Mosaic Tree Counseling

The importance of rapport building in the therapeutic alliance.

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Maria believes in the importance of rapport building in the therapeutic alliance.

Rapport Building

Linda Tickle-Degnen and Robert Rosenthal (1990), from Boston University and Harvard University, respectively, explored the subject of rapport in “The Nature of Rapport and Its Nonverbal Correlates.” These researchers found that rapport is not something with which one is intrinsically born; instead it only occurs when two people interact (Tickle-Degnen & Rosenthal, 1990). In their research, Tickle-Degnen & Rosenthal (1990) purported three components of rapport: mutual attentiveness, positivity, and coordination. Biological aspects of the interaction need to be balanced; e.g., matching each other’s energy levels, body language, tone, and talking speed (Angelo, 2015).

A study in 2012 by Vacharkulksemsuk & Fredrickson entitled Strangers in Sync: Achieving Embodied Rapport Through Shared Movements suggested that the coordination aspect of rapport is even more important than the early stages of rapport-building, and that the importance declines when rapport is more firmly established. In another article, Rapport is Not So Soft Anymore by DePaulo & Bell (2009), it was noted that some scientists were too embarrassed to be associated with rapport, as it was considered “mushy” and unprofessional. However, in the 1960’s, researchers reported that patients who underwent surgery and had a strong rapport with their doctors experienced reduced pain after operations, such as in the 1964 study Reduction of Postoperative by Encouragement and Instruction of Patients was a Study of Doctor-patient Rapport by Egbert, Battit, Welch, Bartlett, & Egbert, who were all MDs. Studies of doctor-patient rapport, teacher-student rapport, and therapist/psychologist-patient rapport were the most common studied for the effectiveness of the rapport-building relationship (Angelo, 2015).

History of Therapeutic Alliance

Freud had many therapeutic alliance issues as soon as he began to use psychological treatments for his patients (Freud, 1913). Freud expected them to submit to be hypnotized, but they resisted (Muran & Barber, 2010). After that, they even resisted free association (Freud, 1913). Later, Freud thought that the patient’s transference to him conflicted with his work of analysis, that this “resistance” meant that his patients were not participating in the work as expected (Freud, 1913). Freud struggled to engage and keep his patients in treatment and this pattern became a recurring theme in the development of theories on treatment and alliance (Freud, 1913; Muran & Barber, 2010). However, after failed attempts at establishing therapeutic alliance, Freud decided to emphasize the bond between the patient and therapist (Freud, 1913). He realized that this bond helps to keep the patient in treatment, helps to overcome any doubt, promotes cooperation, and that this enables the patient to effectively participate in treatment (Muran & Barber, 2010). Sterba (1934) introduced the word “alliance” by expanding on the notion that the patient has a rational, observing capacity that enables the analyst to go against the irrationality of the patients’ transferences and defenses. Consequently, the patient’s engagement, leading to commitment, creates a positive feeling toward the therapist, enhancing trust (Thompson et al., 2007).

Defining Therapeutic Alliance and its Relationship with Treatment

Rapport building is needed to establish a working therapeutic alliance to achieve common goals in therapy. Therapeutic alliance is further described as the relationship that a client has with his/her therapist, as well as the level of his or her of trust in the therapist (Salters, 2017; Meyers, 2014). The quality of the client and therapist alliance (see below) is a strong predictor of positive outcomes in treatment (Ardita & Rabellino, 2011). However, it is important to note that techniques and alliance are not at the same level (Muran & Barber, 2010). Researchers Bedi, Davis, & Williams (2005) reserved the term “technique” for interventions geared towards treatment. Bordin (1979) hypothesized that the effectiveness of therapy is a function of the strength of the working alliance.

OUR PATIENTS SAY

All of our patients appreciate what we do… Just hear it from them!

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OUR PATIENTS SAY

All of our patients appreciate what we do… Just hear it from them!

