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Between Therapist and Client

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with larger numbers signifying greater differences between therapists and clients in modality functioning. Carl Rogers describes that it makes an effective therapist if he is genuine, empathic and in unconditional positive regard towards the client (other schools than the psychoanalyst, rather use the word client instead of patient). A professor emeritus at the University of California, Santa Cruz, he presently maintains a private practice and also trains psychotherapists as the director of a counseling center at the California Institute of Integral Studies in San Francisco. It helped me consolidate my understanding of the importance of empathy, transference and counter transference to therapeutic outcomes.

The surprising aspect was that it was the older, more experienced therapists who were more likely to have clients leave therapy prior to the twelfth session. Even studies that have shown the importance of client–therapist similarity have demonstrated that extreme similarity appears to be a deterrent to successful psychotherapeutic outcome for precisely this reason. Steer RA, Platt JJ, Rainert WF, et al: Relationships of SCL-90 profiles to methadone patients' psychosocial characteristics and treatment response. Because clients will be more likely to perceive and explain their own psychopathology in terms of their own modality functioning, 24 this would suggest that when clients and therapists are similar in their modality functioning, clients will perceive the psychotherapeutic interventions used as being more “on target” and thus more effective and pertinent in treating their issues. D. These seven spheres of functioning—Behaviors, Affects, Sensory, Imagery, Cognitions, Interpersonal, and “Drugs”/biological factors—either singly or in combination can explain fully the realm of human experience and functioning.

The Multimodal SPI 19 , 22 – 24 , 26 , 28 , 36 is a 35-item self-report questionnaire that asks clients to rate their perceptions of their modality functioning according to a seven-point Likert scale. It therefore appears that when therapists and clients have similar modality structures, not only will session impact be experienced by clients as more positive, arousing, engaging, and deep, but also clients will be likely to achieve a greater degree of symptomatic relief. In a sense one could say there are two clients in the room, both with their templates, with one that hopefully is a bit more aware of it. The book extensively deals with the topic of transference (discovered by Freud) and the various sources of countertransference.

In Kohut’s view there are three strong needs that must be fulfilled to develop the self fully: the need to be ‘mirrored’ , the need to idealize and the need to be like others. They are keenly aware of smells, tastes, sights, kinesthetics, and sounds, similar to the conceptualization of the strongly right brain–dominant individual. The author has such a wonderful way of explaining things in an accessible, interesting and thought-provoking way. When analyses of variance were computed exploring the relationships with the length of treatment (the number of sessions attended by the client), there was a surprising finding that the age of the therapist ( F = 6.Modality scores (corrected for elevation) are then corrected for “scatter” by dividing them by the standard deviation of the modality scores (e. Herman 23 has already demonstrated that when therapists and clients differ in their modality structures, early psychotherapy impact suffers. The Structural Profile was originally a verbally administered tool 25 that consisted of describing the seven modalities and requesting the client's self-rating for each. Reading it for a program in which I am enrolled at John Carroll University in counseling and spiritual wellness. However, this study did not follow therapy process, only outcome, and thus this conclusion cannot be drawn from the results of this study.

g., “In making a decision, I often let my emotions be the key factor in determining what I should do”), Sensation, Imagery (e. The conclusions of this study may seem to be somewhat attenuated and artificial because a measurement after 12 sessions was defined as “outcome. According to the theory and clinical observation of multimodal theory, 19 , 20 one's “dominant modality” (having the highest score on the Structural Profile Inventory [SPI]) will be the sphere of functioning in which one will be most likely to react, especially in times of stress.Recently, however, the beginnings of a reconciliation between these traditions have opened new possibilities for the way therapists relate to clients. This is an excellent read for students and early professionals, or for those looking to incorporate experiential and analytic processes in their therapeutic work. Because only 19 outcome packets were collected, it was determined that there were insufficient data for these nine separate analyses.

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