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Troubles in the therapeutic relationship: a pluralistic perspective
1Department of Psychology, Tel-Aviv University, Ramat-Aviv, Israel.
Journal of Clinical Psychology
|March 16, 2000
Summary
Troubled therapy relationships can be improved by addressing hopeless narratives, failing strategies, and ineffective interactions. A three-factor model guides critical interventions to restore the therapeutic alliance and productive routines.
Area of Science:
- Psychology
- Psychotherapy Research
Background:
- Therapeutic relationships often face challenges, with no single approach fitting all situations.
- Existing models may not fully capture the complexity of therapeutic impasses.
Purpose of the Study:
- To present a three-factor model for understanding and intervening in therapeutic impasses.
- To illustrate a method for restoring productive therapeutic routines and improving the working alliance.
Main Methods:
- Development of a three-factor model encompassing hopeless narratives, failing strategies, and ineffective interactions.
- Application of a critical intervention based on this model.
- Case study illustrations of the intervention's impact.
Main Results:
- The three-factor model provides a framework for analyzing therapeutic impasses.
- A critical intervention, though not a quick fix, can help re-establish a functional therapeutic process.
- Improved working alliances were observed post-intervention.
Conclusions:
- A pluralist approach acknowledges diverse therapeutic attitudes.
- The three-factor model offers a structured way to address and resolve therapeutic impasses.
- Restoring the therapeutic alliance is key to successful therapy outcomes.