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Relationships between client and therapist
Is psychotherapy more effective when therapists disclose information
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Recommended: Relationships between client and therapist
Yalom (2002) states that it is acceptable to touch your patients when it is needed during the therapy session. Personally, I think that touching a patient should at no time be acceptable unless a medical emergency is occurring or if it would be harmful to therapy to not touch them. Just a friendly touch could turn into something more for the patient, and those who have a mental illness could think of a variety of different meanings for that gesture. Since I have been learning about counseling, I have never seen a place where it is says that touching is encouraged. If anything I have seen more people against touching a patient than those who are for it. I would like to interview patients of therapists who believe that touching is okay and see if it’s helping or hurting. If I was able to speak with Yalom, I would ask him how successful his view is for him and for the patient. I feel it hasn’t gotten him into any trouble but is that because he is a well-known therapist or because it actually works?
Yalom (2002) also claims that talking about touching will make it easier for you to be able to console your patient in the future. For me, if I went into a therapy session and my therapist began talking about how he wanted to shake my hand or give me a hug, I would feel uncomfortable. If you’re going to touch a patient just do it, don’t talk about it and make it an awkward situation.
Furthermore, I believe that if a therapist does touch his or her patient, this opens the door for the patient to think that the therapist likes them in a sexual manner. I think that physical contact is the biggest culprit when it comes to patients falling in love with their therapist.
However, if a patient was to attempt to hug me after a session for ...
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...ients shutting down and being cold towards the therapist or even discontinuing the sessions. That’s why it is best to keep the relation strictly professional and to give each patient an equal amount of time. There should never be a relationship that goes farther than the patient-therapist contact.
Lastly by having your patient be involved in one or more aspects of your life, they could soon become your friend. In turn, if they think that you are friends, the therapist-patient relationship won’t be the same as it was when the sessions first started.
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.
Therapeutic communication can help promote a relationship between the nurse and the client, by focusing on the client’s needs. The nurse can do this by using various types of communication skills, such as giving recognition, giving information, and offering self. Giving recognition is acknowledging the client’s needs in a non-judgmental way.An example of giving recognition in Bed Number Ten is “After you’re a little better, we’ll be taking you to the physical therapy department for regular work to rebuild your strength” (54). Sue enjoyed the conversation with Charles because he was the first to spoke to her about getting better. Giving information is providing specific factual information the client may or may not request. “All the way through,
though its massage may be uncomfortable it opens our eyes to social problems that we still can
Although doctor-patient confidentiality is standard today, a caveat about this privilege is that it does not protect all statements made to therapists and only applies to regularly scheduled appointments. Additionally, if a patient reveals that they intend to harm someone, it is the therapist’s duty to report this fact to the proper authorities.
...In this specific style, the therapist tends to have the most success in gaining knowledge of the patients feelings of inadequacy, fear of intimacy, and low self esteem.
Some complication of the ending phase mention in the text is that the relationship can be ended to early or the client can become angry or sad. I think that it is more likely that the client will become sad, because they have built a strong bond with their therapist.
They argue that therapists should consider their own motivation to self-disclose and set boundaries. The therapists should never put their own needs above the client. They make sure to point out that self discourse alone cannot affect the outcome of treatment. Self-disclosure is effective only if it is used appropriately and only if it is used when it is necessary. The amount of information disclosed and when it is disclosed is also important. Therapists should draw a clear line with the amount of intimacy to include in their therapeutic disclosure to ensure that no inappropriate boundaries are crossed. The authors suggest two rules of thumb to follow when disclosing information which include: (a) “Why do I want to say what I am about to say” and (b) “What will be the likely impact of the client” (p. 567).
Therapeutic touch can be learned by anyone. Those who wish to become practitioners take special courses. The practitioner is taught to center himself, physically and psychologically, where he can find within himself an inner reference of stability. The pupil must learn to assess the patient by feeling hot, cold, tingling, congestion or pressure sensations in his hands when gliding through another person's energy fi...
What made me feel uncomfortable was when Dr. Landreth mentioned that if a child wanted to sit on his lap and hug him, he would allow it. I would feel very uncomfortable if a child wanted to hug me or sit on my lap. Even if the behavior were to show appreciation, it would make feel uncomfortable. I feel uneasy when children want to get close to me or hug
Giving touch should not be prevented from care givers, while it does not mean care givers take giving touch for granted and give it to patients forcibly; being sensitive, observant and respectful should be emphasized when giving touch (Edvardsson et al., 2003).
...ate with their therapists. “A systematic relationship between the therapists' personal reactions to the patient and the quality of their communication, diagnostic impressions, and treatment plans” (Horvath & Greenberg, ). While positive attitudes from the therapists are more likely to result in a successful treatment, negative attitudes will not develop the necessary cooperation from the clients side to successfully reach the goal of the therapy.
The article “Managing boundaries under pressure: A qualitative study of therapists’ experiences of sexual attraction in therapy” states that throughout a lifetime of practice, many therapists don’t cross boundaries and the relationship is strictly professional. That leads to the questions about what strategies they use to help them during difficult situations where boundaries could be crosses. (Martin, Godfrey, Meekums, & Madill
When a mental health professional has a connection with a client in addition to the therapist-client relationship, then a secondary relationship is present. Boundary extensions expresses the overlapping connections between a client and therapist. Counselors ought to be cautious about such connections. For the reason being, they put themselves at risk for potential harm within a nonprofessional relationship with a former client or those close to them (Welfel, 2015). There are several risks that arise in multiple relationships that are far more complex than one might think. One of the dynamics that affects the potential for client benefit in such relationships is their emotional involvement. Client’s confidence and trust in the therapist’s knowledge,
Communication plays a major role in preventing and resolving behavior problems and enhancing your patient’s quality of life by allowing them to feel, even when they no longer know or recognize those around them that they are in the midst of people who care about them and are concerned about their physical and emotional well being.
Reflecting on my work as a therapist, I recognize the importance of the therapeutic relationship. For instance, in EFT the therapist, “the therapeutic relationship, characterized by presence, empathy, acceptance, and congruence, helps clients to feel safe enough to face dreaded feelings and painful memories (Greenberg, 2014).
Reflective listening gives the client a sense of importance due to them currently having the floor and a moment to express themselves. Reflective listening is orchestrated through acts of showing empathy towards understanding the perspective of one’s feelings. Through this method, the listener does not offer their opinion or perspective while the client speaks. Adding eye contact can also be beneficial or uncomfortable due to client’s background. For example, one’s culture can believe that is it disrespectful not to make eye contact while another may not participate in that activity. During completing the initial assessment with Gwinda, the social work intern participated by allowing her to discuss the need for services. Gwinda further discussed how she is unsure of how the treatments will go and expressed how fearful she was to undergo these different changes. With uncertainty lingering, the social work intern sat next to Gwinda’s bedside ensuring during that moment the client had a listening