conversation with a view to making explicit the implication for Person-centred therapy with regard to practice, supervision and training. The conversation speaks of the the impact of these experiences upon whether or not clients perceive therapists as authentic, unconditionally accepting and empathic. Assumptions are uncovered and challenged and an alternative narrative emerges from a consideration of multiple contexts. The conversation also speaks of an unseen dance of closeness and distance that arises as each moves towards and away from the other. Conversation (and silence) is inevitably accompanied and impacted by this dance, which happens in the background of every interaction. The unseen dance impacts not only the relationship, but also each person's organismic state.
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Janzen, Jennifer 1973. "Towards developing strong early therapeutic relationships : client attachment and therapist responsiveness in relationship building incidents." Thesis, McGill University, 2007. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=103202.
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The goal of the present research was to provide a structure for understanding the combinations of client attachment concerns, therapist interventions, and therapist interpersonal qualities that facilitate the development of strong therapeutic relationships by drawing upon the propositions of attachment theory and interpersonal theory.The first study supported the hypothesis that relationship incidents provide the relational information required for the client to feel secure enough with their therapist to explore in session. Following their third session, thirty volunteer clients seen by therapist trainees nominated an incident they felt was important to the development of their therapeutic relationship. General attachment was associated with the developing relationship with therapist, and this relationship was associated with exploration in-session. As expected, following a relationship building event, the client experienced the therapist as a safe haven from which to explore. The client's ability to attach to the therapist in the relationship building incident was related to avoidant attachment. Client in-session exploration, conceptualized as cognitive openness, was associated with the attachment-related relationship with the therapist, but not general attachment orientation.
Within a framework that explicitly bridges attachment and interpersonal theory; the results of the second study offer differential support for the suggestions of interpersonal theory and attachment theory depending upon the attachment dimension in question. The predictions of interpersonal theory were generally supported in regards to clients with attachment anxiety; in relationship building incidents, therapists allowed themselves to be hooked by client interpersonal schemas however, they also refrained from eliciting emotions with these clients in early sessions. For clients high on avoidance, the results support suggestions from the attachment literature. Therapists met client distancing with proximity---seeking interventions unhooking from client interpersonal expectations; however while doing so, therapists provided the client with a containing framework. Together these studies highlight the importance of client attachment in the development of the therapeutic relationship and extend the findings from attachment research in social psychology to the therapeutic situation. This work adds to the growing literature that supports the clinical utility of Bowlby's attachment framework in assessment and intervention with adults, particularly in regards to the therapeutic relationship.
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Meyer, Kevin J. "The relationship between therapists' use of humor and therapeutic alliance." Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1186189837.
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Boerema, Christina Fenna D. "The therapeutic relationship : a phenomenological study of occupational therapists' experience /." Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09EDM/09edmb672.pdf.
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Pennington, Margaret Sue. "Breaching the nurse-patient therapeutic relationship: A grounded theory study." Diss., The University of Arizona, 2002. http://hdl.handle.net/10150/280243.
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The therapeutic nurse-patient relationship is the core of nursing practice. This grounded theory study used symbolic interactionism, identity theory and ethics as a theoretical perspective to examine nurse-patient relationships. The opinions and experiences of twelve professional nurses were explored to discover the process and events involved when a nurse engaged in a nontherapeutic relationship with a patient. A core process, Breaching the Nurse-Patient Relationship, was identified from the interviews. The core process identified three stages in the process with conditions in each stage that showed progression from each condition in each stage to the next stage. The first stage in the process revealed five conditions that make the nurse vulnerable for engaging in nontherapeutic activities with a patient. Stage one, with the five conditions, was the preliminary process that lead to stage two. In stage two, the nurse engaged in nontherapeutic activities/relationships with the patient. The nurse was either under-involved or over-involved in the nurse-patient relationship but clearly the nurse deviated from the therapeutic realm of the relationship. There were eight conditions in stage two that identified the process of the nurse leaving the therapeutic role to engage in a nontherapeutic role with the patient. The last stage was characterized by the consequences that the nurse, patient and profession of nursing had to face as a result of the nontherapeutic nurse-patient relationship.
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Levi, Nina. "The power of the therapeutic relationship in Cognitive Behavioural Therapy." Thesis, City University London, 2010. http://openaccess.city.ac.uk/8703/.
