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Clinical Case Studies
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The Five Therapeutic Relationships

Artemis S. Antoniou

Private Practice, Athens, Greece

Tania G. Blom

Private Practice, Bristol, UK

Founded on research evidence, Clarkson declares that it is not any specific psychological counseling paradigm itself that is the quintessence of therapeutic effectiveness but the tangible therapeutic relationship between the therapist and client. Clarkson states that there are five types of relationships potentially present in the therapeutic encounter. These are (a) the working alliance, (b) the transference/countertransference relationship, (c) the developmentally needed/reparative relationship, (d) the person-to-person relationship, and (e) the transpersonal relationship. This case study presents the theoretical framework of the five relationships; it demonstrates how this was utilized in the clinical context with a male client referred to as Harry and what were for him the implications of the therapeutic relationship assisting him to overcome low self-esteem, childhood sexual abuse, and depression.

Key Words: relational model • therapeutic relationship • working alliance • transferential/countertransferential relationship • reparative/developmentally needed relationship • person-to-person relationship • transpersonal relationship

Clinical Case Studies, Vol. 5, No. 5, 437-451 (2006)
DOI: 10.1177/1534650106292668


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