IACP Inaugural Conference: Strengthening Therapeutic Relationships Dr. Marcella Finnerty, IICP Friday October 16th, 2015 The Yearning for Connection.

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IACP Inaugural Conference: Strengthening Therapeutic Relationships Dr. Marcella Finnerty, IICP Friday October 16th, 2015 The Yearning for Connection

Carl Rogers

Plant, Nurture, Grow – and Harvest?

Yearning for Connection: What we do well “How do Integrative Psychotherapists Integrate” A qualitative study of 14 experienced Irish integrative psychotherapists : All considered the therapeutic alliance as pivotal to the success of therapy Interpretative Phenomenological Analysis (IPA): Participants’ Voice: Reflective and therapist-friendly

Therapist Awareness: How do we know? How do we know if what we are doing is working? And…… What do we do if it is not?

Session Rating Scale Exercise Think of your last session with you as the client or supervisee and complete the form as client or supervisee

Marking the line nearest best fit

Use 10cm paper ruler – score from 0-10

Session Rating Scale In pairs – discuss the process of completing the form Can you see how (or if) this might be helpful to the therapeutic alliance?

A Pluralistic Perspective Mick Cooper and John McLeod consider this pluralistic approach “starts from an assumption that different things are likely to help different people at different points of time” (2011, p.6)

The Blind-Folded Darts Player

A Reminder: Clinicians must remember that …the improvement of psychotherapy may best be accomplished by learning to improve one's ability to relate to clients (Lambert & Barley 2001)

Some final thoughts to ponder upon… How can we utilise our practice to inform research, improve client outcomes and ensure we do not become less relevant as healthcare professionals? One client: One alliance measure: One Conversation NEXT WEEK

Role of IACP: 1. Create and resource a research culture 2. Establish and support practice research networks 3. Facilitate access to research journal articles

Fully Alive – Dawna Markova

Conclusion Thank you Contact details: Marcella Finnerty ( )

Fully Alive I will not die an unlived life. I will not live in fear of falling or catching fire. I choose to inhabit my days, to allow my living to open me, to make me less afraid, more accessible, to loosen my heart until it becomes a wing, a torch, a promise. I choose to risk my significance; to live so that which came to me as seed goes to the next as blossom and that which came to me as blossom, goes on as fruit. Dawna Markova

Pro Bono: Outcome Measures and General Research Clinical Outcome Feedback Measures: CORE-34/CORE-10 Outcome Rating Scale (ORS) General Research: or Alliance Outcomes Feedback Measures: Session Rating Scale (SRS) Therapy Personalization Form (TPF)

References Cooper M. (2008). Essential Research Findings In Counselling and Psychotherapy: The facts are friendly. London: BACP Sage. Duncan, B.L., Miller, S.D., Wampold, B.E. & Hubble, M.A. (Eds.), (2010). The Heart & Soul of Change: Delivering what works in therapy. (2 nd edition). London: APA. Lambert, M.J. (2010). Prevention of Treatment Failure: The use of measuring, monitoring and feedback in clinical practice. Washington DC: APA

References Orlinsky D.E. & Rønnestad, M.H (2005). How Psychotherapists Develop: A study of therapeutic work and professional growth. Washington: APA Rønnestad, M.H. & Skovolt (2013), The Developing Practitioner: Growth and stagnation of therapists and counselors. London: Routledge McLeod, J. (2001). Developing a research tradition consistent with the practices and values of counselling and psychotherapy: Why counselling and psychotherapy research is necessary. European Journal of Psychotherapy and Counselling, 14 (1), pp

References Okiishi J.C., Lambert, M.J. Nielsen, S.L., & Ogles, B.M (2003). Waiting for supershrink: An empirical analysis of therapist effects. Clinical Psychology and Psychotherapy, 10, pp Schwartz,B., & J. V. Flowers (2010). How to Fail as a Therapist. California: Impact Publishers (2 nd edition). Unsworth, G., H. Cowie & A. Green (2011). Therapists’ and clients’ perceptions of routine outcome measurement in the NHS: A qualitative study. Counselling and Psychotherapy Research DOI: / Google it!

Creating Relationships The degree to which I can create relationships, which facilitate the growth of others as separate persons, is a measure of the growth I have achieved in myself - Carl R. Rogers

Engaging Clients’ Perspectives Engaging clients in a dialogue about what clients believe is likely to help them is a key tenet of pluralistic practice

Pot of Gold