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As the Cognitive Behavioural Therapy (CBT) model has developed in recent years, so has the role of the therapeutic relationship within that model. This portfolio aims to uncover aspects of the therapeutic relationship in CBT as it is practiced nowadays. The first section presents an overview in which the different parts included in this portfolio are briefly described, and the way in which they are linked together is outlined. The second section, the research component, explores qualitatively Counselling Psychologists' experience of the therapeutic relationship while practicing CBT. This section aims to provide the reader with insights from the therapists' perspective, which has been a largely neglected variable in the literature. The third section represents the clinical component and gives a vivid account of CBT with a client with anger issues. Finally, the fourth section, the critical literature review, presents the role of empathy in the cognitive behavioural treatment of depression. As a whole, the portfolio provides a broad view of different perspectives of the therapeutic relationship in CBT, and aims to increase awareness among researchers and therapists of how the research findings can be of use for clinical practice.
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Patel, Miloni. "Counsellor-client ethnic difference : the therapeutic process, relationship and competence." Thesis, University of East London, 2014. http://roar.uel.ac.uk/4013/.
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British society continues to change and grow with more and more people identifying as belonging to a minority ethnic group. As such the nature of individuals presenting to therapy is also changing and counselling psychologists are coming into more contact with clients who are ethnically ‘different’ from themselves. The literature on multicultural counselling has tended to focus on the needs of the minority ethnic client and the voice of the White therapist is notably absent. The current study aims to address this by exploring the experiences of White therapists working with clients from a different ethnicity. Six White counselling psychologists were interviewed using semi-structured interviews and their accounts were analysed using Interpretative Phenomenological Analysis (IPA). Three super-ordinate themes were identified: 1) Different worlds, 2) The reality of experience and 3) What is competence? The analysis highlights elements of the participant’s experiences that were important for them with regards to their multicultural practice. It was recognised that minority ethnic clients are likely to view the world, and indeed the process of therapy itself, differently and this would have implications for the therapeutic relationship and how the participant’s approached the process of therapy. There was also an acknowledgment of the different skills and knowledge that they would need to work effectively with minority ethnic clients. Nevertheless, the results (in particular theme two) also indicated that talking about ethnic difference between themselves and clients was something that the participants mostly avoided and there was a sense of uncertainty and anxiety about actually ‘naming’ ethnicity as something to be worked with during the therapy process. This was also demonstrated more generally throughout all the themes as the participants had a tendency to talk in general, theoretical terms rather than about their own personal experiences which implies that issues relating to ethnicity are difficult to discuss for White psychologists. The study recommends that counselling psychology would benefit from future research exploring the reasons as to why White therapists might find it difficult to have conversations about ethnic difference with their clients, and indeed about ethnicity more generally. It is also proposed that in order to help therapists become more competent and confident in this area some definitive guidelines for multicultural counselling competencies need to be developed and implemented. These should also be incorporated into counselling training programmes so that all practitioners may become more comfortable and familiar with engaging in discourse around multicultural practice.
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Jang, Seong Hoon. "Intracellular pharmacokinetics of Paclitaxel : relationship with Pharmacodynamics and therapeutic implications /." The Ohio State University, 1999. http://rave.ohiolink.edu/etdc/view?acc_num=osu1488192960167348.
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D'Mello, Danielle. "Therapist's construction of trauma work and negotiating the therapeutic relationship." Thesis, City, University of London, 2016. http://openaccess.city.ac.uk/15992/.
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This study aims to critically explore the discourses therapists use to construct trauma. Five therapists (two counselling psychologists, one clinical psychologist, one gestalt therapist and one psychotherapist), who self-identified as working with trauma, were interviewed. The transcripts were analysed using Foucauldian discourse analysis. The results were divided into ‘pathologising’ and ‘non-pathologising’ discourses of trauma. The ‘pathologising’ theme includes the discourses of ‘psychiatry’, ‘cognitive behavioural therapy’, ‘vicarious trauma’ and ‘developmental trauma and resilience’. The ‘non-pathologising’ discourses are ‘posttraumatic growth’, ‘embodiment’ and ‘feminism’. The findings are used to argue that the ‘pathologising’ discourses of trauma exacerbate power imbalance in the therapeutic relationship through the way the therapist and client are positioned, and that a more fluid, aligned relationship may be allowed from the ‘non-pathologising’ discourses. The way the ‘pathologising’ discourses construct emotion in binary terms of positive and negative is critiqued, as the ‘nonpathologising’ discourses allow difficult emotions to be constructed as a potentially enriching experience rather than a symptom to be alleviated. It is suggested that the ‘pathologising’ discourses neglect the body or construct it as a site for the experience of symptoms, and the ‘non-pathologising’ discourses may allow the embodied experiences of trauma to be constructed as useful in the process of recovery. These results were considered in the context of existing literature and recommendations for future practice and research are presented.
