COMPANIONSHIPY THERAPY MODEL IN MENTAL HEALTH

There is no unique  “Companionship Therapy.” It  is  not a therapeutic orientation in the sense of  being  a set of techniques;  rather the term   denotes that  process resulting from a specific combination of interpersonal ingredients. The recipe can be stated roughly as: take      a nonprofessional or paraprofessional counsellor chosen for his  interpersonal competence, orient him toward not giving advice, pair him with a client, structure frequent contact into  the relationship that evolves, and have a professional oversee its progress.

The companionship model combines elements of  friendship with elements of therapy. Its theoretical basis stresses the value of empathic, nonjudgmental, playful contact for the resolution of  emotional  difficulties. Therapy is removed from the therapist’s office  to  the  client’s  natural surroundings: his home or  place of recreation.  Client-counsellor contact may cover the  full gamut of activities that come under the rubric  of companionship, as well  as  those  more  traditionally associated with therapy.Thus activities  may range from attending  sports events or sharing hobbies, on the one hand, to  engaging in intimate  discussions on the other.

Companionship Therapy places little stress on therapist  strategy or technique.  It gives counsellors and clients  freedom to choose activity for each session, although counsellors are selected for qualities that    will foster intimate conversation. The companionship model minimizes the need for extensive training that characterizes the traditional    “expert helper”  model, and it discourages  its counsellors from taking a “professional” stance toward their clients. In other  words, the therapy  emphasizes selection rather than training, and two-way intimacy rather than patient management.Of course, all is  not as  simple as  the “recipe”  given  above implies. The choosing, orienting, pairing, structuring, and overseeing all  take considerable planning by a given companionship  program’s  administrators,  and,  as  with traditional  therapy, the precise  impact of Companionship Therapy for different combinations  of   clients/counsellors/circumstances is  still  partly an open question.  However,  one of  the strengths of  this approach has been its willingness to  evaluate itself,  and a  substantial body of knowledge about its effects  is  now beginning to accumulate. The brief description  to  follow will attempt to introduce those concerned  with  the  problems  of  running  a companionship program to what is known about their solutions.

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