developing strong therapeutic alliance with caregivers of
TRANSCRIPT
![Page 1: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/1.jpg)
Developing strong therapeutic alliance with caregivers of maltreated children John Paul Abner, Ph.D.
![Page 2: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/2.jpg)
Heart warming story Metaphor #1
![Page 3: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/3.jpg)
Not so heart warming story Metaphor #2
![Page 4: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/4.jpg)
Developing therapeutic alliance with caregivers of maltreated children can be challenging.
• Therapists often seen as part of the child protective system. • Suspicion • Hostility
• Communication difficulties • Attendance problems • Stereotypes and prejudice • Likability factor
• Three clinical examples
![Page 5: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/5.jpg)
Importance of parallel process • Ruthlessly use PRIDE skills with parents of maltreated
children. • The PRIDE skills help shape how you see the parent. • The PRIDE skills helps shape how the parent sees themselves.
• Give labeled praise not only for PRIDE or PDI skills but any positive process. • Affection • Concern • Structure • Child’s enjoyment of CDI • Calm
![Page 6: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/6.jpg)
See yourself as a chain breaker • Viewing
maltreatment as a cycle can aid you in gaining empathy with the perpetrator.
![Page 7: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/7.jpg)
Use the summary sheets to encourage • Always start and end
with labeled praise. • Praise effort.
• Especially homework
![Page 8: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/8.jpg)
Use graduation as a defining event.
![Page 9: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/9.jpg)
Practice authenticity • PCIT helps create authenticity because of its emphasis on
observable facts.
![Page 10: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/10.jpg)
Expect success • It is easy to quickly
develop a negative prognosis for your caregiver. • Protects us from feelings
of failure. • Protects us from
rejection. • Expecting success is a
discipline that can create higher completion and success rates.
![Page 11: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/11.jpg)
Foster parent specific issues
• Expert identity. • Extremely busy schedules. • Role conflict. • PCIT does not follow the script. • Counseling history
![Page 12: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/12.jpg)
Developing therapeutic alliance with foster parents • Acknowledge their expertise. • Acknowledge transportation difficulties and
challenge. • “Sell” PCIT as not only a treatment for one child
but for all the children they will encounter. • Offer credit for training hours
![Page 13: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/13.jpg)
Learn from each other
1. 2. 3. 4. 5.
![Page 14: Developing strong therapeutic alliance with caregivers of](https://reader033.vdocuments.net/reader033/viewer/2022042221/625a31716c327970630b7dc4/html5/thumbnails/14.jpg)
Self-care A well rested therapist who has played, exercised, and enjoyed themselves in the last week will be more likely to form a good alliance with their clients.