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Glass, Nancy 1949. "Parents as Therapeutic Agents: A Study of the Effect of Filial Therapy." Thesis, North Texas State University, 1986. https://digital.library.unt.edu/ark:/67531/metadc331345/.
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The problem with which this investigation was concerned was that of the use of parents as therapeutic agents. The purpose of this study was twofold. The first was to determine the effect of filial therapy on parental acceptance, self-esteem, parent-child relationship, and family environment. A second was to analyze the results and make recommendations concerning the effectiveness of filial therapy as a treatment modality for parents and their children.
The experimental design of the study was a nonrandomized, pretest-posttest, control group design.The sample (N=47) consisted of the experimental group (parents N=15, children N=9) who received filial therapy and the control group (parents N=12, children N=ll) who did not. The treatment included ten, two hour weekly parent training sessions. During these sessions the parents were taught the principles of client-centered play therapy and were instructed to conduct weekly one-half hour play sessions at home with their own children.
Based on the findings of this study, the following conclusions were drawn: 1) Filial therapy does significantly increase the parents' feeling of unconditional love for their children and 2) Filial therapy does significantly increase the parents' perception of expressed conflict in their family. In addition to the statistically significant results, there were some important trends which were mentioned as directional conclusions. These qualitative judgments include: 1) Filial therapy may be an effective treatment for increasing parents' acceptance of their children, especially parents' feelings of unconditional love; 2) Filial therapy may be a somewhat effective treatment for increasing self-esteem, yet more effective in increasing parents' self-esteem than children's self-esteem; 3) Filial therapy may be an effective treatment for increasing the closeness of the parent-child relationship without altering the authority hierarchy; 4) Filial therapy may influence the family environment, especially in the areas of expressiveness, conflict, independence, intellectual-cultural orientation, and control; and 5) Filial therapy may be an effective treatment for increasing parents' understanding of the meaning of their childrens' play.
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Kitson, Kirsten M. "Counselling psychologists' experiences of the therapeutic relationship when working with sex-offenders." Thesis, University of Roehampton, 2012. https://pure.roehampton.ac.uk/portal/en/studentthesis/counselling-psychologists’-experiences-of-the-therapeutic-relationship-when-working-with-sex-offenders(acd7c9aa-e377-42e1-983a-75449513535a).html.
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Regardless of therapeutic orientation, the therapeutic relationship has been consistently shown as central to the therapeutic process. However, research has also shown that this can be difficult to achieve when working with sex-offenders. Less is known about the experience of this relationship and little qualitative research has been conducted in this area. This current study therefore aimed to provide valuable insight into the first-hand accounts of therapists directly working with this client group through exploring their experience of the therapeutic relationship, using a qualitative approach. The study focused upon the experiences of eight Counselling Psychologists, in order to keep the sample homogenous, and explored the differences the therapists may have experienced compared to other client groups. Additionally, it aimed to highlight what difficulties, if any, have arisen in the therapeutic relationships and potentially how these have been experienced, managed, overcome and addressed. Semi-structured interviews were carried out with eight counselling psychologists who have worked therapeutically with sex-offenders. Verbatim transcripts of the interviews were then analysed using Interpretative Phenomenological Analysis (IPA). The analysis illustrated four master themes: i) Forming a relationship- negotiating the degree of intimacy; ii) overcoming barriers to the relationship- contending with the context; iii) establishing a relationship- feeling a reaction yet managing a response; iv) reaping the rewards of the relationship- out of the darkness and into the light. A description of these master themes and the related subordinate themes were presented. The results of the analysis were considered in light of existing theory and their clinical implications.
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Harrison, Maxine. "Counselling psychologists' perception, understanding and experience of client dependency within the overall therapeutic relationship and its impact on the therapeutic process." Thesis, University of Roehampton, 2011. https://pure.roehampton.ac.uk/portal/en/studentthesis/counselling-psychologists-perception-understanding-and-experience-of-client-dependency-within-the-overall-therapeutic-relationship-and-its-impact-on-the-therapeutic-process(dbc0bb4d-854a-4832-b6ab-a42b2e300b2d).html.
