• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

Therpeutic relationships in nursing(with harvard references)

Extracts from this document...


Therapeutic Relationships For Carl Rogers, discussing therapeutic relationships suggests that the relationship between the one being helped and the helper is a mutual one. Buber (1966) opposed and disagreed with Rogers and suggested that, because it is always the patient that comes to the professional for help and not the other way around, the relationship can never be a mutual one. Mutualism is defined as 'the relation between two different species of organisms that are interdependent; each gains benefits from the other', (dictionary.reference.com (2008). Campbell (1984) said the role of a nurse in a therapeutic relationship is; somebody who shares freely with others, but does not interfere and allow others to make and define their own journey. Patterson (1985) believes that the relationship itself is central and quoted that 'counselling or psychotherapy is an interpersonal relationship. Note that I don't say that counselling or psychotherapy involves an interpersonal relationship-it is an interpersonal relationship'. The Nursing and Midwifery Council (NMC) influence a therapeutic relationship throughout The Code (2008), it quotes 'you must listen to the people in your care and respond to their concerns and preferences and you must make arrangements to meet people's language and communication needs'. It encourages nurses to develop their relationship with the patient through the use of communication skills and through educating the patient about their illness. ...read more.


will not get lost in what may turn out to be the strange and bizarre world of the other, and that they can comfortably return to their own world when they wish', he is referring to 'getting lost in the world of the other'. Burnard (1997) describes the art of 'attending' as the act of truly focusing on the other person, consciously making ourselves aware of what they are saying and what they are trying to communicate. Vital to the establishment and construction of a therapeutic relationship is the nurses own capability to use an extensive range of communication skills, strategies and interpersonal skills. Effective and successful communication is a necessary aspect in producing and preserving a successful relationship. Regardless of the surroundings and the duration of interaction, the nurse acts in therapeutic ways to supervise the limitations of the relationship. This could involve tasks such as, the nurse introducing themselves to the client and addressing the patient by their preferred name/title, or showing a genuine interest in, and compassion for the client. In a therapeutic relationship between the nurse and the patient the power tends to be unequal, although nurses may not observe themselves as having power and authority in the relationship. The nurse should always try and remember that the patient is in a vulnerable position and due to the nurse's amount of health care knowledge and her position in the health care system the patient may feel more vulnerable than they already are. ...read more.


People might use these guidelines differently in relation to culture and individuality, so they should not be taken as absolute rules. Therapeutic relationships are also encouraged, supported and developed by members of the multi-disciplinary team, for example; doctors. Doctors support patients by educating them about their illness and also by developing a therapeutic relationship with the patient. They have to consider professional intimacy and also the method in which they communicate with the patient, since giving bad news is very different to giving good news and they also have to think about their facial expressions and body language and show empathy. This also relates to other members of the Multi Disciplinary team (MDT), such as physiotherapists, psychologists, dieticians etc. During practice, I have had to think about my communication skills, key elements and professional intimacy, on an occasion, were I communicated with the relatives of a terminally ill patient. The wife of this patient was crying, and therefore in order to comfort her, I talked to her, held her, hand and gave her a hug. The communication skills I used were Empathy, which Mayeroff (1971) believes is an essential part of caring. I also used verbal communication and non verbal communication, which is described as 'an awareness of your body and mind as a source of communication' Egan(1990) and also showing respect, Rogers (1961, 1967) 'You are there to help clients, not to judge them', following Standal (1954), who calls this kind of respect 'unconditional positive regard' Egan(1990). ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our AS and A Level Healthcare section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month
  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work