Thumbnail
Access Restriction
Open

Author Garber, Benjamin D.
Source CiteSeerX
Content type Text
File Format PDF
Language English
Subject Domain (in DDC) Computer science, information & general works ♦ Data processing & computer science
Subject Keyword Future Direction ♦ Therapist Patient Dyad ♦ Cognitive Schema ♦ Single Conclusion ♦ Ahn Wampold ♦ Clinical Work ♦ Empirical Research ♦ Attachment Perspective ♦ Destructive Triangulation1 ♦ Extant Clinical Literature ♦ Author Experience ♦ Therapist Patient Alliance ♦ Legal Process ♦ Treatment Goal ♦ Parental Alienation ♦ Case Example ♦ Therapist Alienation ♦ Third-party Contamination ♦ Intrafamilial Cousin ♦ Psychotherapeutic Support ♦ Specific Recommendation ♦ Third Party Dynamic Undermining Psychotherapy ♦ Psychotherapeutic Process ♦ Disruptive Impact ♦ Therapeutic Alliance ♦ Psychotherapy Relationship ♦ Conflicted Caregiver ♦ Varied Account ♦ Family Conflict ♦ Therapeutic Rupture ♦ Patient Demographic
Description The phenomena of impasse and rupture in the psychotherapy relationship have been discussed mostly in terms of the dynamics of the therapist–patient dyad. Therapist alienation identifies the disruptive impact of third-party contamination of the patient’s therapeutic alliance with the therapist. Therapist alienation and its intrafamilial cousin, parental alienation, are examined here from an attachment perspective, emphasizing the role of the cognitive schemas underlying each relationship. Case examples are drawn from the author’s experience conducting psychotherapy with children of highly conflicted caregivers. Specific recommendations are offered to minimize the likelihood of therapeutic rupture due to therapist alienation. How to respond when and if therapist alienation is suspected and future directions for clinical work, empirical research, and legal process are discussed. The children of highly conflicted caregivers are at once among those most in need of psychotherapeutic support and those most difficult to maintain in the psychotherapeutic process. The diffi-culty, of course, is not necessarily in engaging the child-patient him- or herself. The difficulty lies instead in working to extricate the child from destructive triangulation1 without allowing the therapy itself to become drawn into the family conflict. The extant clinical literature offers many and varied accounts of why psychotherapies sometimes fail (e.g., Ahn & Wampold, 2001; Maltzman, 2001). Time and again, this literature emphasizes a single conclusion: The quality of the therapist–patient alliance is consistently associated with the quality of outcomes across mo-dalities of treatment, patient demographics, and treatment goals
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Research
Education Level UG and PG ♦ Career/Technical Study
Learning Resource Type Article
Publisher Institution Professional Psychology: Research and Practice