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Advanced therapeutic relationships

Research shows that a positive therapeutic relationship is more important to successful therapy than specific techniques. This 25-hour Continuing Professional Development (CPD) course can help you develop the skills to enhance your relationship with clients and deliver the best therapy possible across its lifespan, helping you to form, maintain, and end this relationship effectively. Using the latest research, you'll explore various aspects and approaches to the therapeutic relationship and gain practical skills to strengthen your ability to manage relational difficulties that may arise during therapy. This course has been designed to develop advanced, practice-relevant competences so you can progress to Column B of the SCoPEd framework. Upon completion, you’ll receive a CPD certificate.

Standalone study only

You will not be awarded credits for studying this course. It is available for standalone study only and cannot be counted towards an OU qualification.

Short course

Short course code

DGXS003

Credits

This is a non-credit bearing course.

Study method

Short course cost

Entry requirements

What you will study

This CPD course is designed to advance your knowledge and practical skills in managing the therapeutic relationship which will improve your practice, because the way clients and therapists engage greatly influences the success of therapy. It is organised into five units:

Unit 1: Introduction sets up the course by showing the importance of the therapeutic relationship and current research on this subject. You will assess your abilities in handling the therapeutic relationship as you start the course.

Unit 2: The Beginning explores what to consider during the first sessions of therapy. You’ll be introduced to the nature and role of the therapeutic relationship, the factors that help or hinder developing a good therapeutic alliance, and how explicit communication can build the relationship. Issues of diversity and power, and how to manage these as in the therapeutic relationship, will also be covered.

Unit 3: The Middle focuses on key aspects of working with the therapeutic relationship during the core part of the therapeutic process. You’ll learn about maintaining and breaking boundaries, navigating and repairing ruptures in the therapeutic alliance, the ideas of transference and countertransference, and the concept of relational depth. Throughout the unit, you’ll learn the theory behind these ideas, see what research says, and gain insights into how they apply to clinical practice. You'll also engage with clinical examples and case studies and reflect on your own skills.

Unit 4: The End looks at the different types of endings in therapy and how they affect the therapist-client relationship. This crucial phase brings its unique challenges, whether planned or unplanned, such as when the therapist dies unexpectedly, or a client misses their final session. Psychotherapy offers a unique opportunity for a meaningful ending experience, where a good therapeutic relationship may continue in the client’s mind.

Unit 5: Conclusion reflects on how your understanding of working with the therapeutic relationship has broadened. It reassesses your competencies and provides resources for further study.

The course aligns with SCoPEd (The Scope of Practice and Education) framework Column B competences that are relevant to working with the therapeutic relationship. Completing this course will enhance your knowledge and confidence, helping counsellors and psychotherapists to offer counselling from a relational perspective.

You will learn

By studying this CPD course you will gain:

  • an understanding of key concepts, dilemmas and debates related to working with the therapeutic relationship
  • knowledge of the importance to analysing and addressing difficulties in the immediacy of the therapeutic encounter and find ways to overcome such difficulties
  • an understanding of difficulties related to equality, diversity, power and authority between client and therapist
  • an understanding of how to work therapeutically with ruptures and unconscious processes as opportunities for expanding the understanding of the client’s subjective experience of their difficulties
  • awareness of complex issues arising around the ending of therapy.

Vocational relevance

This course will help counsellors and psychotherapists gain an advanced understanding of how to work effectively with the therapeutic relationship. It is designed to align with the SCoPEd competences framework, specifically Column B for Theme 3: Therapeutic Relationships.

Learner support

This short course offers online learning and contains self-study materials to be studied at your own pace. There is no learner support from learning advisers available on this course.

Teaching and assessment

Assessment

There is no formal assessment, although there will be pauses for reflection and ‘review and reflect’ points built into the course which you will use to reflect on your understanding. You will complete an end-of-course multiple-choice quiz to test your learning.

Regulations

As a student of The Open University, you should be aware of the content of the academic regulations, which are available on our Student Policies and Regulations website.


Entry requirements

There are no formal entry requirements. This course is designed for qualified counsellors and psychotherapists as well as counselling and psychotherapy trainees.

If you have any doubt about the suitability of the course, please contact us.

Course length

In total, this course will require around 25 hours to complete.

The course is open for registration for 12 months. Once enrolled, learners are advised to complete within two months but the course will be accessible for 18 months.

Register

Start End England fee Register
At anytime before registration end date Jan 2026 - see Entry requirements for more detail £200.00

Registration closes 31/07/2025

Register

Ways to pay

Credit/Debit Card – We accept American Express, Mastercard, Visa and Visa Electron.

Sponsorship – If this course is geared towards your job or developing your career, you could ask your employer to sponsor you by paying some or all of the fees. Your sponsor just needs to complete a simple form to confirm how much they will be paying and we will invoice them.

The fee information provided here is valid for short courses starting in the 2024/25 academic year. Fees typically increase annually. For further information about the University's fee policy, visit our Fee Rules.

Can you study an Access module for free?

Depending on eligibility and availability of places, you could apply to study your Access module for free.

To qualify, you must:

  1. be resident in England
  2. have a household income of not more than £25,000 (or be in receipt of a qualifying benefit)
  3. have not completed one year or more on any full-time undergraduate programme at FHEQ level 4 or above or successfully completed 30 credits or more of OU study within the last 10 years

How to apply to study an Access module for free

Once you've started the registration process, either online or over the phone, we'll contact you about your payment options. This will include instructions on how you can apply to study for free if you are eligible and funded places are still available.

If you're unsure if you meet the criteria to study for free, you can check with one of our friendly advisers on +44 (0)300 303 0069, or you can request a call back.

Not eligible to study for free?

Don't worry! We offer a choice of flexible ways to help spread the cost of your Access module. The most popular options include:

  • monthly payments through OUSBA
  • part-time tuition fee loan (you'll need to be registered on a qualification for this option)

To explore all the options available to you, visit Fees and Funding.

What's included

All learning materials are delivered entirely online. You’ll have access to a course website, which includes:

  • a study planner
  • course-specific materials and activities
  • audio and video content.

Computing requirements

You’ll need broadband internet access and a desktop or laptop computer with an up-to-date version of Windows (10 or 11), or macOS Ventura or higher.

Our module websites comply with web standards and any modern browser is suitable for most activities.

It’s also possible to access some module materials on a mobile phone, tablet device or Chromebook. However, as you may be asked to install additional software or use certain applications, you’ll also require a desktop or laptop as described above.

If you have a disability

The course is delivered online and makes use of a variety of online resources. If you use specialist hardware or software to assist you in using a computer or the internet you are advised to contact us about support which can be given to meet your needs.

The OU strives to make all aspects of study accessible to everyone and this Accessibility Statement outlines what studying DGXS003 involves. You should use this information to inform your study preparations and any discussions with us about how we can meet your needs.