ABSTRACT

Are there fundamental things the therapist must do to foster effective therapeutic relationships? I describe both the general atmosphere that needs to be provided and a therapeutic stance that is effective. The atmosphere, referred to as the empathic way, consists of empathy, caring, and affirmation. These are the foundations of effective relationships. In addition, I make the case of the importance of a stance I refer to as benevolent neutrality. Within this stance, the therapist takes, in part, an observer position. The therapist does not take sides in the patient’s inner and outer struggles, seeking instead to foster understanding of these struggles. Although the therapist fosters the exploration of emotions, the therapist does not push or manipulate the patient into feelings. Finally, I offer some rules of thumb about the conditions under which the therapist should and should not provide direct guidance, support, and expressions of caring. Combined with the empathic way, a stance of benevolent neutrality can be maximally facilitative of the patient’s awareness and self-understanding, and ultimately of constructive change.