The patient-psychotherapist relationship

Credit hour 3
Total number of hours 20
Number of hours for lectures 20

Goals

1. Acquire knowledge about the psychotherapy framework; the place of the patient and the therapist inside this framework.
2. Know how to describe the patient-psychotherapist relationship, using concepts belonging to different approaches (psychodynamic, humanistic, and cognitive-behavioural).
3. Have an essential knowledge about the therapeutic alliance and understand the role of the psychotherapist in its establishment. 
4. Identify the rupture of the covenant in a practical situation (case study/clinical vignette) and think together of ways to solve this ruptures.
5. Describe the basic principles of metacommunication in psychotherapy and identify them in a given context (clinical illustration). 
6. Approach aspects of the limits for the patient-psychotherapist relationship (in a given context).
 
Learning outcomes :

1. Acquire knowledge about the psychotherapy framework; the place of the patient and the therapist inside this framework.
2. Know how to describe the patient-psychotherapist relationship, using concepts belonging to different approaches (psychodynamic, humanistic, and cognitive-behavioural).
3. Have an essential knowledge about the therapeutic alliance and understand the role of the psychotherapist in its establishment. 
4. Identify the rupture of the covenant in a practical situation (case study/clinical vignette) and think together of ways to solve this ruptures.
5. Describe the basic principles of metacommunication in psychotherapy and identify them in a given context (clinical illustration). 
6. Approach aspects of the limits for the patient-psychotherapist relationship (in a given context).
 

Content

Level : Undergraduate

1. A meeting between two «otherness» in a well-defined setting: patient, therapist, psychotherapeutic frame.

2.Patient-psychotherapist relationship in different approaches: psychodynamic, humanistic, cognitive-behavioural.

Key-concepts belonging to these approaches:
- transference/countertransference (psychodynamic),
- unconditional positive regard, congruence, empathy (humanistic),
- patient expectations-Wright and Davis, 1994 (cognitive-behavioural)

3. Therapeutic alliance and its key-role in an efficient psychotherapy. The three dimensions of the therapeutic alliance (Bordin, 1979) : bond, goals and tasks.

4. Alliance ruptures and rupture resolution models (with clinical illustrations).

5. Metacommunication in psychotherapy.

6. Limits of the patient-psychotherapist relationship.

Pedagogical Tools
:

•    Powerpoint presentations of theoretical aspects
•    Recommended reading-excerpts (Yalom, I.D., Elkin, G., 1974)
•    Role play
•    Excerpts of video-taped psychotherapy sessions

 

Calendar

Semester 4

Bibliography

French:

College of Psychotherapists of Ontario. (2013). Guide sur les relations
thérapeutiques et les limites professionnelles. Retrieved from http://www.collegept.org

Martin, M. (2001). Le cadre thérapeutique à l’épreuve de la réalité. (Du
cadre analytique au pacte). Cahiers de psychologie clinique, 17 (2), 103-120. doi : 10.3917/cpc.017.0103

Yeomans, F., Diamond, D. (2008). La relation patient-thérapeute : impacts
de la théorie de l’attachement, de la fonction réflexive et de la recherche. Santé mentale au Québec, 33, 61-87

English :

Callaghan, G.M., Naugle, A.E. and Follette, C.W. (1996). Useful
constructions of the client-therapist relationship. Psychotherapy, 33(3), 381-390. doi : 10.3917/cpc.017.0103

Muran, J.C., Safran, J.D. (2002) A relational approach to psychotherapy In
F.W. Kaslow (edit.), Comprehensive handbook of psychotherapy (vol.1, p. 253-282). New York : John Wiley and Sons

Sommers-Flanagan, J., Sommers-Flanagan, R. (2004). Carl Rogers : Person-
Centered Theory and Therapy. In Counseling and psychotherapy theories in context and practice. New Jersy : John Wiley and Sons

Wright, J.H., Devis, D. (1994). The therapeutic relationship in cognitive-
behavioral therapy : patient perceptions and therapist responses. Cognitive and Behavioral Practice, 1 (1), 25-45.


Yalom, I.D. (2002). The gift of therapy : an open letter to a new generation
of therapists and their patients. New York : HarperCollins

Yalom, I.D., Elkin, G. (1974). Every day gets a little closer : a twice-told
therapy. New York : Basic Books