Why building trust with patients needs to be a higher priority for therapists
with research on social-cognitive development, I construe the core of trust as a joint commitment to the cooperative goal of promoting the well-being of the trusting person. Trust encompasses complementary and reciprocal roles: trusting and being trustworthy. Trust comes into play when you depend on another person; that person’s trustworthiness entails responsiveness to your dependence. You can trust your car to get you to work or you could trust a friend to pick you up.
From this perspective, developing trust will comprise much of the work of the therapy and could constitute its most important outcome. In a trauma- I view becoming trustworthy as a developmental process and an aspiration; we become increasingly trustworthy in each relationship and, more generally, over the course of a lifetime. Most broadly, trustworthiness requires caring and competence. We begin developing trustworthiness in
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