1.
The therapeutic
relationship is complex and multidimensional, and it includes the contributions
of both the therapist and the patient.
2.
All
therapeutic relationships may be seen as consisting of three interlocking
components: a real relationship, a working alliance, and a
transference–countertransference configuration.
3.
Techniques and
the relationship go hand in hand, each affecting the other and at times being
part of the other.
4.
The preservation
and strengthening of the working alliance should take center stage from the
very beginning of treatment.
5.
What may be
termed a real or personal relationship exists from the first moment of contact
between therapists and patients and must be attended to by therapists if
treatment is to have its maximal impact.
6.
Empathy, caring,
and affirmation are key elements of successful treatments of all theoretical
persuasions.
7.
Within the
context of empathy, caring, and affirmation, therapy is most successful when
the therapist maintains a stance of benevolent neutrality.
8.
Transference
exists in all relationships and may be for better or worse, depending on its
nature and intensity, as well as how the therapist responds to it.
9.
Countertransference
can be for better or worse, depending upon how the therapist manages it.
10.
Intense therapist
affects are present in some therapeutic relationships and must be acknowledged
and understood if they are to help rather than hinder treatment.
11.
There is more
Chap 7: Good Therapist, Good Relationship A
Summing Up
Gelso, Charles J.. The Therapeutic Relationship in
Psychotherapy Practice: An Integrative Perspective (pp. 140-154). Taylor and
Francis. Kindle edition.
