The therapeutic alliance is also named as "envelope" by Dr. Glen Gabbard, Professor of psychiatry and psychotherapist at Baylor College of Medicine, as it represents a complete and whole relationship and also includes the psychodynamic treatment (Gabbard, 2009)
Importance of the therapeutic alliance in transference and counter-transference Psychotherapy is considered as a major aspect of working alliance; its affects are obvious on the treatment and are helpful to realize advancement in the alliance as well as the damaging features. Numerous experimental facts have proved that working alliance is a significant analyzer of the end results observed by therapeutic treatment (Horvath & Greenberg, 1989, 1994; Martin, Garske, & Davis, 2000)
Importance of the therapeutic alliance in transference and counter-transference Psychotherapy is considered as a major aspect of working alliance; its affects are obvious on the treatment and are helpful to realize advancement in the alliance as well as the damaging features. Numerous experimental facts have proved that working alliance is a significant analyzer of the end results observed by therapeutic treatment (Horvath & Greenberg, 1989, 1994; Martin, Garske, & Davis, 2000)
There are some other authors as well who take this therapeutic relationship as the major means of change. According to these authors this relationship is basically an opportunity to solve the troubles after having regular conversations with the therapist; these discussions give more useful reactions than others (Kohlenberg & Tsai, 2001)
If the therapist actively participates in the treatment then the results can be very fruitful, confirms Range (1995). If a good relationship develops between the patient and the therapist, then the patient feels quite comfortable in sharing his part of the conversation or information, which is of utmost necessity during the therapy (Lettner, 1995)
A regression analysis revealed the fact that quality of object relations failed to act as moderation of relations existing between outcome and transference interpretations despite the fact that it was the strongest one when considering patients with high quality of object relations. Any evidence presenting that primary causal direction was from alliance to interpretation or vice-versa was not obtained, apart from making an attempt by making the causal relation existing between these variables more flexible (Piper, Azim, Joyce, & McCallum, 1993)
A regression analysis revealed the fact that quality of object relations failed to act as moderation of relations existing between outcome and transference interpretations despite the fact that it was the strongest one when considering patients with high quality of object relations. Any evidence presenting that primary causal direction was from alliance to interpretation or vice-versa was not obtained, apart from making an attempt by making the causal relation existing between these variables more flexible (Piper, Azim, Joyce, & McCallum, 1993)
Sheltered adults or secure adults can be easily distinguished in terms of intimate relationship value, the capability of maintaining these relations without tailoring their sovereignty and shows rationality to discuss relationships and its related issues (Horowitz and Bartholomew, 1991). Moreover, different studies define that these adults properly use their self-disclosure, empathic and reflective listening, and are helpful in problem solving (Pistole, 1989; Nachson and Mikulincer, 1991)
Not only this, the relationship is also regarded as a key to enhance the value of therapists. In addition to this, it leads to positive expectancy and solutions as well to overcome resistance (Raue & Goldfried, 1994)
Theses boundaries are further refined by the ethical principles, defined by Mental-health professionals and legal duties that are made obligatory by statues and courts. The confidentiality at work, is a primary duty of a clinician and this is the derivation of; legal, professional (clinical) and ethical aspects (Simon, 1992)
Third on the list, congruence requires that the therapist be genuine, open, and honest throughout the duration of all therapeutic interactions. According to Rogers, these three components were absolute necessary during therapy and, when all were used together, they would enable positive individual growth to occur during therapy (Overholser 2007)
Ideally, the paper focuses on the benefits of having a professional relationship with the therapists and the patients in respect of the mandate thus given. It starts with an introduction where collaborative relationships between the patients and the therapists are emphasized (Blackwell, 2011)
In most cases, the medics find themselves in such a situation where they end up developing some close relationships with the clients and may start getting personal. This is not allowed because it leads to the emergence of new twists that might jeopardize the treatment regime in case it occurs (Levy, 2010)
In fact, he has to have a close personal relationship while to others; he should have a casual relationship. Most therapists in charge of therapeutic alliance studies have often tried to understand this concept in its fullness (Safran, 2007)