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Importance of the therapeutic relationship
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My ‘TrustPolicy’ In my work as a Counsellor, I am very aware of how important trust is in the therapy room. Some clients come ready to share but for others it takes time to recognise that they are in a safe space where their secrets are safe and they can be vulnerable. I feel honoured and greatly respect the trust shown each time a client says the words ‘I have never told anyone this…’ I began thinking recently how this plays out in my own life and decided to establish what my policy is with regard to trusting people. I have great friendships and family relationships which have a solid foundation in which I feel secure and a history which allows me to know I can trust, but what about the new people I meet? After some thought, I decided that
Though touching your patient and having multiple relationships with them aren’t the best way to go in my opinion, disclosing information to your patients is extremely beneficial. All therapists should learn to provide trust, comfort and an understanding to their patients, otherwise they are doing their job all wrong.
There are three main approaches in counselling these are the Humanistic, Cognitive Behavioural (C.B.T) and Psychodynamic. Within this essay I want to identify and describe some of their key concepts starting with the Humanistic Approach.
Trust is one thing between two people that takes time and effort to build, and as it is growing, a bond between two people can form. This is why some of the longest lasting relationships are formed at a young age. Trust is build on shared experiences, and On the other end of the spectrum, trust can be shattered in a matter of seconds. Once shattered, trust is something that must be wanted to be rebuilt or it will never be the same again. It breaks into a million pieces and all the pieces must be regained and reforged into what it once was. Sadly, more often than not, this does not happen as some of the pieces are
Trust is related to sincerity and incorruptibility. It is when one can rely or lean on somebody or something fully, knowing that what they presume to be true is certain. Trust has been regarded as both a procedure and an outcome. It is then built over time. Usually, people trust without being aware that they do, because nobody is self-sufficient (Olhansky, 2011). Trust is important to a healthy society and it is essential to the lives of the people that nurses serve. It builds the basis of all interpersonal relationships. Similarly, Olhansky (2011) believed that cultivating trusting relationships within the health care setting will lead to honesty, sincerity and truthfulness in regards to the health care discipline. Trust is believing that your personal well being will be taken care of. Sometimes risk is unavoidable because we often rely on what cannot be known. In addition, Dinc and Gastmans (2011) pointed out that trust always involves an undisputable amount of risk, and a disposition to risk abuse. Data and information will only be disclosed when there is sufficient trust between nurses and their patients. Trust is also a well-known factor in patient compliance with treatments. The trust of a patient is needed in order to be an effective nurse in decreasing the patient’s anxiety, educating them, and helping them to retain a sense of control. In the same way, trust should also be present between the members of the health care team. It is of great significance because without trust, the communication that is crucial in integrating efficient care may be affected. This may then result in distrust to a certain degree among patients. In other words, trust is vital for both interpersonal and professional relationships (Dinc and Gastma...
skeptical of new people and what they tell me. Once I can agree or see
The issue of confidentiality is one of the fundamental principles in understanding individual needs and meeting the need for care and support. Confidentiality is derived from the word 'confide' and its meaning is described as to trust wholly or have faith in.
Counselors and researchers differ in their opinions regarding the use of self-disclosure. Some consider it a means to establishing a more effective relationship with patients, especially those from “diverse backgrounds or alternate lifestyles”(Nyman p.269) While others view counselor self-disclosure as having “potentially hazardous patient outcomes” (Nyman p.270). They argue self- disclosure by the counselor “can burden the client with too much information and have a negative effect on the self exploration of the client”(Nyman, p. 270). They also claim counselor self-disclosure may have the potential to cause the client to lose his perceived sense of safety and trust in the counselor and in an extreme case, result in iatrogenesis by causing the client to recall a traumatic situation suffered in the past and ”jeopardize the counseling outcome” (Nyman, p. 270).
Explain the significance of confidentiality in ethical psychological practice, as it applies to the case above.
Provider’s self-disclosure can encourage patient to involve in talk and facilitate therapeutic goals of patient-provider relationship. Therapeutic effects of self-disclosure include the sense of being understood, the enhancement of trust, decreased loneliness, and decreased role distance. Nontherapeutic self-disclosure may have reverse effects as decreased understanding and role reversal. Because of therapeutic and nontherapeutic effects of
In any relationship, building trust is usually essential to the success of such a relationship. If there is no trust, then there is bound to be problems and that is not what you want, which is why you are reading this right now.
Over the past fifteen years, researchers have acknowledged that the revealing of personal secrets through talking and writing can lead to a variety of health benefits, in view of the fact that the opportunity allows the secret holder to openly express the clandestine information with another. This prospect not only allows the individual the opportunity to relieve themselves of the pressure of the emotional burden, but also the chance to come to terms with the concealment of their secrets.
In this part of the assignment, I will be reviewing the strengths and weaknesses that were shown when I was using counselling skills on my client. I believe that there were more strengths when I was showing counselling skills compared to the weaknesses that there were.
In the world of psychology therapist raise a question whether or not they should “disclose personal information during psychotherapy. Several therapists “have suggested that therapist self-discloser can have a positive impact on treatment. From this view, self-discloser by the therapists may elicit greater discloser by the client enhancing the possibilities for client self-exploration”(e.g., Bugental, 1965, chap. 7; Jourad, 1971, chap. 17; Strassberg, Roback, D’Antonio & Gable, 1977). In addition, “self-discloser is thought to encourage an atmosphere of honesty and understanding between client and therapist, fostering a stronger and more effective therapeutic relationship”). However many other therapist disagrees with that statement. They reply “ psychodynamic theorist since Freud have generally regarded therapist self-disclosure as detrimental to treatment because it might interfere with the therapeutic process, shifting the focus of therapy away from the client”(e.g., see cutis, 1982b; Freud, 1912/1958; Greenson, 1967, chap. 3). In addition, it is argued that therapist self-discloser may adversely affect treatment outcome by exposing therapist weakness or vulnerabilities, thereby undermining client trust in the therapist”(e.g., see cutis, 1982b, 1981)
Problem-solving approaches presented by Takahashi, Adler et al. and Ruffolo et al. have six similar steps. They all include steps of identifying the problem, analyzing the problem, coming up with some solutions, evaluating the solutions, implementing the solution in action, and evaluating the outcome of the solution. Three approaches all give a useful procedure to solve a problem in group.
My reflecting skills at many points of the interview were not really good, in one instance I just made a general statement on Line 41 which was a judgement by me. I could have used repetition here and said “you are a lot less stress knowing the money will come in” instead of a general statement which ended up being a response to the client which is not suppose to be done. I did not use a lot of repetition during my interview with my client. This can be seen as a plus because using lots of repetition can be seen as a negative, it can appear to the client as if the counsellor is not paying attention and not understanding the messages that the client is communicating.