Therapeutic Relationship Reflective Essay


If you are using this resource in your work please remember to reference and cite the original work found here:

Copyright © 2003 - 2011 UKEssays & All Answers Ltd

The UK’s original provider of custom essays

Find more free essays like this one...

We have a large reference library of essays that you can use as research materials to help with your own writing - check out our 

free nursing essays


Share this resource with your friends...

We hope you found this information in this free pdf useful. Please spread the word and tell your friends how this information has helped you with your studies and feel free to share this pdf with others, so it can help them too.

Keep up to date with the latest essay writing hints, tips and free research materialsto help you with your assignments - simply subscribe to our RSS feed or join us onFacebook now!

Page 3 of 6

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.
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...

Loading: Checking Spelling


Read more

Emotional Intelligence and Reflective Practice in Nursing

2228 words - 9 pages Emotional Intelligence and reflective practice are integral components of building a therapeutic relationship in nursing Emotional intelligence refers to the ability to perceive, control, and evaluate emotion. Reflective practice is exploring of one’s own experience and practices. This includes a person’s behaviour, thinking and all other related emotions. Therapeutic relationship can be defined as the care assistance and management...

Rapport and Empathy: Important Skills for Communication in Health Services

1737 words - 7 pages Rapport and empathy are two essential skills for communication in health services. In this integrative essay, it is displayed how rapport and empathy play an important role for communication in health services, such as counselling and psychotherapy. Empathy helps building rapport with the client. Both skills are needed in counselling, because once the client has found trust in the counsellor there is a bigger chance of them opening up about their...

Emotional Intelligence and Nursing

2134 words - 9 pages “Emotional Intelligences and Reflective Practice are Integral Components of Building a Therapeutic Relationship in Nursing” Emotional intelligence refers to an ability to recognize the meanings of emotion and its therapeutic relationships, and to reasons for problem-solving in nursing. This is involved in the capacity to recognize emotions, adapt emotion-related to feelings, understand the information of those emotions, and manage it....

Therapist’s Self-Disclosure in Therapeutic Relationships

2416 words - 10 pages Regardless of the therapeutic approach utilised, an indispensible and communal component of most therapeutic approaches is the therapeutic relationship (Sparks, Duncan, & Miller, 2008). Norcross and Hill (2002) defined therapeutic relationship as the cooperative alliance between a therapist and the client. It is found to be influential in the success of a therapy (Lambert & Bergin, 1994). Hence, researchers began to investigate therapeutic...

Relational Skills Reflection Paper

2377 words - 10 pages The purpose of this paper is to allow me, the learner to analyze and reflect on a video created between an actor and themselves. Using my knowledge obtained I was to effectively incorporate trust, respect, honesty and effective communication, as they are key principles in establishing a relationship with a client (

How to Have a Better Relationship with Coworkers

1155 words - 5 pages After yesterday’s class, I have thought a lot about my attachment style, and how I relate to others in a professional setting. I think, that for a very long I have removed myself from having relationship with people I work with. Not to say that I haven’t been available, but I definitely have had my guard up. I do not trust people, and although I am openly out as a gay woman, I am consistently questioning the way people relate to me based on my...

The most important elements of self change in therapy

1361 words - 5 pages The fundamental components of the client-centered therapeutic tradition are themost influential dynamics for facilitating self-change. In this method, thekey elements to bring about change lie within the client-therapistrelationship. "From this...

Assessment of Counselling Skills

2201 words - 9 pages This essay evaluates the counselling skills used during a 30 minute integrative counselling session with a male client aiming to combine strengths of person-centred theory, attachment theory and cognitive-behavioural therapy. It starts by offering a case formulation based on Padesky and Greenberger (1995), as well as Lazarus’ (1973) multimodal assessment template the BASIC ID (cited in Prochaska and Norcross, 2003, p.496), of a married young...

The Patient's Rights and Confidentiality in the Nursing Profession

782 words - 3 pages This reflection indentifies what I have learnt about confidentiality and privacy, patient’s right to know about their health condition health and empathic response in Nursing Profession. Nursing as a caring profession needs communicating receptively, empathy, trust and respect to establish and maintain a strong therapeutic relationship with the patient and the family. I will make reference to a significant experience I had as a student nurse...

Client With a Voice - Establishing a Therapeutic Nurse-Client Relationship

1920 words - 8 pages Today’s health care systems have called attention to the importance of therapeutic nurse-client relationship which needs to be reinstated back into the forefront of thoughts and dialogues about nursing pactice since it has been overpowered by a technology driven medical model. Kleiman (2009. p2). In clinical placement, I will meet with clients for the first time and interact with them in weeks to follow. This is one of the most important aspect...

Establishing a therapeutic relationship: A structured reflection

1724 words - 7 pages PAGE Establishing a Therapeutic Relationship: A Structured ReflectionA purposeful and goal-directed therapeutic relationship between a nurse and client is grounded in an interpersonal process that strives for advancing the best interests and outcomes for the client (


Leave a Reply

Your email address will not be published. Required fields are marked *