There are a lot of effects of the patient feedback about the health services, especially in the dentistry department. In 1995, Sir David Mason wrote about the challenges and opportunities facing the dental profession and identified the "consumer revolution" as being one of the major trends currently shaping general dental practice in the UK: "More people want more say about their health and health services, the best care for themselves and their families and choice in that care. For the NHS the result has been a profound shift in emphasis from service providers to patients, the full effects of which have yet to be realized." (Mason D. 1995). One of these effects is the growing impact that patient satisfaction and dissatisfaction will have on the business success of dental practice. Regardless of the health care setting, the relationship between the patient and the provider is one of the most important factors affecting patient satisfaction. Improving interpersonal issues is therefore highly recommended to enhance patient satisfaction (Crow R, et al. 2002). Caring and respectful relationships between patient and provider are vital for patient satisfaction (Svensson B, Hansson L. 2006). The relationship between patient and provider has been strongly emphasized in mental health care, and has been described as encompassing three parts: a working alliance, a transference configuration, and a real relationship. The working alliance is considered to be the most fundamental for effective treatment (Gelso C, Carter J. 1994). Although the term treatment or working alliance originated in psychoanalysis, it can be generalized to all forms of psychotherapy (Bordin E. 1979). There is a hypothesis that produces that the more a doctor’s performan... ... middle of paper ... ... to less healthy patients through negative cues. All could increase patients' dissatisfaction (Braunsberger and Gates, 2002). It has been suggested that patients' satisfaction with their dentists is a primary determinant of whether they proactively seek preventive care (Liddell A. May B. 1984). Those who are dissatisfied with their dental care and avoid preventive care jeopardize their dental health and defer care until advanced stages of disease. This finding could be very important to the military population as getting service members dentally ready for deployment is a primary mission of the Services' Dental Care Systems. Dental emergencies in deployed military populations have been well documented and have shown that those with untreated emergent conditions suffer emergencies at 7 to 10 times the rate of orally healthy service members (Chaffln JG., et al. 2001).
Practitioners are likely to concentrate on the mental health issues rather than the overall issues that prevent the well-being of an individual. For instance, an individual could have other medical issues that need attention but the need could be ignored because a psychiatrist specialises in mental health needs. The previous negative experience of a service user and lack of insight could result in the service user not requesting the support they
These close relationships with other clients helped to create a sense of collaborative healing and, in the study conducted; the clients did not feel as much loneliness. It is imperative that the staff in inpatient settings help to cultivate an environment that allows close relationships among patients to form. Unfortunately, the findings of this article showed that very few institutions have policies in place to provide and maintain an environment where such relationships are possible (2014). This article can support the ideas presented in Rosenhan’s experiment which seemed to prove institutions themselves were not providing adequate environments. This article also supports the idea that pseudopatients and patients were negatively affected by the staff’s inability or lack of attentiveness. By not recognizing these issues within the environment, staff members could not provide adequate personal contact to promote healing
Stickley, T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18.
As a psychologist in a mental health profession, you should avoid conflicts of interest when providing any professional services to a client. Engaging in any activity with a client that makes the boundary between a provider and a client somewhat un...
Hersoug, A. G., Høglend, P., Monsen, J. T., & Havik, O. E., (2001). Quality of working alliance in psychotherapy: Therapist variables and patient/therapist similarity as predictors. Journal of Psychotherapy Practice and Research, 10, 205-216.
The field of clinical mental health is one of great reward, but also one of grave responsibility. It is the duty of the counselor to provide the client with a safe environment and an open mind, in order to foster a healthy therapeutic relationship. The majority of mental health counselors would never intentionally harm their clients; however; good intentions are not enough to ensure that wrong will not occur. The ethical expectations and boundaries are regulated by both laws and professional codes. When discussing ethics, one must realize there are two categories, mandatory and aspirational. (Corey, Corey & Callanan, 2007)
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 building a mutual relationship based on trust, understanding, and respect for the client.
It was also made very evident that individuals are connected to everybody else in the world in some way even when the connection is not made fully aware of. Jung stated that we are all connected through repetitive events in which we find meaningful. Research is starting to focus more on synchronicity, thus changing the way individuals view it when it comes to psychotherapy. Walt Whitman as well as Jung believe that once synchronicity is established in therapy, those experiences are then able to build off of each other. Overall, relational therapy might need to involve receptivity and sustained attention awareness in order to aide in the healing process while shifting through the therapeutic process. It was made very clear in this article that client-patient understanding is a very important concept of psychotherapy due to the fact that if the therapist cannot communicate with their patient, the problems in which the patient is suffering from cannot be solved. In addition, when therapists have a close connection with their patients, they are able to understand their feelings more than if not, therefore, they will be able to identify problems and find solutions to those problems. Synchronicity is strongly encouraged to be incorporated in psychotherapy due to the fact that such
In the Dental Hygiene field, many challenges come about every day and during different situations. Every day there are new challenges and unusual situations that occur in the dental field, but one challenge that continues to come about and has been a big dispute over the years is the ability to provide beneficial information about oral health care for the underprivileged. For the individuals that are not fortunate enough to pay to have services done in the dental office, lack the knowledge of how important good oral health care is. They do not receive the one on one conversations explaining the significance of taking care of your teeth and gums that the patients who can afford to make appointments and receive essential services do. That
“In 2007, the nation spent $98.6 billion on dental services, yet many children and adults went without the services they need to prevent and control oral disease. We have interventions that can not only prevent disease but also save money” (CDC 34). Oral health for the general public, especially the underserved, has been consistently overlooked. Low-income families and developing countries, who are the most vulnerable to oral problems, are the population that is the most ignored. Five and a half percent of people, in 2007, either could not receive dental care or were putting it off. The main cause of this is money. Many insurances are not accepted by dental clinics because of the high costs of dental exams (Institute of Medicine. 38, 88). If this is not the case, why are these people delaying in protecting their oral health? What most people do not know is that oral health affects overall health. This realization began in 1944 with the Public Health Service Act; it was asking for a movement protecting oral health as it was linked to overall health (Imes par. 4). More research is coming out on this subject, but already bacteria from periodontal disease has been found in the brain, lungs, and heart (Institute of Medicine. 33). With oral health being increasingly important and low-income families and countries being underserved, the government has started to initiate programs to improve oral health geared towards the underprivileged. The water fluoridation and school-based dental sealants are two successful programs started by the government (“Oral health.” CDC par. 41). These programs however do not reach enough people, especially the people who are part of the underserved. With oral health as important as it is, more...
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
Smith, T. B., Rodríguez, M. D., & Bernal, G. (2011). Culture. In J. C. Norcross (Ed.), Psychotherapy relationships that work (2nd ed.). New York: Oxford University Press.
Stickley,T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18.
A descriptive correctional and cross-sectional design was used for this study (Donahue, Piazza, Griffin, Dykes, & Fitzpatrick, 2008). But according to Donahue et. al., (2008), a longitudinal study would have been beneficial to use in determining the relationship of nurse’s empowerment and patient satisfaction. The hypothesis of the study was to determine if there is a positive relationship between nurse’s perceptions of empowerment and patient satisfaction. The purpose of this study was to “explore the relationship between nurses’ perceptions of empowerment and patient satisfaction” (Donahue et al., 2008, p. 2).
This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.