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I expect that my therapist to be Of course mycompassionate listener professional role as a who will address their therapist implies concerns in a reserving personal reasonable and non judgment and focusing on biased manner. patients needs.
Do your friends or family ever seem to be exasperated orshort-tempered with Lets talk about some you? possible triggers for that.
A contemporary collaboration includean active exchange of information and shared decision making.
The therapist is reasonable for structuring both individual session andthe therapy as a whole, this objective can only be achieved with active input and feedback from the patient.This important process of negotiation between patient and therapist (Safran & Muran, 2000) is more than superficialconsensus; it is both a necessary condition and an intrinsic part of a change process.
With other patients, more specificeffort is needed because there areparticular problems in therapeutic collaboration.
Two types of problematic collaboration1. Passive Noncollaboration- may stem from low expectations for success.2. Active Avoidance- suggests negative, personalized meaning such as distrust of therapy or externalized blame.
To avoid problems in collaboration How do you feel about your Frustrated. I want progress so far in overcoming your anxiety and to be a lot further doing things are difficult for along. you to do?
Nothing really, but I think I need someone to force meWhat do you think has gotten to do what is difficult. Im notin your way, or held you back? very good at disciplining myself, and I need a demanding taskmaster to make me do what I don’t want to do.
Id like to hear about your homework, which if I remember correctly, was to schedule an hour for doing something just for yourself Well, I thought about that you might enjoy. We discussed some the assignment a lot, ideas, as I recall. Were I able to try out any but didn’t actually do of the things we considered, or did you try anything something completely different?
That sounds like someimportant cognitive work. Okay, but I don’tCan we talk further about that? know what there is to talk about. I didn’t do anything
That’s okay; what is important is to Yeah, there was. I really sort of understand your thought process. wanted to do something justCan you tell me about your internal for me. The idea soundedconversation about this idea? Was good, like something I never there sort of a back-and-forth do. I even called and deliberation? scheduled an appointment at a nail salon to get a pedicure and was looking forward to a nice treat.
There is a coffee shop next to the salon, and I was going to get one of those delicious caramel frappachinos and just relax and enjoy being pampered for a little bit. But then I realized that I would be taking time away from my family and spending money on myself, and I just didn’t feel right about it. I guess I felt that taking time for me was going to turn me into one of those selfish, uncaring, “high maintenance” types and Ijust couldn’t do it. If I took that time for myself, I felt like I would be letting my family down. So I spent the afternoon ironing clothes instead.
I noticed you winced just then, and seemed a bitagitated. Was there something Actually, I was feeling that crossed your mind just irritated. then?
Well, I don’t likeWas the irritation related answering question. I to the topic we are feel uncomfortable discussing, or possibly trying to put my something in my feelings into words. I manner? wish you already know what is bothering me
I really appreciate your effort to be thorough in telling me howyou are doing.I want to ensure that we stay productively focused, but it’s a littlehard to do that and take everything in. I’d like to check out apossibility with you that might help us be more efficient.Do you think that it is necessary for me to know everything thathas happened to fully understand and help you? Is that maybeone reason why you work so hard to tell me everything?
Well, yes. I don’t reallyknow what is important. So I need to get all the information to you so that So your assumption is that I you can figure out how to need to know everything so that solve my problems. I can figure out the solution to your problems.
Yes. Is that strategy working very well so far?
Not really. I’m workingreally hard and I haven’t really gotten to hear How about if we considerwhat you think I should some different ideas about do yet. how to make our work more productive?
Five Indications of a GoodWorking Relationship1. There is a desire to have contact.2. Information is shared.3. Positive affect is expressed.4. Sense of teamwork.5. Negative sentiment is productive.