Counsellor behaviours that predict therapeutic alliance: From the client's perspective

Duff, Carlton T.; Bedi, Robinder P.

doi:10.1080/09515071003688165

Cited by 60 publications

(41 citation statements)

References 49 publications

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“…This study highlighted similarities to past research; that the interpersonal bond is imperative to the counselling process (Masdonati et al, 2009) and that specific verbal and non-verbal behaviours were identified as helping enhance the relationship when they were used appropriately (Duff and Bedi, 2010). For example, eye contact and having an open stance in session corroborate with Bedi and authors (2005) findings that facing the client squarely, openly and with eye contact is important to creating a positive bond.…”

Section: Discussionsupporting

confidence: 77%

Mature Students Speak Up: Career Exploration and the Working Alliance

Pott

2015

QRE

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This exploratory study was undertaken to learn more about how mature students perceive the career counselling process in a post-secondary institution. Through the use of critical incident technique this study examined how three mature students interpret their relationship between themselves and their counsellors. Significant factors identified as contributing to a positive interpersonal connective bond were considering the whole of the clients’ experience, integrating career and personal concerns, introducing assessment tools appropriately, and utilizing counsellor self-disclosure appropriately. This study highlights the importance of utilizing critical incident technique in career counselling, the importance of the working alliance for mature students, and identifies possible counselling applications to consider when working with this population.

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Section: Discussionsupporting

confidence: 77%

Mature Students Speak Up: Career Exploration and the Working Alliance

Pott

2015

QRE

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“…Content Analysis. A coding manual (Eskjaer & Helles, 2015;Krippendorff, 2012;Neuendorf, 2002) was developed for the study based upon previous content analysis of comforting messages (Bippus, 2001;Burleson, 1984Burleson, , 1985Burleson & Goldsmith, 1998;Burleson & Samter, 1985;Caplan & Turner, 2007;Jones & Burleson, 1997), counselor behavior (Bedi & Duff, 2014;Bedi & Mallinckrodt, 2006;Duff & Bedi, 2010;Fukkink & Hermanns, 2007, 2009Nieuwboer, Fukkink, & Hermanns, 2014;Williams et al, 2009), social support behavior (Cutrona & Russell, 1990;Cutrona & Suhr, 1992;Fukkink, 2011), and helper responses (Mishara & 1997; Mishara et al, 2007a,b), adapted to the specificity of this particular context. Three master's degree students and two counseling employees, who were blind to the impact scores, were trained by the first author to rate the session transcripts (522 sessions/7,657 messages).…”

Section: Data Sets and Instrumentsmentioning

confidence: 99%

Texting for Help: Processes and Impact of Text Counseling with Children and Youth with Suicide Ideation

Sindahl

Côte

Dargis

et al. 2018

Suicide & Life Threat Behav

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Objective To explore: (1) how children contacting a child helpline with suicide ideation differ from children discussing other topics, (2) whether text messaging effectively helps, and (3) which counselor behaviors are most effective. Method Of 6,060 text sessions at the Danish national child helpline, 444 concerned suicidality, of which the 102 sessions that included self‐rated, end Session ratings were selected for content analysis. Results Twenty‐six percentage of suicidal children had severe suicidality. The suicide sample had significantly more girls, was older than the nonsuicide sample, and more often recontacted the helpline in the 2 weeks prior to follow‐up. 35.9% of suicidal children felt better immediately and over half ended the session with a plan of action. At follow‐up, 23.9% of suicidal children reported feeling better; however, 37.0% reported feeling worse. Talking about emotions, expressing empathy, and encouraging the child to talk to someone were associated with positive impacts. Setting boundaries was associated with negative impacts. Conclusions Texting with suicidal children can be helpful, but should be considered a first step toward obtaining more sustainable help. Research is needed to determine how to better help children who felt worse or did not improve in the 2 weeks after contacting the helpline. Suggestions to further training of counselors are discussed.

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“…Research has indicated that alliances are rated more highly by clients when positive counsellor qualities are in evidence, for example, Duff and Bedi (2010) found that the enactment of warm human qualities accounted for 62% of the variance in alliance scores.…”

Section: Being Real Helps the Alliancementioning

confidence: 99%

Therapists’ experiences of alliance formation in short-term counselling

Pearson

Bulsara

2016

European Journal of Psychotherapy & Counselling

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While therapeutic alliance formation has been widely researched over many sessions of psychotherapy, the question of alliance formation in short-term counselling has been less explored. Given the increasing evidence in the literature for the positive impact of alliances on therapy outcomes, providing counsellors -who may work with clients for a limited number of sessionswith enhanced insight into alliance formation will be of value. This qualitative study investigated the experiences of eight counsellors forming alliances with clients over short periods. Semi-structured interviews were analysed using interpretive phenomenological analysis. Five major themes emerged, that while congruent with the alliance literature, add some details relevant to day-to-day practice. These themes included: the importance of strong alliances; the need for psychologically comfortable environments; the timing of alliance formation; and the impact of counsellor personal qualities -such as being realin strengthening and maintaining alliances. In addition, an unexpected sixth theme revealed that body language was highly valued as an indicator of strong or weak alliances. Implications for increasing the use of body language to enhance counselling practice and education are discussed. Body language, Counselling, Phenomenology, Therapeutic alliance, Rapport. 3 Therapists' experiences of alliance formation in short-term counselling. KEY WORDS:The therapeutic alliance concept evolved throughout the development of Western psychotherapy, first appearing in 1912 in Freud's early work (Elvins & Green, 2008).Alliances have been defined as "the collaborative and affective bond between therapist and patient" (Daniel, Garske, & Davis, 2000) and "the degree to which the patient experiences the relationship with the therapist as helpful or potentially helpful in achieving the patient's goals in psychotherapy" (Luborsky & Luborsky, 2006, p. 63). Over many decades the influences on, and the value of, strong working alliances in the context of long-term psychotherapy have For example, counsellors working in social support agencies often find clients attending once, twice or even three times, whereas psychotherapists may be accustomed to clients attending for one or more years. Research on therapeutic alliances has emerged predominantly from long-term data in the field of psychotherapy (e.g. Barnicot et al., 2012;Hersoug, Høglend, Havik, von der Lippe, & Monsen, 2009;Langhoff, Baer, Zubraegel, & Linden, 2008;Munder, 2010). Through analysing the experiences of eight counsellors and their observations of clients' alliance signals, this study identified specific issues that can emerge in short-term counselling. Counselling and therapeutic alliancesIt is generally considered conclusive that counselling is effective (e.g. Lambert, 2004;Rosenthal, 1990). An influential factor contributing to this effectiveness is the strength or depth of the counsellor-client relationship. Reviewers of the research are "virtually unanimous in their opinion that the...

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Counsellor behaviours that predict therapeutic alliance: From the client's perspective

Cited by 60 publications

References 49 publications

Mature Students Speak Up: Career Exploration and the Working Alliance

Mature Students Speak Up: Career Exploration and the Working Alliance

Texting for Help: Processes and Impact of Text Counseling with Children and Youth with Suicide Ideation

Therapists’ experiences of alliance formation in short-term counselling

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