School of Rural Medicine, University of New England, Armidale, New South Wales, Australia.
Fam Process. 2012 Jun;51(2):179-92. doi: 10.1111/j.1545-5300.2012.01393.x.
The therapeutic bond is at the heart of effective therapy, yet few studies have examined therapists' experience of this bond. Using a qualitative study design, this exploratory study examines the experiences of couple and family therapists in relation to their perceptions of the satisfactions and risks involved in the therapeutic bond. The research was conducted using grounded theory methodology and eight in-depth interviews were conducted with therapists working in five counseling agencies in Sydney, Australia. Therapists described the importance of the 3 component parts of the therapeutic bond: the empathic connection between therapist and client; the role investment of the client; and the mutual affirmation experienced by both therapist and client in the therapeutic process. Walking in sacred spaces with the client was seen as both enriching and challenging for the therapist. The therapeutic bond gave therapists intense satisfaction and posed risks for them, especially when working with traumatic client experiences. However, the findings suggest that the experience of compassion satisfaction and the development of vicarious resilience counter-balanced the intense difficulty of bearing witness to clients' traumatic experiences and the potential for vicarious traumatization. The implications for sustaining couple and family therapists in their work are discussed.
治疗关系是有效治疗的核心,但很少有研究探讨治疗师对此关系的体验。本探索性研究采用定性研究设计,考察了夫妻和家庭治疗师对治疗关系中所涉及的满足感和风险的看法。研究采用扎根理论方法,对澳大利亚悉尼五家咨询机构的 8 名治疗师进行了深入访谈。治疗师描述了治疗关系的三个组成部分的重要性:治疗师与客户之间的同理心联系;客户的角色投入;以及治疗过程中治疗师和客户之间的相互肯定。治疗师被视为与客户一起走在神圣的空间中,既丰富又富有挑战性。治疗关系给治疗师带来了强烈的满足感,同时也给他们带来了风险,尤其是在处理创伤性客户经历时。然而,研究结果表明,共情满足的体验和替代性韧性的发展,平衡了治疗师见证客户创伤经历的强烈困难以及替代性创伤的潜在风险。讨论了维持夫妻和家庭治疗师工作的意义。