Recognize and control judgemental tendencies
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The therapist expects to be a compassionate listener who addresses patients' concerns reasonably and without bias. The therapist's role is to focus on the patient's needs while reserving personal judgment. The document discusses ensuring productive collaboration between patient and therapist through active information exchange and shared decision-making. It notes two types of problematic collaboration: passive noncollaboration and active avoidance. The therapist inquires about the patient's progress and discusses identifying barriers to overcome difficulties.
Recognize and control judgemental tendencies
- 2. I expect that my therapist to be Of course my compassionate listener professional role as a who will address their therapist implies concerns in a reserving personal reasonable and non judgment and focusing on biased manner. patients needs.
- 4. WOW, you are extremely irritating to me.
- 5. Do your friends or family ever seem to be exasperated or short-tempered with Lets talk about some you? possible triggers for that.
- 6. A contemporary collaboration include an active exchange of information and shared decision making.
- 7. The therapist is reasonable for structuring both individual session and the therapy as a whole, this objective can only be achieved with active input and feedback from the patient. This important process of negotiation between patient and therapist (Safran & Muran, 2000) is more than superficial consensus; it is both a necessary condition and an intrinsic part of a change process.
- 8. With other patients, more specific effort is needed because there are particular problems in therapeutic collaboration.
- 9. Two types of problematic collaboration 1. Passive Noncollaboration- may stem from low expectations for success. 2. Active Avoidance- suggests negative, personalized meaning such as distrust of therapy or externalized blame.
- 10. To avoid problems in collaboration How do you feel about your Frustrated. I want progress so far in overcoming your anxiety and to be a lot further doing things are difficult for along. you to do?
- 11. Nothing really, but I think I need someone to force me What do you think has gotten to do what is difficult. I'm not in your way, or held you back? very good at disciplining myself, and I need a demanding taskmaster to make me do what I dont want to do.
- 12. Id like to hear about your homework, which if I remember correctly, was to schedule an hour for doing something just for yourself Well, I thought about that you might enjoy. We discussed some the assignment a lot, ideas, as I recall. Were I able to try out any but didnt actually do of the things we considered, or did you try anything something completely different?
- 13. That sounds like some important cognitive work. Okay, but I dont Can we talk further about that? know what there is to talk about. I didnt do anything
- 14. Thats okay; what is important is to Yeah, there was. I really sort of understand your thought process. wanted to do something just Can you tell me about your internal for me. The idea sounded conversation about this idea? Was good, like something I never there sort of a back-and-forth do. I even called and deliberation? scheduled an appointment at a nail salon to get a pedicure and was looking forward to a nice treat.
- 15. There is a coffee shop next to the salon, and I was going to get one of those delicious caramel frappachinos and just relax and enjoy being pampered for a little bit. But then I realized that I would be taking time away from my family and spending money on myself, and I just didnt feel right about it. I guess I felt that taking time for me was going to turn me into one of those selfish, uncaring, high maintenance types and I just couldnt do it. If I took that time for myself, I felt like I would be letting my family down. So I spent the afternoon ironing clothes instead.
- 16. I noticed you winced just then, and seemed a bit agitated. Was there something Actually, I was feeling that crossed your mind just irritated. then?
- 17. Well, I dont like Was the irritation related answering question. I to the topic we are feel uncomfortable discussing, or possibly trying to put my something in my feelings into words. I manner? wish you already know what is bothering me
- 18. I really appreciate your effort to be thorough in telling me how you are doing. I want to ensure that we stay productively focused, but its a little hard to do that and take everything in. Id like to check out a possibility with you that might help us be more efficient. Do you think that it is necessary for me to know everything that has happened to fully understand and help you? Is that maybe one reason why you work so hard to tell me everything?
- 19. Well, yes. I dont really know what is important. So I need to get all the information to you so that So your assumption is that I you can figure out how to need to know everything so that solve my problems. I can figure out the solution to your problems.
- 20. Yes. Is that strategy working very well so far?
- 21. Not really. Im working really hard and I havent really gotten to hear How about if we consider what you think I should some different ideas about do yet. how to make our work more productive?
- 22. Five Indications of a Good Working Relationship 1. There is a desire to have contact. 2. Information is shared. 3. Positive affect is expressed. 4. Sense of teamwork. 5. Negative sentiment is productive.