| Author(s) |
Audette Sylvestre Suzie Gobeil |
| Volume | 44 |
| Number | 3 |
| Year | 2020 |
| Page(s) | 125-136 |
| Language | English |
| Category | Clinical Focus |
| Keywords |
Therapeutic Alliance Therapeutic Relationship Shared Decision Making |
| Abstract |
The role of the therapeutic alliance in the success of interventions has been well demonstrated in areas related to speech-language pathology and audiology. Based on this knowledge, this article presents the theoretical foundations of the therapeutic alliance, distinguishing it from the therapeutic relationship. The central concept of shared decision making is presented, followed by factors that may influence the establishment and quality of the therapeutic alliance. A low-quality therapeutic alliance is associated with the possibility that the client will discontinue the intervention, hence the importance of paying special attention to this dimension. In situations where clinicians have difficulty establishing an alliance, it is their responsibility to identify how they may be contributing to this situation and reflect on their own actions in order to make the necessary corrections. Le rôle de l'alliance thérapeutique dans le succès des interventions est bien établi dans les domaines connexes de l'orthophonie et de l'audiologie. En s’appuyant sur ces connaissances, le présent article présente les fondements théoriques de l'alliance thérapeutique, en la distinguant notamment de la relation thérapeutique. Le concept central de la prise de décision partagée est présenté, suivi des facteurs susceptibles d’influencer l'établissement et la qualité de l'alliance thérapeutique. Une alliance thérapeutique de faible qualité est associée à la possibilité que le patient mette fin à l'intervention lui étant offerte, d'où l'importance d'accorder une attention particulière à cette dimension. Dans les situations où les cliniciens ont de la difficulté à établir une alliance, il est de leur responsabilité d’identifier de quelle façon ils contribuent à cette situation et de réfléchir sur leurs propres actions afin d'apporter les correctifs nécessaires. |
| Record ID | 1265 |
| Link | https://cjslpa.ca/files/2020_CJSLPA_Vol_44/No_3/CJSLPA_Vol_44_No_3_2020_1193.pdf |
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