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The aim of the research was to examine how Counselling Psychologists perceive dependency in their clients and also how they experience the phenomenon in their therapeutic practice. Research suggests that dependency is relevant to the formation and continuance of relationships and that it can influence the strength and quality of those relationships and as such has a role in therapeutic relationships. Open-ended semistructured interviews were conducted with 8 Counselling psychologists with in excess of 5 years experience. Interviews were recorded, transcribed and analysed using Interpretative Phenomenological Analysis. 4 master themes were identified. ‘The therapeutic relationship as the context for dependency’ was consistent with existing literature on the importance of the therapeutic relationship. Participants were generally resistant to clients becoming dependent on them and maintained firm boundaries to avoid it and believed that greater experience made it easier to work with dependency. Participants’ reluctance to approach dependency issues was consistent with western societal values that seem to reject vulnerability and neediness. Significant for training and practice was the theme ‘feelings engendered by dependency’, with challenging reactions to dependency rarely being discussed in training or supervision and for which there is little professional support. The theme ‘impact of the theoretical approach and environment on dependency’ suggests that longer term therapy, such as psychodynamic approaches, encourage an over reliance on the therapist. The fourth theme ‘power’, indicated that participants recognised the influence of power in therapy and in general felt empowerment was an appropriate therapeutic goal.
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Thompson, Colette, and University of Lethbridge Faculty of Education. "Clients' perceptions of the therapeutic relationship and its role in outcome." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 2003, 2003. http://hdl.handle.net/10133/206.
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Psychotherapy research indicates that the therapeutic relationship influences counselling outcome, though the mechanism by which relationship contributes to change is unkown. This study investigated clients' preceptions of the therapeutic relationship and its role in their change processes. Twelve clients at college based counselling centres were interviewed using a semi-structured interview format. The qualitative data obtained in this study was coded and analyzed using grounded theory methodology. A grounded theory was generated, identifying two core categories and five related categories. The theory provides a detailed model of change that highlights the complexities of the therapeutic relationship. Similarities between the theory generated from the data and principles of attachment theory are discussed.xii, 131 leaves ; 29 cm.
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Tellides, Catherine. "The manifestation of transference in the formation of the therapeutic relationship /." Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=102828.
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Across a number of theoretical orientations, the manifestation and working through of clients' central relationship patterns is considered to be an important aspect of psychotherapy process. The Core Conflictual Relationship Theme (CCRT) method was developed as an operationalization of transference, or the transfer of an individual's core relational schemas across relationships. Studies of therapeutic transference using pathological client samples have shown that there is some overlap between clients' relationship patterns with others and those that emerge with the therapist. The main objectives of the present research was to extend the study of therapeutic transference to therapies with high-functioning clients and to improve the methodology used in transference research by exploring an alternate method of collecting client narratives about their relationship with the therapist.The first study explored the manifestation of transference with high-functioning clients in early sessions. Factor analyses of Wish (W), Response of Other (RO) and Response of Self (RS) components of the CCRT were conducted to examine the relationship between client relational themes with significant others and client relational themes with the therapist. Findings within the Wish (W) and Response of Other (RO) components indicated a complementary pattern of relating in which the therapist was idealized and others were devalued, and findings within the RS component indicated a concordant relational transfer, in which clients had a negative response to both the therapist and others. Additionally, control issues emerged in the W component for significant others and in the RS component for the therapist.
The second study addressed methodological limitations found in previous studies by drawing therapist narratives from a Participant Critical Event (PCE) interview rather than from psychotherapy sessions. In the PCE interview, client narratives about the therapist are not constrained by the presence of the therapist, resulting in a greater availability of potentially more candid descriptions of the therapeutic relationship. Factor analyses for the W and RO components indicated a complementary pattern of relating, in which the therapist was devalued and others were idealized, and findings for the RS component indicate a concordant relational transfer, in which clients felt bad with both the therapist and others. Additionally, the factor structure of the W and RO components suggests that as clients experience control issues with significant others, they wish to adopt a submissive stance toward the therapist.
Although both studies yielded a similar overall pattern of complementary and concordant transference, there was an inversion in the valence of the complementary transference; in the first study, therapists were idealized and significant others were devalued while in the second study, therapists were devalued and others were idealized. Since the source of therapist narratives was the single greatest methodological difference between the two studies, the inversion in the findings could reasonably be attributed to the source of therapist narratives. Taken together, the results of these two studies suggest that the source of relational narratives is an important consideration in the study of relationship patterns. Clinical and research implications are discussed.
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Lawlor, Caroline. "Trust and paranoia in the therapeutic relationship in CBT : therapists' perspectives." Thesis, University of London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542380.
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McGurie-Snieckus, Rebecca. "Understanding and assessing the therapeutic relationship in community mental health care." Thesis, Queen Mary, University of London, 2006. http://qmro.qmul.ac.uk/xmlui/handle/123456789/1773.
