Enhancing the Therapeutic Alliance (Bannink)

12 important questions on Enhancing the Therapeutic Alliance (Bannink)

Why is the therapeutic alliance important and how is it fostered?

It is a robust predictor of outcomes. The quality is determined by the complementary transactions between te two and influenced by both of their histories.

What are the best predictors of outcomes? (2)

1. The client's view of the alliance
2. Early session alliance is a good predictor of improvement

How can offering acknowledgment work in a solution-focused approach? (3)

1. Listen to the client and shift to a more positive conversation as soon as possible
2. Ask what the client has done so far to solve this problem
3. Ask whether the client prefers a strengths-focus or problem-focused approach
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What is the difference between willpower (hope's agency) and waypower (its pathways)?

Willpower provides the determination to achieve goals whereas waypower promotes the creation of alternative paths to replace those that may have been blocked in the process of pursuing those goals

What is known of high hope persons?

That they are more likely to clearly conceptualize their goals

What do hope, optimism and self-efficacy share?

That they bring along the power of believing you can.

What are the steps to find hopes? (3)

1. Goal
2. Pathway thinking
3. Agency thinking

What is advised when there is a case of a visitor relationship (indifferent/unknowing?)

To provide information and to establish a link between the behavior to be changed and the worries or problems that others experience. This can happen when clients are brought by someone also, or when the client has no problem personally, but others have it with him.

What is advised when there is a case of a complainant relationship? (Does not see himself as part of the problem)

The emphasis should be on deciding on and initiating the desired behavior. The client should be invited to talk about his preferred future rather than focusing on the problem.

What happens when there is a customer relationship?

This person has a stages of change reaction. The client sees himself as part of the problem and/or the solutions and is motivated to change.

What is important to motivational interviewing?

The unconditional acceptance of the client's position. Change talk is elicited by asking open questions. Questions are encouraged to transform from visitor to complainants to customers.

How can the narrative approach be used to tackle resistance?

By turning the problem into the enemy which is fought against together. People are generally better persuaded by the reasons and solutions that they themselves discover.

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