Dynamics of Clinical Relationships

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Dynamicsof Clinical Relationships

Dynamicsof Clinical Relationships

Therapistshave to maintain boundaries to avoid violating the professional rulesand guidelines that may harm the patient or the therapeutic work. Therole of these restrictions is to govern the relationship and thebehavior of the client and the therapist. The counselor has to takeresponsibility for setting and maintaining the limits to ensure thatthe clients have healthy and meaningful therapy experience (McCarthy&amp Archer, 2013).Counselors also encounter the issue of transference, which occurswhen the client directs his or her feelings towards the therapist. Insuch a situation, the patient views the counselor as the source ofhis or her emotional problems or feelings. Therefore, the clientextends their unconscious desires onto the therapist (McCarthy&amp Archer, 2013).On the other hand, countertransference occurs when the therapistprojects his or her feelings or desires on the client. Hence, thetherapist uses the patient to meet his or her personal psychologicalneeds, which makes it hard for the client to express his or herproblems. Besides, the counselor is unable to address the problemspresented by the client (McCarthy&amp Archer, 2013).

Nonetheless,I believe self-disclosure and client resistance are most likelysituations that can inhibit growth. Self-disclosure is used bytherapists to share their personal experiences or views with a clientfor the purpose of improving the patient’s mental or emotionalstate (Corey &amp Callanan, 2015). Therefore, it is the therapists’role to determine the level of self-disclosure that will bebeneficial to the patient and promote the therapeutic process.However, self-disclosure becomes a problem when the therapist uses itto meet his or her needs instead of the sole purpose of helping theclient. Consequently, it is challenging to determine the level atwhich to offer thoughtful response while ensuring that one does notneglect the opportunity to deal with the client’s problems (Corey &ampCallanan, 2015). If the therapist discloses too much personalinformation, it can burden the patient. Otherwise, the client mayperceive the therapist to be impaired in his or her abilities tohelp. On the other hand, nondisclosure may prevent a client fromsharing his or her problems (Corey &amp Callanan, 2015)

Thenagain, the client may show resistance towards the therapist.Resistance impedes treatment and prevents the counselor from learningpotentially useful information about the client. The patient may bereluctant to share his or her problems or to use the therapist’sadvice to deal with those issues (McCarthy&amp Archer, 2013).Therefore, they do not make any progress and hinder the therapist’sefforts to help. Furthermore, it takes longer than necessarily to getthe client to change his or her behavior or thoughts towards variousproblems. Accordingly, it may be frustrating for the counselorbecause he or she may find it almost impossible to help the patientdue to their unwillingness to contribute or take part in thetherapeutic process (McCarthy&amp Archer, 2013).


Corey,G., &amp Callanan, P. (2015). Issuesand ethics in the helping professions with 2014 ACA codes.

McCarthy,C. J. &amp Archer, J., Jr. (2013). Theoriesof counseling and psychotherapy.San Diego: Bridgepoint Education, Inc.

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