My kids love Jennifer she has helped so much. My kids feel very comfortable with her. Maria also was very professional and nice to get back with us. I live in Katy and the drive is so worth it. Thanks Mosaic Counseling.
Diana Ball
Diana Ball
17:32 07 Jul 18
Maria is my therapist and she has helped me with a lot. I would recommend her and her staff too. Always helpful and respectful !!
Susiee Guerrero
Susiee Guerrero
22:10 21 Jun 18
Mosaic Tree Counseling is exactly the ideal place for You, your children or family members to be involved in. Therapy is rarely offered in your home, which Mosaic Tree Counseling provides. This allows your children to be in an environment that they feel comfortable, especially opening up their feelings or emotions to someone they might not be able to open up to emotionally. I'm am a pediatric nurse and I'm in the same situation alot of us go through in life, Divorce,Death, Changes in our Pre teen, teens life, social media!!! I'm finally having a peaceful household due to our wonderful therapist Candice Scurry!!! The difference is with Mosaic Tree Counseling is that they truly are here to help us and our family's. Candice Scurry goes above and beyond in making sure I have tools and resources to work with as well. The progression in my household is AMAZING!!!!!!!
Shanna Bledsoe
Shanna Bledsoe
18:57 26 Apr 18
I am very pleased with one of your employees named Juanita. I am in Houston TX. She has been very clear professional when trying to get any information about finding someone who is in my insurance plan. I really hope that this nice experience continues as I am going to further my life with Misaic Tree . Thanks again so far❤️
Sabrina Michel
Sabrina Michel
14:27 26 Apr 18
I would like to express how much I value the services my daughter, and I are receiving from Mosaic Tree Counseling. I love the professionalism, they are compassionate, understading,and dedicated to helping ppl. I would recommend them to anyone. Special thanks to Jennifer Mouille ❤️💋
Kelvitte Smith
Kelvitte Smith
15:11 12 Jul 18
I have seen Maria and Jennifer. They are great. I would recommend them to anyone.
Cynthia Clark
Cynthia Clark
20:55 22 Aug 18
I usually don't leave reviews, but I can't keep Mosaic Tree Counseling to myself if it could help others. Maria has worked with me on my issues. My quality of life and happiness I feel now is unbelievable. I never waited long in the waiting area and was never a problem to get scheduled when I needed it. If you are dealing with any kind of problem, these guys are the best. I would definitely recommend them to my family and friends.
Jennifer Budge
Jennifer Budge
18:53 07 Sep 18
Love the staff and facility! They are always so patient, helpful, and caring. Especially Jennifer, she is a great human being with a tender heart and passion for this job. I can't say anything enough good things about her and I would recommend her to anyone and everyone.
V C
V C
03:54 26 Oct 18
I've worked here lightly before, and observed the staff and operation. The clients were of all kinds of people and I was very impressed how they appreciated coming in for therapy. Good place for children, also.
Frank Peters
Frank Peters
06:31 27 Oct 18
Love the staff and facility! They are always so patient, helpful, and caring. Especially Jennifer, she is a great human being with a tender heart and passion for this job. I can't say enough good things about her and I would recommend her to anyone and everyone.
V C
V C
03:18 27 Oct 18
This place is run with the utmost kindness & professionalism. The rooms there feel relaxed. I was lucky to talk to her for an hour, as well as another counselor there. Both were right on. They listened for a long time. They were on my side. We ended sessions talking about solutions. The whole experience was excellent.
Shawn Lambright
Shawn Lambright
20:41 07 Mar 19
Love the staff and have received such great help here!
Annabelle Hanak
Annabelle Hanak
18:41 03 Apr 19
I started my sessions at Mosaic as individual sessions with Jennifer. Eventually, to my complete and utter surprise, we were able to get my honey to tag along for some couples therapy AND his own personal sessions. Her guidance and love has not only transformed our relationship but has really helped us individually address our own personal demons. We are forever grateful to have found her! She has become a true confidant in our life. We cant recommend Mosaic enough! everyone here is lovely.
lauren mcclaflin
lauren mcclaflin
20:26 05 Apr 19
I want to thank Maria for all the time and attention she has given me and my husband. We had been struggling to have a healthy marriage for the past couple of years. Maria has truly changed the way me and my husband communicate and has truly made our marriage better than ever with couple's therapy. She truly listens to us and all of our concerns about our relationship. We are now more in love than ever and have ceased all the fighting that was wearing our relationship out. Thank you Maria and Mosaic Tree Counseling for saving our marriage! I highly recommend Maria for marriage counseling and couples therapy!
Paul Lynch
Paul Lynch
17:17 06 Apr 19
Although my first experience was rather sub-par, the owner Maria immediately reached out to me regarding the concerns I had and addressed them swiftly. She is a wonderful women with a heart of gold. I can honestly say, working with her makes me feel open and comfortable and I am ready to see how my future sessions with her turn out!
Daisy Cole
Daisy Cole
13:54 08 Jul 19
Maria is phenomenal at her profession. She is very friendly and professional. She really cares about her clients. The office staff is also very friendly and professional. I highly recommend Mosaic Tree Counseling.
Kimberly Perricone
Kimberly Perricone
19:55 11 Jul 19
I can’t say enough good things about Jennifer Mouille at a Mosaic Tree! Our family sees her for both individual and family therapy and she has helped us understand each other better and communicate our needs in healthy ways. We are a foster family with a teenage foster daughter and Jennifer is very skilled at helping our daughter begin to face past traumas and work to overcome her pain and anger. She also helps us, the parents, understand how to support and encourage our daughter. Though talk therapy is a big part of what she does, she’s also given us strategies and “homework” for when we leave her office.
Christina Waggoner
Christina Waggoner
16:38 01 Sep 19
I have been seeing my therapist Jennifer Mouville for almost a year now and she is one of the best. Thank you so much for helping me on this journey. I have so much more confidence and peace from our sessions. Thank you Mosaic Tree counseling.
Jhessye Moore-Thomas
Jhessye Moore-Thomas
17:25 30 Oct 19
The staff here is very hospitable and professional. I was nervous about starting counseling services in general but Jennifer instantly reassured me that Mosaic Tree is a safe place. It’s almost been a year now and I’m so glad I chose to come here.
Vicious vic
Vicious vic
08:54 07 Jan 20
The staff here are very friendly and helpful. They are beyond caring when it comes to my family members that come here.
A G
A G
16:12 22 Jan 20
WOW Amazing therapy and marriage counseling. I have been blessed to be able to get to know Jennifer . She has really helped me in so many ways in this journey . Rather it be for marriage or just individual counseling, I have now been hooked on the feeling of actually getting real help . As a male I admit I was skeptical of even starting treatment . I’ve only been going now 2 months and it has been a life changing experience for me . I will continue to go here for many years and receive the support, sujestions , gratitude , hospitality and all around love at this place . Take the time and give this group a try , you will not be disappointed what so ever . Very productive, professional and straight to the point of help is what you will receive . Thank you so much Jennifer and the Mosaic Tree Counseling !
Mister Guerro
Mister Guerro
15:16 03 Feb 20
My daughter was in a very dark place several months ago. Mosaic Tree was recommended to me by my insurance company and her school counselor. It was the best decision we made. Sometimes we need a professional to help us through. Mosiac brought out my daughter's best qualities and made her believe in herself. I highly recommend them.
Jackie Zavala
Jackie Zavala
20:07 11 Mar 20