Chapter 6 : Basic Features of Clinical
1. What is Psychotherapy?
A process with a goal.
◦Application of therapeutic interventions
◦Contractual relationship (preferred in the application of a treatment; cooperation is no
violation of boundaries)
With a Goal (relief)
◦Assist the client with a mental health.
◦Modification of behavior (goal is relief)
◦Social or personal functioning
2. Participants in the Process
◦Client? or patient?
◦Contractor? or doctor? Is there an openness?
◦Current prevalence – calling people “clients.”
Disorders fastens disorder (Bowen & Bronfenbrenner)
Delayed treatment, untreated (e.g. divorce)
3. The Client
Manifestation of disorders
◦State - situational/temporal
◦Trait - characterological
◦Role of coping/defense mechanisms Prevalence of disorders
◦Self-regulation/ behavioral (ODD, CD, substance abuse & addictions All at the top
Disorders are increasingly prevalent at earlier ages.
4. Client Variables that affect Treatment
Thorndike’s Law of Readiness:
Cooperative and open vs. resistant (Joseph)
◦LFK (if tested, will reflect openness or resistance)
◦Referral source & identifying information Wife? Mom? Judge? Self? View?
Gender: (Garfield 1994)
Expectations: perception of therapy
Perception of therapist *pill or problem*
Personality or coping style
FRANZ: the reason the person is in therapy is due to an inadequate coping.
Serious orders usually develop during childhood.
5. Problems in the Process associated with the client
Delay *tends to delay seeking help*
fears, self-image, Law of readiness: Interfering with a personal goal & forcing someone to
do something when they are not ready or to not do something that is satisfying for them.
6. The Therapist
Macroskills (strong interpersonal skills & strong intrapersonal skills) self-aware, self-
◦Empathy (N-V, V)
Personality-inquisitive, listening, reflective (personal experiences & in/out of therapy
room) ◦Communication skills
◦Self-awareness & self regulation