I truly enjoyed the conversation that I got to have with A.B. At times he was very open to sharing information with me about his family and girlfriend. However, at other times it was hard to talk to him, because of another patient on the unit wanting to play games with him. The conversation was a little broken off into sections, as sometimes we were interrupted. One important thing I forgot to ask, and should have asked was, if he felt like killing himself. I fear that my patient may fall back into his old ways and end up back at the emergency room, due to lack of support from his parents and his girlfriend addiction to drugs and him being around her a lot. I interpret that his main problem was with his family and their lack of support through …show more content…
I should have started my interaction with him by establishing a better relationship. Otherwise, I would not have changed anything about the conversation we had, and I got to learn more about what it is really like to be transgender and not have any support. In addition, one theory that I believe could apply to my interaction with my patient is Peplau theory of interpersonal relations. According to Peplaus theory, during the orientation phase the nurse establish relationship with the patient (Affiliation,1997) During my interaction, I started the conversation by introducing myself and starting off with basic questions to get to know my patient. The next stage is the Working phase, during this phase the nurse and patient may start to discuss more personal questions (Affiliation, 1997). After the introduction phase, I slowly moved into more personal questions, about his life and why he was on the unit. During the last stage called termination, it is a “time for summarizing and for providing closure of the work accomplished by the dyad” (Affiliation, 1997,
This essay will explore the nature of the therapeutic process; using my fifty minute long real play session with one of my colleagues. Also, I will explore my experience of the therapeutic relationship and how it influences therapeutic change and increase the affectivity of the therapy.
A sixteen year old teenager refuses to leave home and the therapist must review the situation from a MRI therapeutic approach. First, the MRI approach would not focus on the problem or how it developed but rather what efforts have the parent made to reach a resolution. MRI stems from the premise that families use practical attempts at resolving their situation but the attempts are ill-advised. MRI’s main focus is aimed at dilemma driven solutions; there is no advantage in long term change or what capacity the problem serves within the family.
A therapeutic relationship is a key component in the nursing profession. Without therapeutic relationships, the best possible care can never be provided. The foundation in which trust is built upon is created from the nurse’s ability to truly listen and respond appropriately. Listening creates the base in developing a strong, trusting relationship. Sometimes it is simply hearing what a patient says that makes all the difference, empowering them to open up and become more comfortable with the nurse (Hawkins-Walsh, 2000).
According to a study by the Migration Policy Institute, approximately 41.3 million immigrants were living in the United States in 2013, an all-time high for a nation historically built on immigration. Immigrants accounted for 13 percent of the total 316 million U.S. residents and adding the U.S.-born children of immigrants means that approximately 80 million people, or one-quarter of the overall U.S. population, is either of the first or second generation (Zong, Batalova).
Therapy is often said to be just as much of an art as it is a science. Namely because there is so much that goes into it. To create a successful therapeutic relationship, there are some key elements that need to be a part of the formula. Each therapist may end up having a different recipe, but it is important that a therapist knows what ingredients he or she may need and what they can add for it to be successful. Throughout this paper, this writer will discuss characteristics she hopes to embody as a therapist, as well as the values and skills she wishes to bring with her into a therapeutic relationship.
The therapist and client relationship is important in effective therapy. The therapeutic relationship must be built upon before any technique and theory will be effective. Communicating real empathy and showing a genuine interest in the client will begin a solid therapeutic foundation. However, the therapist must “have the ability to stay outside the system while maintaining some emotional attachment to its members” (Patterson, Williams, Edwards, Chamow, & Grauf-Grounds, 2009, p. 107). This paper reviews and critiques an interview I recorded of a couple that pertains to clutter building up around the house. The goal of this activity was to seek out information using various questioning techniques and basic interviewing skills, and
There are two main theories applied to relationships, Social Exchange Theory and Equity Theory underpin commonly used behavioural therapies such as Cognitive Behavioural Therapy, Enhanced Cognitive Behavioural Therapy and Integrative Cognitive Behavioural Therapy. More recent studies in neuroscience and behaviour and the importance of language have led to the development of Relational Frame Theory and Acceptance and Commitment Therapy as an alternative approach. In this essay I will outline the relationship models comparing and contrasting them. I will also introduce and briefly touch on Relational Frame Theory and Acceptance and Commitment Therapy as an additional approach to couples counselling and offer considerations which an
In this essay, I am going to give a structured reflective account on the development of a therapeutic relationship with a client on one of my clinical placements as part of my training as a student nurse. I will be using a reflective model which explores the processes involved in developing and maintaining such relationships bearing in mind theoretical knowledge and how it applies to this clinical experience. Jasper (2003) describes reflective practice as one of the ways that professionals learn from experience in order to understand and develop their practice. As a trainee health care professional, I have learnt the importance of reflection in
Helping our clients addressing transference is very important, so they can feel comfortable talking about their feelings and we can discuss with them different views. As you said, the focus is to create a trusting environment free from judgments or distrust. This way, the therapeutic relationship can become even stronger.
Starting my clinical experience this week, I felt confident in the interview process. I knew what information I wanted to gather for my care plan. I also knew that all the information I needed would not be found in the chart. I had to gain the patient’s trust so that he or she could open up to me. Upon finding out that my patient was a transgender male, I was uncomfortable. Despite of my knowledge and my experiences in the healthcare field, I was afraid of offending the patient by referring to him as the wrong sex or the wrong name. Therefore, I said to myself “In this profession, I must be non-judgmental and put all my personal opinions aside to care for the patient”. That is when I started to feel confident in my ability to be compassionate
Over the course of the term we have looked at basic aspects of counselling and interpersonal skills, how we understand and relate to them as well as how we have experienced them within our counselling triads. Within the Humanistic schools of theory, we have looked at Person-Centred Counselling, Transactional Analysis and Gestalt, under the heading ‘Integrative learning’. This has allowed me to identify my own preferences and strengths in relation to each theory and apply them in learning triads. I shall also be focussing on interpersonal skills of a more generic nature, and how they can be applied to ease, encourage and explain interactions. Repeatedly this term I have found myself fascinated with the importance of the ‘Therapeutic
There are several sociocultural approaches and issues in treatment. One sociocultural approach is group therapy. Group therapy has six qualities that create a sense of likeability, the information, universality, altruism, experience of a positive family group, development of social skills, and interpersonal learning. After looking into group therapies, I feel that I like the feature altruism because having this characteristic allows people to feel motivated and confident knowing they have support. I always feel a better confidence and motivation when others support me with encouraging words. Two other types of approaches are family and couples therapy. Family therapy has several strategies, that are used. Validation is when the therapist shows
Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by
Comprises four elements which outline what you must know and what you must do in your capacity as a therapist to take responsibility for and manage your own continuing personal development. CLG1.1 calls for commitment to consistency between theory and practice, whilst demonstrating self-awareness, morals, flexibility and resilience in the face of uncertainty, complexities and unpredictable behaviours and be able to make sound and informed decisions based on knowledge of ethical framework and relevant theories. There is also emphasis on creating the right therapeutic environment in terms of safety, respect, empathy and openness. CLG1.2 moves on to self-awareness in the therapeutic relationship. The therapist must understand the key differences
The whole reason for a therapeutic relationship is to facilitate a successful patient outcome. Each person is unique and has different needs.