Incompatibilities between the patient and the psychotherapist. The most common causes

Incompatibilities between the patient and the psychotherapist. The most common causes

Incompatibilities between the therapist and the client, a real danger in the chemistry of a psychotherapy session.

Therapeutic compliance is the consent, adherence or behavioral compliance of the client (the way he / she respects the indications of changing the lifestyle) to the therapeutic remedies recommended by the therapist (coach, psychotherapist, personal development counselor, physician, kinetotherapist, etc.). These changes are necessary to improve health: medical and / or non-medical treatment – physiotherapy, psychological counseling, a new lifestyle, eating behavior, thinking, control of thoughts and emotions, autosuggestion and inner dialogue, spending leisure time.

In the opinion of the well-known psychologist Laura Maria Cojocaru, chairman and founder of the Institute of Neuro-Programming Linguistic Somato-Integrative (INLPSI), compliancy is a complex behavioral complex, significantly influenced by: the socio-economic status of the patient, the abilities of the therapeutic staff and the organization of the therapeutic system / change. "Compliance is a very important factor in therapeutic success. Lack of compliance is the number one cause of therapeutic failure in the world! Uncertainty, lack of compliance creates doubts about effective therapeutics and generates unnecessary "diagnosis" procedures and frequent or radical changes of intervention (techniques, methods), great increases in time and costs for the proposed change. In practice, specialists use the following questions for compliance: Does the client / explorer follow the recommendations of the psychotherapist / guide? If not, why? ", Explains the psychologist.

Why do people not cooperate with psychologists? 11 causes

  • Functional causes – the presence of physical and mental barriers
  • denial of emotional, relational, health problems, etc.
  • fear of manipulation
  • fear of the side effects of change
  • mistrust in that approach or therapist
  • an unsatisfactory relationship with the therapist
  • previous experiences in which the outcomes of the intervention were below the patient's expectation.
  • difficulty in accepting a "diagnosis" or therapeutic indications ("homeworks")
  • did not understand the importance of observing therapeutic indications
  • did not understand the therapeutic indications – they are formulated above their level of education
  • the cost of therapeutic guidance / intervention
  • Methods of cooperation with the therapist

    The therapist / user can not determine whether or not his client will be compliant but can expect non-compliance, so he can ensure the following:

  • establishing a relationship based on mutual respect
  • training on the importance of observing therapeutic indications
  • to educate entourage (if possible) about the importance of observing therapeutic indications
  • the recommended therapeutic indications will be as simple as possible, clearly formulated (verbally and verbally), both verbally and in writing, and will take into account the physiological impossibility (glare, deafness, motor incapacity, etc.)
  • verifying compliance before claiming therapeutic ineffectiveness
  • Dosage of therapeutic indications ("homeworks") from the lightest to the most difficult
  • "The client can understand and accept that the road to change is teamwork and that it is important for the therapist to be" helped to help ".

    The more it complies, the more time, energy, and finances invested in achieving its goal, "concludes psychologist Laura Maria Cojocaru, president and founder of INLPSI Institute for Neuro-Programming Linguistic Integration.

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