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The clinician-patient relationship is at the core of community mental health care and impacts on outcome, but no instrument has been specifically developed for its assessmentE. xisting scalesh ave either unproven psychometric properties in community mental health care settings, or have been designed for other therapeutic settings, or both. My aim in this thesis is to develop a scale to assess the therapeutic relationship in community mental health care (STAR) that has both clinician and patient versions. In part one, understanding the therapeutic relationship in community care, I considered the rationale for mental health care in the community and explore theoretical presuppositions, pre-existing measures, and influences on the therapeutic relationship. In part two, assessing the therapeutic relationship in community care, I developed an assessment tool in four stages. In stage one I generated an item pool using semi-structured interviews and existing scales. In stage two I administered this item pool to 133 community care patients and their 26 clinicians. I constructed subscales based on principal components analyses. In stage three, for final item selection, I assessed retest-reliability. In stage four the scales were administered to a new sample of 180 patients and their 84 clinicians. The factorial structure of the scale was confirmed with a good fit. The end result is both a patient and clinician version of STAR which has 12 items comprising 3 subscales: positive collaboration (6 items) and positive clinician input (3 items) in both versions, non-supportive clinician input in the patient version and emotional difficulties in the clinician version (3 items each). Psychometric properties are satisfactory. STAR is a specifically developed, brief scale to assess therapeutic relationships in community care. The two versions cover three similar factors each, and may be used in research and routine care.
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Cherry-Swaine, Janine. "What is the impact of intermittent strabismus upon the therapeutic relationship?" Thesis, University of East London, 2014. http://roar.uel.ac.uk/4740/.
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This study asks: ‘How does intermittent strabismus impact upon the therapeutic relationship?’ A template organising style has been used to analyse child psychotherapy process records of children who suffer from intermittent strabismus during assessments for child psychotherapy. The research utilises ideas from the field of ophthalmology in order to assist in the development of a psychotherapeutic understanding of this condition. The themes that emerge from the analysis of the clinical data, together with an exploration of the relevant ophthalmic, psychoanalytic, and child development literature, have elaborated how intermittent strabismus might influence the transference and counter-transference, in a way that potentially promotes a fragmentary quality of emotional relatedness. It is suggested that this may challenge the child’s ability to maintain their relationship with the external world. It also illustrates, thematically, how child psychotherapists might respond to this negative influence by emphasising their own visual reciprocity, thereby aiding the child’s visual and emotional coherence. Also, when they do this, it might appear to correspond with the child’s ability to explore both their inner and outer environment reflectively. It is suggested that the findings might beneficially influence practice within the consulting room.
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Robins, Daniel. "An exploration of the relationship between therapeutic competence and clinical outcome." Thesis, University of Oxford, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.404216.
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Lewis, Sarah. "Understanding and unraveling the therapeutic correctional relationship, using a participatory approach." Thesis, University of Portsmouth, 2014. https://researchportal.port.ac.uk/portal/en/theses/understanding-and-unraveling-the-therapeutic-correctional-relationship-using-a-participatory-approach(c50098c1-d09c-4f17-b07a-bd82079df328).html.
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This thesis examines how relationships that promote behavioural change are conceptualised and de-constructed within Probation practice in England and Wales, investigating the relational narrative and temporary tears in the relationship (ruptures). The project embraces a participatory approach, involving probationers1 and practitioners within the design, implementation and analysis of the research to acknowledge the benefits of listening to the “offender voice” within relational research. Seventeen Probation practitioners participated in focus groups and eighteen probationer interviews were undertaken, with the use of visual aids to enhance engagement. In light of the findings, the Dynamic Model of Therapeutic Correctional Relationships (TCRs) is presented to conceptualise TCRs, through an examination of its mechanisms. The relational narrative is de-constructed and five stages emerged from the data, these being; relational pre-conceptions, activating the TCR, developing the TCR, sustaining/maintaining the TCR and preparing to end the TCR. During each stage, it was found that certain aspects of practice could promote the development of TCRs over time. Finally, the findings suggest that relational ruptures exist within Probation practice and the management of ruptures are addressed through a set of principles. These principles promote the reparation of ruptures through acknowledgement, action, reflection and review. This thesis concludes with the proposal that practitioners need to “play‖ a new relational ―game” within Probation practice, to encourage the development of TCRs and support the processes of change.
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Hollywell, Emma. "Genuinely caring : compassion and the healing nature of the therapeutic relationship." Thesis, City University London, 2015. http://openaccess.city.ac.uk/14549/.
