Between Therapist and Client

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Straightforward in its approach, the Structural Profile is a quick and easy way to obtain a general and global picture of a client's modality functioning. Using vivid examples from his own practice, Kahn shows how a coherent synthesis of these various approaches leads to the most successful clinical relationships. The results of this study may not give a picture of total symptom reduction at the “close” of therapy, but they do give a clear idea of the speed and efficiency with which symptom reduction may occur as a function of the therapist–client modality match. Transference is an enormous source for discovery and learning and it seems very effective to deal with it in the session room.

According to the theory and clinical observation of multimodal theory, 19 , 20 one's “dominant modality” (having the highest score on the Structural Profile Inventory [SPI]) will be the sphere of functioning in which one will be most likely to react, especially in times of stress.The Multimodal SPI 19 , 22 – 24 , 26 , 28 , 36 is a 35-item self-report questionnaire that asks clients to rate their perceptions of their modality functioning according to a seven-point Likert scale. Other weaknesses of this study concern the small sample size and the fact that most clinicians were still in training. The more similar the therapist and client, the lower the degree of reported psychopathology at psychotherapy outcome. I've been taught that complementary countertransference can also be very useful (therapeut can feel how e. Much of the support favoring dissimilarity comes from the perspective that psychotherapy is an educational experience.

Overall I find that Kahn sets a realistic and honest view of how the therapeutic relationship should look like and which factors are important, he does that in a not too rigid way, which gives space for the particular character of a therapist himself. People who score high in the Cognitions modality consider themselves logical, rational, and contemplative. Gives a flavour of each of the key players in the movement, and has a good selection of recommended further reading as epilogue. Dissimilarity was associated with increased dropout rates and increased premature termination rates.It's not really written for professions who have their license because they should already know this stuff. It has already been demonstrated that there is a relationship between a therapist's modality structure and his or her adherence to a particular camp of psychotherapeutic thought. Most analysts abandoned the role of detached and silent, which is both a relieve for themselves and the patient. Clients were also informed that participation in this study would not alter the course or form of treatment that they would receive. Regardless of the mechanism underlying the process, modality similarity between therapists and clients does appear to have a positive effect on the effectiveness of psychotherapy outcome.