“Rapport is the feeling of harmony and confidence that should
exist between patient and clinician,” states The
First Interview (p. 25). Harmony is important in a
relationship because it shows that the two people are in agreement. Perhaps,
they have the same goal or want the same outcome. In the therapeutic sense, the
client is there because they have a need and the therapist is there to fill
that need: with knowledge, wisdom, and skills. The therapist will help the
client find their confidence or give the client confidence, an understanding
that they are able to or will be able to manage a course of therapy. As the
client moves through therapy their trust will deepen in their counselor and
they will open up.
Positive, or good, rapport will help
the client share information. At first, it might be basic information, but
eventually it should lead to important personal information. A therapists
“Demeanor” will play a role in how quickly that rapport is built. The therapist
needs to pay attention to what they say, how they say it, and what their body
is saying. If possible the therapist should try to relate to the “patients
language” without portraying any type of disrespect. The client will pick up on
the therapist’s demeanor and this will affect the client’s openness (p.25-30).
For instance, if the therapist is trying
to speak to the client about a disorder or treatment it would be wise to
explain it in a way the patient could understand. Saying, “I am sending you to
DBT group, because you have Borderline Personality disorder,” will likely
confuse the client. But, by explaining that there is a group, what it is, what
they do, and why it would benefit the patient would be a good idea.
By explaining what symptoms are, and
what the symptoms mean it helps the client to see that the therapist is
knowledgeable – showing their “Expertise” (p.34).
References
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