Pickett defines empowerment as the following: “For clinicians, empowerment means that you work in partnership with your clients, jointly discussing and developing treatment plans, and acknowledging that your clients—not you—have ultimate authority and control over their own care” (2012). Utilizing this definition, Pickett further describes the stigma surrounding mental illness, saying it prevents some clients from actively contributing to their treatment because they hesitate to acknowledge they have a mental illness. Additionally, due to the misconception that therapists must be benevolent, omniscient, and omnipotent, clients often feel like the therapist knows what is best for them (Brightman, 1985). The therapist also perpetuates the stigma when they no longer see the client as an individual, but rather a diagnosis (Pickett, 2012). Pickett articulates the effect of stigma extends all the way to the system itself by controlling the clients care instead of collaborating with them (2012).
Clients are encouraged to face the facts about oneself, and learn that in order for others to accept them, they must learn to love and appreciate themselves. Gestalt therapy would help Joan realize that she needs to focus on the now and her current relationship with Hal, as her disapproving relationships in the past are not an important factor in the mending of her current relationship. Furthermore, Gestalt Therapy is a strong form of counseling in how it is personally tailored to each individual, making it applicable across cultures. However, this could cause difficulties in Joan. She seems to contribute much of her self worth as a human to the acceptance she receives from her relationships.
That is part of the trust mechanism, and is very important in nursing. Altruism is also important, it refers to trust as well, if you are not truthful with your patient, they will not trust you. Compassion and empathy are very important and can be grouped together. You must remain human when caring for your patients. I feel that if I ever get to a point in my career that I lose my ability to show compassion for my patient and express empathy, then it is time to choose a new career.
People tend to be rigid and caught up in their own beliefs of what is wrong or right, but the therapist can never lose sight of humanity. Being a human comes before being right or wrong and the client will only be able to see and understand that through therapeutic alliance. Relationships have a significant part in everyday life. People might define a relationship with someone in a lot of diverse ways because it depends on whom the relationship is with. It is safe to say that our relationship with peers, colleagues or loved ones are all unique in their own way yet they are still a relationship.
Nurses must display an understanding and accepting attitude, and encourage the client to verbalize any feelings including those of anger or loneliness. Expected outcomes that nurses would like to see in clients with borderline personality disorder facing spiritual distress would be that these clients would express hope and value in their belief system, and express a sense of well-being. (Gulanick & Myers, 2007). Before we can help clients who have borderline personalities, we as nurses must understand our own value and belief system and never impose these values on our clients. By understanding our own values and beliefs, we are more equipped to help clients with borderline personalities who encounter spiritually distress.
I want her to be able to use the solutions long after she stops being my client otherwise I will be enabling her to look elsewhere rather than from within herself for the answers. According to Bordin (1979) , the therapeutic alliance is composed of three factors: (a) the presence of a personal bond between therapist and client, where the client views the therapist as caring, understanding, and knowledgeable; (b) an agreement between client and therapist regarding the goals of treatment (e.g., reduction of symptoms, improvement of relationship with significant other); and (c) an agreement as to the means by which these goals may be achieved (e.g., relaxation, empty-chair work). Treatment Goals. Some treatment goals using CBT include improve depressive symptoms, reduce the risk of development of other mood disorders for example, major depressive disorder, and to improve global psychosocial functioning and overall quality of life (Thyer & Wodarski, 2007). Some treatment goals using IPT include identifying problem areas to focus on, generate problem-solving, changing patterns of coping, improve... ... middle of paper ... ...ession or 2) if she is medium or high risk I will discuss options are available to her for example, voluntary in-patient, and no suicide contract, etc.
There may also be an issue of competing interest, for example, the client sought to improve her issues with taking initiative and being indecisive while the counselor is more interested in practicing new techniques that she has learned. The role of a professional is to meet the need of the client and refrain from pushing their own objective on the cl5tient (Koocher & Keith-Spiegel, 2008). Multiple role relationships The counselor entered into a multiple-role relat... ... middle of paper ... ...). The counselor acted ethically by ensuring that the client was in agreement with the termination and by referring her immediately to another professional (APA, 2002). However, the counselor should have evaluated the other professional’s ability to effectively treat the client (APA, 2002).
Overall, relational therapy might need to involve receptivity and sustained attention awareness in order to aide in the healing process while shifting through the therapeutic process. It was made very clear in this article that client-patient understanding is a very important concept of psychotherapy due to the fact that if the therapist cannot communicate with their patient, the problems in which the patient is suffering from cannot be solved. In addition, when therapists have a close connection with their patients, they are able to understand their feelings more than if not, therefore, they will be able to identify problems and find solutions to those problems. Synchronicity is strongly encouraged to be incorporated in psychotherapy due to the fact that such
I think as a therapist, it’s good to take an active approach to your clients. I like that in the gestalt approach you can frustrate the patient by confronting what they are trying to avoid. I think that some of the other therapies such as person-centered, want you to be too indulgent to the client. By that I mean they want you to be supportive to the point where getting to all the problems a client may be experiencing become the ultimate ch... ... middle of paper ... ...At first I honestly thought psychologist and psychiatrists just talked to patients or just let they ramble on. Then taking other courses I thought psychologist just did a lot of experiments to explain about the brain and why people did things.
This theory focuses more on the patient’s irrational beliefs they develop that lead to problems related to their behaviors and emotions (Sharf, 2015). This type of counseling allows the counselor to teach patients to challenge their own irrational beliefs so that they can reduce anxiety and develop healthier ways to network with others (Bernard & Wolfe, 2000). When patients become upset, it is not the event that upsets the patient, it is the beliefs that the patient holds that cause them to be angry, depressed, sad, or emotional (Ellis, 2000). Ellis stated that the majority of people want to be happy, whether we are by ourselves, or with others (Bernard & Wolfe, 2000). We want a good job, steady income, a happy family, and to enjoy life.