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Compassion is frequently discussed in relation to nursing. However, to date, research in this area has been largely theoretical, and empirical investigation has been limited. This qualitative study aimed to construct an understanding of the nature of compassion in nursing and what makes it possible, in order to address the paucity of research and lack of consensus in this field. Semi-structured interviews were conducted with six nurses and six patients across three hospital departments, with the resulting data systematically analysed and categorised in accordance with principles of constructivist grounded theory. This study has facilitated a broad and multifaceted understanding of the construct of compassion, which emphasised the delicate interpersonal nature of compassionate care that occurs between the nurse and patient. Study findings suggest some factors that inhibit and facilitate compassion which play a powerful role in a nurse’s ability to care compassionately. The findings of the present study challenge the suggestion that feelings-based care practices for patients should be abandoned in favour of etiquette-based approaches; it also contests contemporary wisdom that the best cost-effective measures are achieved through driving for efficiencies. Suggestions are made regarding the role of counselling psychology in supporting the emergence of compassion in healthcare and implications for nursing practice and future research directions are explored.
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Morrison, Tricia L. "Working Alliance and Functional Outcomes in an Occupational Therapy Intervention: A Cross Case Analysis." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/22765.
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This is the first known occupational therapy (OT) study to examine the emergent patterns of the client-therapist working alliance during the course of a community-based OT intervention. The experiences of both the adult client and OT in each of four dyads are explored and described as they relate to the evolution of the alliance over time and the impacting contextual factors. These experiences were considered alongside the therapy outcomes. Mixed methods, including quantitative scales and interviews, were used in this multiple-case study situated within a pragmatism paradigm. Individual case and cross case analyses were conducted leading to the identification of eleven cross case themes. These findings suggest that the interpersonal relationship between a client and OT develops with the goal of becoming a safe harbour for the clients. The strengthening interpersonal bond appears to create an impetus within the client to engage in therapeutic activities. This enticed engagement results in the client’s performance of novel activity purposefully selected by the OT as bearing personal meaning for the client. The clients’ engagement often results in enhanced insight into their abilities and meaningful functional gains. This success appears to reinforce and energize both the momentum toward the collaboratively-established therapy goals, as well as provides a positive feedback mechanism into the working alliance. The OT’s training, philosophy and skill, client’s attributes, and environmental influences (both physical and social) all appear to have potential implications upon the working alliance’s development and/or the therapeutic achievements. Further research will be needed to confirm or disconfirm these findings and may include further study with variable client populations (e.g., different ages, different conditions), the role of humour in the therapeutic process, the impact of client’s degree of social isolation on the alliance, as well therapists’ disparate levels of use-of-self and the related impacts upon the alliance.
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Thayer, Stephen D. "The Validity of the Group Questionnaire: Construct Clarity or Construct Drift?" BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3527.
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The Group Questionnaire (GQ) is a recently developed measure of the quality of the therapeutic relationship in group treatment. Its 3 subscales-Positive Bonding Relationship, Positive Working Relationship, and Negative Relationship-are taken from a 3-factor conceptualization of the group therapeutic relationship (Johnson et al., 2005). The purpose of the present study was to estimate the GQ's construct and criterion-related validity by 1) replicating the aforementioned factor structure with a similar sample and by 2) correlating the GQ with the measures from which is was derived (i.e., Working Alliance Inventory, Burns Empathy Scale, Therapeutic Factors Inventory, Group Climate Questionnaire) and to 3) explore the GQ's ability to measure relationship quality at member-member, member-leader, and member-group structural relationship levels using a sociometric test. Two hundred and ninety participants were recruited from 65 treatment groups at 4 university counseling centers and 1 community mental health clinic. Confirmatory factor analysis (CFA) fit indexes from both single- and multiple-level analyses met standards for acceptable model fit. Intraclass correlation coefficients (ICC) suggested the GQ is sensitive to group level processes. Therefore, the Johnson et al. (2005) 3-factor model was successfully replicated and the GQ's construct validity supported. Pearson product-moment (r) and Spearman's rank (ρ) correlation coefficients were sufficiently high to lend support for the GQ's criterion-related validity. Sociometric exploration yielded moderate support for the GQ's ability to access the structural parameters of group therapeutic relationships. The present study's findings suggest the GQ is an empirically valid, clinically useful measure of the quality of the group therapeutic relationship.
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Feivik, Erica, and Andreas Backman. "Namibian nurses experience of patients adherence to the treatment plan : an empirical study of nurses work related to patients diagnosed with multi drug resistant Tuberculosis." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-9111.
