Abstract
Chapter 7: “An Integrative Approach to Therapeutic Relationships” addresses the question of therapeutic relationships from different perspectives. Data shows that a relationship between therapist and client can be a key factor in therapeutic outcome, no matter what type of therapy a clinician is practicing. This chapter will look at this material to discuss what types of relationships lead to change in clients with different diagnoses and presenting problems. Bringing together numerous theories, evidence from research, and clinical material, this chapter addresses the important and often confusing question of whether it will be more helpful to encourage a client talk about the therapeutic relationship or to allow it unfold, undiscussed, as a background presence. Further discussion of the key concepts of “detailed inquiry” and “small steps” is presented in this chapter.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Aron, L. (1991). The patient’s experience of the analyst’s subjectivity. Psychoanalytic Dialogues, 1, 29–51.
Aron, L. (1996). A meeting of the minds: Mutuality in psychoanalysis. Hillsdale, NJ: Analytic Press.
Bacal, H., & Herzog, B. (2003). Specificity theory and optimal responsiveness: An outline. Psychoanalytic Psychology, 20, 635–648.
Barth, F. D. (2008). Hidden eating disorders: Attachment and affect regulation. Clinical Social Work Journal, 36, 355–365.
Basch, M. F. (1980). Doing psychotherapy. New York: Basic Books.
Bloomgarden, A. (2000). Therapist’s self disclosure and genuine caring: Where do they belong in the therapeutic relationship? Eating Disorders: The Journal of Treatment and Prevention, 8, 347–352.
Bollas, C. (1989). The shadow of the object. New York: Columbia University Press.
Boston Change Process Study Group. (2005). The “something more” than interpretation revisited: Sloppiness and co-creativity in the psychoanalytic encounter. Journal of the American Psychoanalytic Association, 53, 693–729.
Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. London: Routledge.
Bromberg, P. (2001). Standing in the spaces: Essays on clinical process, trauma and dissociation. London: Routledge.
Connors, M. (2006). Symptom-focused dynamic psychotherapy. Hillsdale, NJ: Analytic Press.
Connors, M. (2011). Integrative symptom-focused dynamic psychotherapy. The Clinical Social Work Journal, 39, 122–131.
Davies, J. M. (2002). Whose bad objects are these anyway? Repetition and our elusive love affair with evil. Presented at meeting of international association for relational psychoanalysis and psychotherapy, January, New York.
Davies, J. M. (2006). The times we sizzle, and the times we sigh: The multiple erotics of arousal, anticipation and release. Psychoanalytic Dialogues, 16, 665–686.
Eagle, M. N. (2000). A critical evaluation of current conceptions of transference and countertransference. Psychoanalytic Psychology, 17, 24–37.
Feiner, A., & Epstein, L. (1993). Countertransference: The therapists’s contribution to the therapeutic situation. Hillsdale, NJ: Jason Aronson, Inc.
Fonagy, P., Gyorgy, G., Jurist, E., & Target, M. (2003). Affect regulation, mentalization and the development of the self. London: Karnac Books.
Frank, K. A. (1999). Psychoanalytic participation: Action, interaction, and integration. London: Routledge.
Frank, K. A. (2004). The analyst’s trust and therapeutic action. Psychoanalytic Quarterly, LXXIII, 335–378.
Frank, K. A. (2005). Toward conceptualizing the personal relationship in therapeutic action: Beyond the “real” relationship. Psychoanalytic Perspectives, 3(1), 15–56.
Gabbard, G. O., & Lester, E. (1995). Boundaries and boundary violations in psychoanalysis. New York: Basic Books.
Gerson, B. (2001). The therapist as a person: Life crises, life choices, life experiences, and their effects on treatment. London: Routledge.
Goldstein, E. (1994). Self-disclosure in treatment: What therapists do and don’t talk about. Clinical Social Work Journal, 22, 417–433.
Goldstein, E. (1999). Chapter 3: Integrative short-term treatment of the borderline patient. Psychoanalytic Social Work, 6, 87–111.
Goldstein, E. (2007). When midlife therapists treat midlife patients: Challenges to empathic attunement. Psychoanalytic Social Work, 14, 3–14.
Goodman, G. (2013). Is mentalization a common process factor in transference-focused psychotherapy and dialectical behavior therapy sessions? Journal of Psychotherapy Integration, 25, 179–192.
Greenberg, J. (1991). Oedipus and beyond: A clinical theory. Cambridge, MA: Harvard University Press.
Hausner, R. (2000). The therapeutic and working alliances. Journal of the American Psychoanalytic Association, 48, 155–187.
Hoffman, I. (1998). Ritual and spontaneity in the psychoanalytic process: A dialectical constructivist perspective. London: Routledge.
