How do systems of oppression and domination influence the therapeutic alliance?

Topic: Engagement –treatment pressures, and institutional racism
Questions:
How do treatment mandates and treatment pressures influence the therapeutic alliance?
How do systems of oppression and domination influence the therapeutic alliance?
Skills lab: Rate engagement with a client mandated to treatment, MI Spirit
Practice exemplar: Forensic setting
Readings:
Beutler, L. E., Edwards, C., and Someah, K. (2018). Adapting psychotherapy to patient reactance level: A meta-analytic review. Journal of Clinical Psychology, 74, 1952-1963. Full text available on-line via Columbia University libraries.
Karno, M. P., and Longabaugh, R. (2005). Less directiveness by therapists improves drinking outcomes of reactant clients in alcoholism treatment. Journal of Consulting and Clinical Psychology, 73, 262-267. Full text available on-line via Columbia University libraries.
Watch:
Engaging mandated clients:
Weekly homework:
Identify the ways that treatment pressures and mandates are experienced by clients in your field agency. Then, locate data from a recognized source (e.g., scholarly article, authoritative web-site) summarizing the level of disproportionality or disparities based on race in the field of practice represented by your field placement agency. Finally, using concepts from session 6 readings and videos, describe how treatment mandates and disproportionality/disparities influence the working alliance. Maximum 2 pages, single spaced, due: [night before session 6].
Lecture notes:
Recommended reading:
Ivanoff, A., Blythe, B. J., and Tripodi, T. (1994). Involuntary clients in social work practice. New York: Aldine De Gruyter. (Chapter 2, pp. 19-56, especially 20-35)
Trotter, C. (2006). Working with involuntary clients: A guide to practice (2nd edition). Thousand Oaks: Sage Publications.
Brehm, S. S., and Brehm, J. W. (1981). Psychological reactance: A theory of freedom and control. New York: Academic Press.
Tyler, T. R., & Trinkner, R. (2017). Why children follow rules: Leal socialization and the development of legitimacy. New York: Oxford University Press (available online via clio)
Karno, M., Farabee, D., Brecht, M.L., and Rawson, R. (2012). Patient reactance moderates the effect of directive telephone counseling for methamphetamine users. Journal of Studies on Alcohol and Drugs, 73, 844-850. Full text available on-line via Columbia University libraries.

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