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Background: A low adherence is one of the reasons for the development of drug resistant Tuberculosis. One of the identified factors connected to adherence is the relations between health care personal and patient. Nurses all over the world daily work close to the patient supporting them to achieve a high adherence to their treatment plan. Still there is an underrepresentation in a scientific view of exploring and evaluating this preformed work. Aim: The aim of this study wad to explore how the Namibian nurses experienced adherence to treatment in patients diagnosed with multidrug-resistant tuberculosis. Method: A qualitative research technic was used to collect data. The interview questions were constructed in a semi-structure with partly opened questions. The data was analysed with Graneheim and Lundman (2004) analysis model. Result: Strategies that was used by the nurses to enable a high adherence was providing information, counselling and education to the patient together with a practical support of delegating DOTS and providing the patient with medicine. There was a divided opinion on how to communicate with the patient depending on the nurse fundamental view of adherence. A doctor centred view resulted in a one way communication by informing the patient. A patient centred view of adherence resulted in a two way communication when the nurse aimed to learn about the patient own point of views. Conclusion: To enable a high adherence there has to be a two way communication which demands high communicational skills from the nurse.
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Lutz, Michaela M. A. "A therapeutic relationship? : an interpretative phenomenological analysis exploring aikido practitioners' perspectives on their relationship with their instructor." Thesis, London Metropolitan University, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.590121.
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The Oriental martial arts have been described as systems of personal development that share commonalities with Eastern-inspired strands of psychotherapy. Within psychotherapy and beyond the therapeutic relationship is a major vehicle for psychological change; it is an important focus of psychological research and occupies a key role in counselling psychology. In contrast, the role and importance of the student-instructor relationship in martial arts for practitioners' personal development has not yet been investigated. This study is a qualitative investigation of senior aikido practitioners' experiences of their relationship with their instructor. It sought to explore how practitioners perceive their relationship with the instructor, how they evaluate its significance with respect to everyday life and personal development, and what aspects of the relationship they perceive as facilitative or problematic for personal development. Semi-structured interviews with eight practitioners were analysed using Interpretative Phenomenological Analysis (IPA). Practitioners evaluated the relationship with their instructor as central to their practice and important for their personal development and daily life. They reported several facilitative instructor qualities and stances, conceptualised as credibility; empathy and attentiveness; facilitating self-governance; and maintaining boundaries. Practitioners experienced the instructor as providing guidance, role modelling, challenge and containment, and described a process of applying learning through internalising a mental representation of the instructor. Other facilitative aspects in their development were the cultural and social context of training and the embodied nature of learning. The study discusses similarities and differences between the student-instructor relationship in martial arts and the client-therapist relationship in counselling psychology and psychotherapy. The present insights highlight the therapeutic utility of relationship arrangements outside the sphere of traditional psychotherapy. This is relevant to counselling psychologists in three ways: by providing a novel angle from which to explore our clinical practice; by challenging our conception of what constitutes a therapeutic relationship; and by identifying ways in which non-therapy developmentally facilitative arrangements could be used to enhance growth and wellbeing.
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Guregård, Suzanne. "Open dialogue across cultures : establishing a therapeutic relationship with the refugee family." Thesis, University of East London, 2009. http://roar.uel.ac.uk/3747/.
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The thesis describes a detailed investigation into the quality of meetings between Swedish therapists and refugee families, and how this is affected by language and culture differences. In a series of books and papers under the heading, "OpenDialogue", the Finnish psychologist Jaakko Seikkula and his colleague have written about the importance ofdialogical quality in meetings with psychiatric patients. This Open Dialogue perspective was adopted in the research, particularly by using Dialogical Sequence Analysis (DSA), the method of text analysis as developed by Seikkula and his colleagues. The Thesis examines the first two or three meetings (but in one case, the eighth) between six refugee families from different homelands and three sets of experienced therapists, asking whether the talk was dialogical and led to some form of new understanding. It also asks whether DSA is an appropriate method of text analysis for such meetings, and by extension, how far the Open Dialogue (OD) approach is appropriate. A multi-perspective methodology was used, combining DSA, video-reflections - the interactive use of video-recordings, and interviews with the families concerned. Graphic display of DSA outputs turned out to be a valuable method for comparing meeting quality. The display showed that "new understanding" developed in these meetings under similar conditions predicted by DSA for psychotic patients. Statistical analysis also showed substantial agreement between DSA assessments of meeting quality and those made by the participating therapists. Thematic analysis of the video-reflections complemented the DSA by revealing more about the non-verbal aspects of the meetings, embodying the feelings of the participants. Interviews with the families gave their feedback on the meetings. The conclusions of the research are that the OD approach is highly appropriate, although therapists sometimes need to use more initiative than OD would suggest. The cross-cultural obstacles to dialogue were seldom the obvious ones of misunderstanding, but inhibitions on both sides and difficulties of achieving spontaneity through an interpreter. Given these obstacles, the dialogical quality turned out to be high though uneven, whether assessed by DSA or by the therapists concerned. Most families were also positive about the meetings. Guidelines emerge from the research that should improve the quality of meetings with refugee families, and strengthen the development of a therapeutic alliance.
