Q#3.
Are there advantages to a treatment program based on
all-day sessions rather than one based on a few short sessions a
day ?
Ans: Psychotherapy services have traditionally been provided
on an appointment-only basis, whether in a private practice or
through a publicly financed mental health organization
(Barnett, 1992). Many people require counseling at some point
in their lives as a result of unresolved previous traumas,
unpleasant experiences, and sufferings, due to which their
mental health has become significantly impaired,
thus necessitating counseling or pyschotherapy sessions.
Depending on mental health of the patient, therapy sessions
can take a variety of forms, however most of the times, all-day
sessions are beneficial to both the patient as well as the
therapist. Short sessions, on the other hand, can take a long
time to get to the base of the problem, which can be
troublesome in both circumstances.
The benefits and drawbacks of a treatment program centered
on all-day sessions are listed below.
ADVANTAGES OF A TREATMENT PROGRAM BASED ON ALL-
DAY SESSIONS
Taking therapy entails more than simply sitting together with
someone who respectfully and patiently listens to your story.
Psychotherapy is centered on one-on-one engagement with a
person to help them modify their behavior and solve problems
in the way they want (Urech et al., 2018). The majority of
people prefer ALL-DAY SESSIONS for psychotherapy, since most
psychotherapist can diagnose your condition and assist you in
locating the source of your issue. This will assist you in feeling
the way you do, facilitate conversations with the therapist, and
foster trust between the patient and the therapist. Another
benefit is that when your troubles, trust issues, mood swings,
and poor mental health begin to weigh heavily on your
shoulders, therapists can quickly develop a diagnosis along with
a coping technique to manage them.
The all-day session treatment program also provides you with
somebody to talk to, which can be difficult at times due
to anxiety and trust issues. People don't feel comfortable
speaking about their sadness and regrets with family or friends,
so therapy sessions provide them with a partner to talk to,
discuss their everyday life stories with, and behave pleasantly.
In most cases, all-day therapy sessions have proven to be more
advantageous.
DISADVANTAGES OF ALL-DAY SESSIONS
Despite the numerous advantages of therapy, it can also have
drawbacks. Being in treatment can make you feel vulnerable,
which no one wants to experience, especially when meeting
someone new. Transference can occur as a result of this
susceptibility. The client may establish romantic emotions for
the therapist in some situations, which can have a negative
impact on the client-therapist relationship. Sometimes negative
transference simply means that a healthy professional
relationship is being harmed by conflict or barrier. If this is the
situation, the client should immediately seek treatment from
another therapist. Only because one psychotherapist doesn't
work for you doesn't mean another won't. (Caspar,2004).
Furthermore, seeing a therapist may cause a rift between you
and your family and friends; if you exclusively communicate
your emotions and feelings with a therapist, you'll never be
able to establish truly deep, meaningful connections. You can
also believe that the therapy isn't working or that you aren't
making any progress.
Q#5. The relationship between therapist and client may range
from brusque, with minimal patient contact so as not to
influence research results, to a warm caring attitude with the
therapist demonstrating sincerity, concern, and goodwill. what
is your concept of the ideal therapist-client relationship? Should
it vary with the particular client problem?
Ans: The therapeutic connection is the one that exists between
a healthcare provider and a patient or client. It's the method by
which a psychotherapist and a client expect to interact and
produce positive change in the client.
IDEAL THERAPIST-CLIENT RELATIONSHIP
The therapist-patient relationship appears to be so important
to treatment success that specialists have attempted to
describe an IDEAL RELATIONSHIP. A healthy therapeutic
relationship, according to Dr. Edward Bordin, consists of three
important qualities: an emotional connection of trust, care, and
respect, agreement on therapy goals, and cooperation on the
task or work of treatment. DeVOGE and Beck (1978).
Qualities of an Ideal therapeutic relationship:
• Joint trust, respect, and care.
• Consensus on the therapy's main objective.
• Collaborative decision-making.
• Mutual participation in the therapy process.
• The ability to discuss current events and facets of their
relationship with one another.
• The ability to express any unfavorable emotional reactions.
• The ability to resolve any issues or challenges that may
develop in the relationship.
Research demonstrates the ability to establish a good
relationship with the patient is not merely a function of
therapist experience or training level(APA PsycNet, n.d.). Many
new therapists are just as good at building good therapeutic
relationships as their more experienced colleagues. Therapists
play a crucial role in the development of a positive therapeutic
relationship. The ability of the therapist to express
understanding and empathy to the patient is crucial. The
therapist's flexibility, openness, and willingness to modify the
therapy to the patient's needs are also important. To foster
collaboration, skilled therapists actively seek patients' feedback
on therapy goals and methods.
Q#6. At what point in the movie Harry. Behavioral treatment of
self-abuse, you sense like treatment would be successful?
Ans: Harry is one of the earliest and most significant
documentaries ever made, capturing the psychotherapy
sessions of a 24 years old, 6ft 6inches tall, enormous young
man, addicted to causing self-abuse, sessions done by DR.
Richard M Foxx. (“‘Harry’: A Ten Year Follow-up of the
Successful Treatment of a Self-Injurious Man,” 1990)
This film has had a significant and dramatic impact on both
professional as well as lay audiences. Harry was helped with a
two-phase program, the first of which was centered on
reinforcing non-injury with restriction for a longer period of
time. By the end of phase 1 therapy, Harry had demonstrated
the productive effect of one episode of self-abuse each day.
Phase 2 relied entirely on a self-restrained style of
psychotherapy, in which Harry was forced to hold objects until
he could no longer retain them. With phase 2, a maintenance
program was continued. (Foxx & Dufrense, 1984)
As a consequence, in my viewpoint, phase 2 was the real
defining moment in the therapy that produced positive
outcomes, with the long-term phase 1 as well as phase 2
treatment regimen, all-day-long therapy sessions, and follow up
of ten years revealing that Harry's self-abusive nature is
practically nonexistent and contains symbolic presses on the
nose or really light bites on the arm.
References.
1. Barnett, R. (1992). Two or Three Sessions? A Discussion of
Some Ideas about the Frequency of Sessions in
Psychotherapy. British Journal of Psychotherapy, 8(4),
430–441. [Link]
0118.1992.tb01205.x
2. Urech, A., Krieger, T., Möseneder, L., Biaggi, A., Vincent, A.,
Poppe, C., Meyer, B., Riper, H., & Berger, T. (2018). A
patient post hoc perspective on advantages and
disadvantages of blended cognitive bebehaviorherapy for
depression: A qualitative content analysis. Psychotherapy
Research, 29(8), 986–998.
[Link]
3. Caspar, F. (2004). Technological developments and
applications in clinical psychology and psychotherapy:
Introduction. Journal of Clinical Psychology, 60(3), 221–
238. [Link]
4. DeVOGE, J. T., & Beck, S. (1978, January 1). The Therapist-
Client Relationship in Behavior Therapy (M. Hersen, R. M.
Eisler, & P. M. Miller, Eds.). ScienceDirect; Elsevier.
[Link]
25356060500134
5. APA PsycNet. (n.d.). [Link]. Retrieved June 17,
2022, from [Link]
001
6. “Harry”: A ten-year follow-up of the successful treatment
of a self-injurious man. (1990). Research in Developmental
Disabilities, 11(1), 67–76. [Link]
4222(90)90005-S
7. Foxx, R. M., & Dufrense, D. (1984). “Harry”: The use of
physical restraint as a reinforcer, timeout from restraint,
and fading restraint in treating a self-injurious man.
Analysis and Intervention in Developmental Disabilities,
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