Stephen Paul

An introduction to the therapeutic relationship in counselling and psychotherapy

Introduction: The therapeutic relationship in counselling and psychotherapy Introducing the Therapeutic Relationship Introducing the therapeutic relationship What the research tells us The relationship in different modalities A relational approach to therapy Developmental factors in a relational approach Establishing and Maintaining the Relationship Establishing the relationship Developing the relationship Challenges to the relationship: When things get tricky Ending the relationship The Relationship in Context The therapists self in relationship Working with difference within the therapeutic relationship: A relational perspective Developing your Practice Appendix 1 Glossary of terms Appendix 2 Conclusions and Recommendations of the Interdivisional (APA Divisions 12 & 29) Task Force on Evidence-Based Therapy Relationships

What the research tells us

Improving the quality of surgical care is a national priority, as surgical care comprises approximately 40 percent, or

Ending the relationship

500 billion, of hospital and physician healthcare dollars.1 Furthermore, when patients experience surgical complications, the costs of care increase on average by 93 percent.2 The Michigan Surgical Quality Collaborative (MSQC) is a regional collaborative dedicated to decreasing complications, improving outcomes, and enhancing the cost-effectiveness of general and vascular surgery. Founded in 2005 under the sponsorship of Blue Cross Blue Shield of Michigan and Blue Care Network and led by Dr. Darrell Campbell Jr., the MSQC focuses on improving care before, during, and after surgery by reducing common surgical complications. The MSQC compiles hospitaland physicianlevel clinical data3 from 66 Michigan hospitals and identifies high-performing sites within the collaborative. Highperforming sites are then visited to identify best practices for improving surgical outcomes and reducing costs.4 Best practices are disseminated to member hospitals, along with de-identified, aggregated reports of performance metrics based largely on short-term morbidity and mortality.5 This peer-to-peer learning network allows hospitals to assess their performance and address the identified areas for quality improvement.