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Powell, Nicola Juliette. "The potential of the therapeutic relationship in dealing with learning disabled children." Thesis, Pretoria : [S.n.], 2004. http://upetd.up.ac.za/thesis/available/etd-06152005-154202/.
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Venter, Johannes Philippus. "(Re)construction in progress a social constructionist reification of the therapeutic relationship /." Diss., Pretoria : [s.n.], 2003. http://upetd.up.ac.za/thesis/available/etd-10132004-111824.
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Muller, Ingrid. "The therapeutic relationship in remote support for self management of chronic dizziness." Thesis, University of Southampton, 2012. https://eprints.soton.ac.uk/358930/.
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Telephone-delivered therapy is often used to deliver support as it can help overcome barriers that may previously have prevented patients with chronic illness from accessing key services. Very little research has looked at the therapeutic relationship during telephone support for people self-managing a chronic illness. the empirical work in this thesis is nested within a randomised controlled trial (RCT) of self-management of chronic dizziness, a condition that can be debilitating with serious consequences. This thesis explored the role of the therapeutic relationship during telephone support for using booklet-based vestibular rehabilitation (VR) to self-manage chronic dizziness. A meta-analysis of telephone delivered therapy for chronic illness was conducted to examine whether or not telephone therapy can affect physical health outcomes. Eight RCTs (1093 patients) were included, and the results found that telephone delivered therapy significantly improved physical health outcomes in people with chronic illness (d = 0.225, 95% Cl = 0.105, 0.344). A qualitative study of people's experiences of self-managing chronic dizziness using booklet-based VR with or without telephone support (n=33) identified themes characterising people's experiences, thoughts and feelings about these models of VR delivery. Findings indicated that participants valued telephone support. Quantitative analysis examining predicators of outcome (n=112) found that the therapeutic relationship predicted change in handicap, and was related to greater enablement, although it was not related to change in dizziness symptoms. A final mixed methods study aimed to evaluate the development of the therapeutic relationship using Roter Interaction Analysis System to examine recorded therapy sessions. This study found patient centredness during therapy to be related to the therapeutic relationship. Exploratory analyses indentified specific features of patient-centredness that may be related to better and worse alliance. A qualitative analysis of high and low patient centred therapy sessions found that high patient centredness sessions were more likely to include general chat, encouragement, reassurance, and therapists were more responsive to participant cues. Low patient centred sessions were more likely to include participant concerns and therapists not responding to participant cues. This thesis indentified a number of potential elements of telephone support that may be important for the development of the therapeutic relationship in patients self-managing dizziness.
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Tsalavouta, Konstantina. "The online therapeutic relationship : examining tradeoffs between convenience and depth of engagement." Thesis, University of East London, 2013. http://roar.uel.ac.uk/3481/.
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This qualitative, phenomenological study gathered data from ten online therapists in order to answer the following questions: How do online practitioners/therapists experience the therapeutic relationship with their clients online? How do online practitioners experience the process of developing and maintaining the therapeutic relationship with the clients online? Semi-structured interviews were conducted via Skype with a sample of nine online therapists and analyzed by means of interpretative phenomenological analysis (IPA). The main finding of the study was that there was a trade-off between depth of and convenience in online therapy. The loss of physical presence affected both the therapeutic relationship and the therapeutic alliance in ways that required therapists to be more mindful of how to structure the relationship, and build the alliance, in a manner that compensated for the shortcomings of the online medium. As such, it was concluded that online therapy is most appropriate for less complex clinical problems in which the online medium poses fewer risks to the either the therapeutic relationship or the therapeutic alliance.
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Davis, Jeffrey J. "The working alliance and internalization of the relationship in psychotherapy /." free to MU campus, to others for purchase, 1996. http://wwwlib.umi.com/cr/mo/fullcit?p9737908.
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Ting, Mo-sin Queenie, and 丁慕仙. "The relationship between calcium channel blockers and endothelial inflammation." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B45011485.
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