Therapeutic Relationship Reflective Essay

 

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can become more involved in their own care.In this piece of reection I did not have to obtain consent from patients as I generalised and have not discussed individualcases. However condentiality is of major importance whilst conrming a patient and it is essential that informedconsent is valid as each patient has the right to keep their caring need private. Riley (cited in Cutcliffe et al 2005, p304)suggests that therapeutic relationships are about patient’s disclosure of personal and occasionally painful feelings withthe nurse at a calculated emotional distance near enough to be involved but objective enough to be of help. Neal (citedin Hinchliffe et al 2003, p102) states that condentiality and trust are two sides to the same coin and trust is anotherimportant attribute to the therapeutic relationship as the patient will place their trust in the nurse. You can get expert help with your essays right now. Find out more...This element is important as in the nurse patient relationship the patient is in a vulnerable position. People become vulnerable whenever their health or usual function is compromised. This vulnerability increases when they enterunfamiliar surroundings, situations or relationships.Older patients and those with dementia are especially vulnerable. I felt on the placement the patient’s could put theirtrust in me as when taking personal information from patients I would ensure to the patient in the early stages of therelationship that information provided is treated as condential, but will be shared on a need to know basis, with othersinvolved in the delivery of their care.Even something as simple as when I put a patient on the commode and I inform them I will be back to check on them inve minutes I always return straight away as I told them and if I was tied up I would ask one of my colleagues to check on them this helps to maintain their trust in me.Chambers (cited in Cutcliffe et al 2005, p308) states that empathy is also an important feature to the therapeuticrelationship and suggests empathy is the ability to recognise and understand the patient’s feelings and point of view objectively. According to Riley (cited in Cutcliffe 2003, p93) empathy expressed verbally conveys caring, compassionand concern for patient’s but never implies that the nurse can fully experience patients feelings, also listening is animportant element as it is critical to hear what the patient is saying, verbally and non verbally. Smyth (cited in McQueen2000, p723-731) suggests that our personal experiences can make a contribution to their emotional work and ability toempathise and by reecting on personal experiences nurses may be better able to identify with patients. Whilst I was on placement and listening to the patients concerns and worries, using qualities mentioned by Hinchliff elat (1998, p225) of care, concern, compassion and respect I explained that it was a natural reaction to feel nervous andunsettled and this helped to lesson their underlying anxieties. In order to be genuine it was necessary to be honest andput some of my own feelings into the situation like getting into their shoes and trying to see things like emotions andexperiences from their perspective where possible.Chambers (cited in Cutcliffe 2005, p308) states that therapeutic relationship differs in terms of focus, length, depthand degree of closeness, regardless of this; they need to be grounded in respect for the patient. Getting the message of respect to the patient can be done in a number of ways as part of the therapeutic relationship like making sure that allconversations take place in private, whilst the doctors are doing ward rounds being present, listening and validating

Empathy And Therapeutic Relationship Essay

Is Empathy a prerequisite for a good Therapeutic relationship? If so, what is the optimal degree of Empathy required for a positive Therapeutic outcome? In the recent years, much emphasis is placed on understanding what "ingredients" in Therapeutic relationship contribute to a positive outcome. Many researchers have attempted to separate essential aspects of the Therapeutic relationship. Rogers (1957) quoted three essential aspects that were vital to attain a "psychological climate" in where a client could reorganize himself. These aspects were characterized as genuineness in the relationship, acceptance of the client (warmth), and accurate empathic understanding of the clients’ phenomenal world. Findings of previous studies shows that these three aspects are separate and can be measured independently (Bergin, 1967; Truax, Wargo, Frank, Imbe, Battle, Hoehn-Saric, & Stone 1966).
Therapeutic relationship is defined as the collaboration and attachment between the client and therapist that focuses on meeting the health care needs of the client (Bordin, 1979). In this relationship, the therapist without prejudice shows Empathy, insight, understanding and acceptance of the client. Duan and Hill (1996) defined Empathy as “feeling into” the experience of the client. Over the years, the research evidence keeps piling up, and indicating a high degree of Empathy in a Therapeutic relationship is possibly one of the most potent factors in bringing about positive outcome in the therapy (Clark, 2010; Greenberg, Watson, Elliot, & Bohart, 2001 & Hartley, 1995). However, recently the focus has been diverted to the aspects of the Therapeutic relationship, which includes Empathy as a predominant factor. The main purpose of this study was to examine the role of Empathy in the Therapeutic relationship and whether it is a prerequisite for a positive change in therapy. I will examine this by comparing the advantages and disadvantages of Empathy in a Therapeutic relationship.
Advantages
Positive outcome. Grave and Parks (1994) recognized several therapist variables and behaviors that consistently shown to have a positive impact on treatment outcome. One of the factors was empathic understanding, which was highly related to successful treatment outcome. Empathy creates a positive bond between the therapist and the client that allows room for the better understanding of the client. Hence, a positive therapeutic relationship leads to a positive outcome while a...

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