Johnson, C. (1999). Been there—done that: The use of clinicians with personal recovery in the treatment of eating disorders. Presented at the annual meeting of the academy of eating disorders, San Diego, CA.
Kohut, H. (1971). Analysis of the self: Systematic approach to treatment of narcissistic personality disorders. New York: International Universities Press.
Kohut, H. (1977). The restoration of the self. New York: International Universities Press.
Kohut, H. (1984). How does analysis cure? Chicago: Chicago University Press.
Leichsenring, F. (2005). Are psychodynamic and psychoanalytic therapies effective? A review of empirical data. International Journal of Psycho-Analysis, 86, 841–868.
McWilliams, N. (2004). Psychoanalytic psychotherapy: A practitioner’s guide. New York: The Guilford Press.
Meissner, W. (2007a). Mind, brain, and self in psychoanalysis: Therapeutic implications of the mind-body relation. Psychoanalytic Psychology, 24, 333–354.
Meissner, W. (2007b). Therapeutic alliance. Psychoanalytic Psychology, 24, 231–254.
Mitchell, S. (1999). Attachment theory and the psychoanalytic tradition: Reflections on human relationality. Psychoanalytic Dialogues, 9, 85–107.
National Institute of Mental Health. (2013). What is psychotherapy? Retrieved November 13, 2012, from http://www.nimh.nih.gov/health/topics/psychotherapies/index.shtm
Norcross, J. (2002). Psychotherapy relationships that work: Therapist contributions and responsiveness to patients. London: Oxford University Press.
Novick, K., & Novick, J. (1998). An application of the concept of the therapeutic alliance to sadomasochistic pathology. Journal of the American Psychoanalytic Association, 46, 813–846.
Novick, J., & Novick, K. (2006). Good goodbyes: Knowing how to end in psychotherapy and psychoanalysis. Hillsdale, NJ: Jason Aronson, Inc.
Parish, M., & Eagle, M. N. (2003). Attachment to the therapist. Psychoanalytic Psychology, 20, 271–286.
Renik, O. (2006). Practical psychoanalysis for therapists and patients. New York: Other Press.
Roth, A., & Fonagy, P. (1996). What works for whom: A critical review of psychotherapy research. New York: The Guilford Press.
Rustin, J. (2012). Infant research and neuroscience at work in psychotherapy: Expanding the clinical repertoire. New York: W.W. Norton.
Schore, A. (2003). Affect regulation and repair of the self. New York: W.W. Norton.
Siegel, D. (1999). The developing mind: Toward a neurobiology of interpersonal experience. New York: The Guilford Books.
Silverman, D. (1998). The tie that binds: Affect regulation, attachment, and psychoanalysis. Psychoanalytic Psychology, 15, 187–212.
Sonne, S., & Brady, K. (2002). Bipolar disorder and alcoholism. Retrieved June 1, 2013, from http://pubs.niaaa.nih.gov/publications/arh26-2/103-108.htm
Stern, D. N. (1985). The interpersonal world of the human infant: A view from psychoanalysis and developmental psychology. New York: Basic Books.
The Boston Change Process Study Group. (2010). Change in psychotherapy: A unifying paradigm. New York: W.W. Norton.
Thompson-Brenner, H., Satir, D., Franko, D., & Herzog, D. (2012). Clinician reactions to patients with eating disorders: A review of the literature. Psychiatric Services, 63, 73–78. doi:10.1176/appi.ps.201100050.
Tosone, C., Nuttman-Schwartz, O., & Stephens, T. (2012). Shared trauma: When the professional is personal. The Clinical Social Work Journal, 40, 231–239.
Wachtel, P. (1997). Psychoanalysis, behavior therapy and the relational world. Washington, DC: American Psychological Association.
Wallerstein, R. (2000). Forty-two lives in treatment: A study of psychoanalysis and psychotherapy. New York: Other Press.
Wampold, B., & Brown, G. (2005). Estimating variability in out-comes attributable to therapists: A naturalistic study of outcomes in managed care. Journal of Consulting and Clinical Psychology, 73, 911–923.
Weiss, R., Kolodziej, M., Najavits, L., Greenfield, S. F., & Fucito, L. M. (2000). Utilization of psychosocial treatments by patients diagnosed with bipolar disorder and substance abuse. American Journal on Addictions, 9, 314–320.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Barth, F.D. (2014). An Integrative Approach to Therapeutic Relationships. In: Integrative Clinical Social Work Practice. Essential Clinical Social Work Series. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0351-1_7
Download citation
DOI: https://doi.org/10.1007/978-1-4939-0351-1_7
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-0350-4
Online ISBN: 978-1-4939-0351-1
eBook Packages: Humanities, Social Sciences and LawSocial Sciences (R0)