The real relationship in psychotherapy: Relationships to adult attachments, working alliance, transference, and therapy outcome.

2009 ◽  
Vol 56 (3) ◽  
pp. 337-350 ◽  
Author(s):  
Cheri L. Marmarosh ◽  
Charles J. Gelso ◽  
Rayna D. Markin ◽  
Rebekah Majors ◽  
Coretta Mallery ◽  
...  
Psychotherapy ◽  
2012 ◽  
Vol 49 (2) ◽  
pp. 108-108
Author(s):  
Gianluca Lo Coco ◽  
Salvatore Gullo ◽  
Claudia Prestano ◽  
Charles J. Gelso

Psychotherapy ◽  
2011 ◽  
Vol 48 (4) ◽  
pp. 359-367 ◽  
Author(s):  
Gianluca Lo Coco ◽  
Salvatore Gullo ◽  
Claudia Prestano ◽  
Charles J. Gelso

Author(s):  
Charles J. Gelso ◽  
Kathryn V. Kline

Jeremy Safran has presented seminal and widely applicable clinical theory and research around the therapeutic alliance and ruptures in the alliance. We explore areas of agreement with and departure from some of Safran’s key conceptualizations on these topics, focusing on overlap and distinctions between two constructs theorized to be fundamentally significant elements of all therapeutic relationships: the working alliance and the real relationship. We share Safran’s view that the alliance centrally implicates an emotional bond between patient and therapist, as well as an agreement about the goals of treatment and the tasks needed to attain those goals. We depart from Safran, however, in his belief that the real relationship should be seen as part of the emotional bond of the working alliance. Instead, we argue that the real relationship and the working alliance (including the bond aspect of the alliance) are best viewed as highly interrelated but distinct aspects of the therapeutic relationship. In addition, a distinction is made between the working bond (part of the working alliance) and the personal bond (part of the real relationship). Hence, we examine the concept of rupture in the working alliance, and in the real relationship as well. The nature of ruptures is discussed, as well as what therapists can do to repair them. A more limited definition of ruptures than the broader conception that has evolved in recent years is proposed. It is suggested that, whereas ruptures in the working alliance generally can be repaired to the benefit of the work, ruptures in the real relationship are likely to be more damaging to the treatment.


2011 ◽  
Author(s):  
Cheri L. Marmarosh ◽  
Jenna Casey ◽  
Angela Cerkevich ◽  
Lauren Ferraioli ◽  
Sonia Kahn ◽  
...  

2016 ◽  
Vol 1 (3) ◽  
pp. 154-163
Author(s):  
Charles J. Gelso ◽  
Ayelet Silberberg
Keyword(s):  

Author(s):  
Charles J. Gelso ◽  
Dennis M. Kivlighan ◽  
Rayna D. Markin

Although writing about the real relationship has existed from the beginnings of the talking cure,” it is only in recent years that empirical research has focused on this phenomenon. The real relationship is the personal relationship between patient and therapist marked by the extent to which each is genuine with the other and perceives/experiences the other in ways that are realistic. The strength of the real relationship is determined by both the extent to which it exists and the degree to which it is positive or favorable. In this chapter, a meta-analysis is presented on the association between the real relationship and the outcome of psychotherapy. Summed across 16 studies, this meta-analysis revealed a moderate association with outcome (r =.38, 95% confidence interval [.30, .47], p<.001, d = 0.80, N = 1,502 participants). This real relationship–outcome association was independent of the type of outcome studies and of the source of the measure. We also present frequent measures of the real relationship, limitations of the research, and patient contributions. The chapter concludes with diversity considerations and practice recommendations for developing and strengthening the real relationship.


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