Requirements of a Therapeutic Relationship

8/8/2019 Requirements of a Therapeutic Relationship

http://slidepdf.com/reader/full/requirements-of-a-therapeutic-relationship 1/12

Requirements forTherapeutic

Communication

PRESENTED BY: Mary Anne I.Javierto, RN MAN



. y o commun ca etherapeutically requiresan understanding and useof interviewing techniquesand developing a trustingrelationship thru:

Open ended rather thanprobing

Reflection of words andfeelings

Focus on the emotional

needsHaving a therapeuticgoal

AcceptanceNon-judgmental



2. Recognition that an individual haspotential for growthIndividuals need to learn about theirbehavior in relation to othersExperiences must be shared withothers to determine that theirperceptions are validParticipating in groups increases IPRand helps the individual identify theirstrengths and resources

3. Recognition that the individual needsto be accepted

Acceptance is an active processdesigned to convey respect throughempathetic understanding



acceptance of others requiresacceptance of self first

acceptance requires that they bepermitted to and encouragedothers to others to express their

feelings and attitudesmust be aware of one’s own

attitudes and feelings to be non judgmental

acceptance requires showinginterest in the client.



as c r nc p es o syc a r cNursing(Saxon)

In caring for the clients, the nurse should attempt to:accept and respect people as individuals

regardless of their behaviorset limits on the individual’s inappropriate behavior

recognize that all behaviors have meaning and ismeeting the needs of the personaccept dependency needs while encouraging moves

towards independency



help individuals set limits oninappropriate behaviorsrecognize that individuals need to

use their learned defenses untilthey find other defenses can besubstitutedrecognize that all individuals have

potential to grow towards higherlevels of emotional healthencourage individuals to express

their feelings in an atmospherefree of reprisal and judgmentrecognize that all feelings affect

behavior and influencerelationships



Basic Needs to maintain Mental Health andPersonality Development: The Need to Communicate

• to validate reality and conveys an uderstanding of

feelings• to develop self concept in relation to others

The Need for Security • an assurance survival promotes security• Fear emergence when survival is threatened

• The infant’s security is related to satisfactionof physical needs

• The infant must perceive love to feel secure



• how the person handles theseperceptions influences personalitydevelopmentThe Need to Move from Dependency toIndependency

• If one is totally dependent on others,security is severely threatened becausethere is no deep assurance of survival if such occurs

• The infant must first feel to be loved andsecured to be able to overcome problemswith the environment



• one these are met, the child is sustained inthe failures and hurts associated withlearning and dependence

• denial of the opportunity to learn orfrustration in the drive for independence willproduce emotional problems. The Need to develop Self Concept

• s.c. begins to develop in early infancy• an integral part of s.c. is body image

• deeply learned perceptions of body imagestems from the attitudes of sig. others sincechildren view themselves as their lovedones view them



• communication enhances thedevelopment of self

• a person’s sense of self is thebasis of emotional stability; asecure person has strengthand capacity for independenceand becomes less anxiouswhen circumstances requirethe help of others



MALADAPTIVE? (Javierto2005)

when adaptive mechanisms are used singlyand repetitivelyinability to move from dependency to

independencyUnable to substitute maladaptive behaviors toadaptive onesfailure to communicateunable to experience care and support during

early years development



When the ego is constantly being threatenedand unable to compensate for itlack of opportunities to grow and to learn to

become independentdistortions in the perceptions of self and

body image.

Why is there a need to develop adaptivemechanisms?anxiety is the prime motivational factor for

maintaining a.m.( to relieve anxieties andfears)to maintain a state of well being and

homeostasismaintaining the ego integrity

Documents

Requirements of a Therapeutic Relationship