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The Role of Safety in Change-Promoting Therapeutic Relationships: An Integrative Relational Approach
Martin Podolan1, Omar C G Gelo1,2
1Faculty of Psychotherapy Science, Sigmund Freud University, Vienna (Austria).
Clinical Neuropsychiatry
|November 14, 2024
Summary
Psychotherapy relies on a safe, dynamic relationship, not a static one. Adapting safety measures to individual needs fosters resilience and promotes therapeutic change across different approaches.
Area of Science:
- Psychology
- Psychotherapy Research
Background:
- The psychotherapeutic relationship is crucial for facilitating change.
- Safety within this relationship is a key, yet complex, factor.
Purpose of the Study:
- To explore transtheoretical principles of safety in psychotherapy.
- To identify school-independent relational and change-promoting aspects of safety.
Main Methods:
- Overview and synthesis of clinical-theoretical literature.
- Analysis of empirical research on safety in therapeutic relationships.
Main Results:
- Safety is a dynamic system involving therapist, client, and relationship, with homeostatic functions.
- A safe therapist fosters trust and an affective bond, but safety must be adaptive and personalized.
- Therapeutic safety requires calibration of intensity, timing, and scope, accommodating individual differences.
Conclusions:
- School-independent, safety-based relational principles are vital for psychotherapy.
- Understanding adaptive safety enhances psychotherapy practice, training, and research.
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