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Between Therapist and Client

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found that when therapists and clients agreed in their recollections of which session events were important, psychotherapy sessions were generally rated as more effective by both clients and therapists. The Chapter about obstructive (complimentary) and useful (concordant) countertransference confused me. Because clients will be more likely to perceive and explain their own psychopathology in terms of their own modality functioning, 24 this would suggest that when clients and therapists are similar in their modality functioning, clients will perceive the psychotherapeutic interventions used as being more “on target” and thus more effective and pertinent in treating their issues. So I guess this means it was written for trainees like me and it put me to sleep several times (just as basic Freud did).

The surprising aspect was that it was the older, more experienced therapists who were more likely to have clients leave therapy prior to the twelfth session. Great overview of Freud, Gill, and Kohut with an eye toward the practical implications within a practice. See their chapter 9 for a comprehensive discussion of therapist–client personal and personality matching in the optimization of psychotherapy outcome. Therefore, the more similar the client–therapist dyad, the greater the likelihood of the communication being clear and readily understood.

Beginning with Freud's discovery of transference, Kahn traces the history of the clinical relationship from Carl Rogers' introduction of humanistic concerns through Merton Gill's theory and technique of transference analysis, to the pioneering work of Heinz Kohut, who has most successfully brought together psychoanalytic and humanistic thought. Purportedly, clients were unable to build rapport with highly dissimilar therapists and left therapy because of dissatisfaction. It isn't always the problems of the client creating friction and I think therapists often forget that. When therapists met with their next new client for the first time, they were instructed to explain the study and seek the client's consent for participation. Therapist–client similarity was not found to be predictive of clients' initial levels of psychopathology in analyses of intake GSI scores ( R = 0.

D. These seven spheres of functioning—Behaviors, Affects, Sensory, Imagery, Cognitions, Interpersonal, and “Drugs”/biological factors—either singly or in combination can explain fully the realm of human experience and functioning. This is consistent with findings that SPI scores corrected for elevation and scatter are not predictive of psychopathology. For years, two major schools of thought have strongly disagreed about what the nature of that relationship should be.If you read it as a client, it will give you great insight to how you can improve your relationship with your therapist and get the most out of your sessions. It was expected, given the work of Mendelson and Geller, 9 that therapist–client dissimilarity (D″ 2 scores) would predict dropout rates. Herman SM, Cave SK, Kooreman HE, et al: Predicting clients' perceptions of their symptomatology by Multimodal Structural Profile Inventory responses.

It therefore appears that when therapists and clients have similar modality structures, not only will session impact be experienced by clients as more positive, arousing, engaging, and deep, but also clients will be likely to achieve a greater degree of symptomatic relief. Regardless of the mechanism underlying the process, modality similarity between therapists and clients does appear to have a positive effect on the effectiveness of psychotherapy outcome. Multimodal therapy 19 explains human functioning in terms of seven independent yet interactive dimensions, referred to by the acronym BASIC-I. This is an excellent read for students and early professionals, or for those looking to incorporate experiential and analytic processes in their therapeutic work.from recent news from local tele-jornals, around 70% of the "pedófilos" of the world, are at the brazilian land! Overall I find that Kahn sets a realistic and honest view of how the therapeutic relationship should look like and which factors are important, he does that in a not too rigid way, which gives space for the particular character of a therapist himself. Roudebush Veterans Affairs Medical Center and the Indiana University Medical Center, Department of Psychiatry, Section of Psychology, Indianapolis, Indiana. Thus, an additional strength of the SPI is that it can be used to roughly measure the nature and severity of a client's clinical symptoms. Therapist–client similarity was determined through administration of the Multimodal Structural Profile Inventory, Version 3.

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