Presentation on theme: "Communication and the Therapeutic Relationship"— Presentation transcript:
1 Communication and the Therapeutic Relationship Chapter 10
2 Self-awarenessProcess of understanding one’s own beliefs, thoughts, motivations, biases and physical and emotional limitations, and recognizing how they affect others with whom we interact
3 Self-awareness Biologic Psychological Social Gender, age, body weight, height and other observed physical characteristicsGenetic makeup, chronic illness or physical disabilityPsychologicalPsychological makeupTraumatic experiencesSocialSociocultural valuesAcknowledge cultural heritage
4 Understanding Personal Feelings Avoid projecting personal bias on patient.Ask for feedback from people you know and trust.Behavior change can follow serious introspection if there is a willingness to change.
5 Communication Therapeutic communication Verbal communication Ongoing process of interaction in which meaning emergesVerbal communicationSpoken word, underlying emotion, context, connotationNonverbal communicationGestures, expressions, body language
6 Communication and the Therapeutic Process Therapeutic communication: Ongoing process of interactionFocuses on the patient and patient-related issuesSigns of slipping into a social relationshipTelling patient about personal social lifeTelling patient about frustrating experiences that relieve stressLetting patient believe that relationship is a friendship
7 Principles of Therapeutic Communication Patient focus of interactionAttitude sets the tone.Use self-disclosure cautiously and for a purpose.Avoid social relationships.Maintain patient confidentiality.Assess level of understanding.Implement intervention from a theoretical basis.
8 Principles of Therapeutic Communication Maintain a nonjudgmental interaction.Guide patient to reinterpret experiences rationally.Track verbal interaction with clarifying statements. Avoid changing the subject (unless in the best interest of client).
9 Techniques of Verbal Communication AcceptanceConfrontationDoubtInterpretationObservationOpen-ended statementsReflectionRestatementSilenceValidation
10 Listening Active Focuses on what patient says Uses open-ended statements, questionsAvoid changing subjectPositive body languagePassiveSitting quietlyLetting patient talkBoring body language
11 Selecting a Technique Listen to verbal and non-verbal. Decide goal of communication.ClarifyProblem solveSupport
12 Therapeutic Communication Concepts Rapport: Interpersonal harmony characterized by understanding and respectEmpathy: Ability to experience, in the present, the situation as another did at some time in the pastBoundaries: Defining limits of persons, objects or relationships
13 Boundaries Physical: Body space zones Social: Psychological Parent-child relationshipsRomantic relationshipPsychologicalNurse-patient relationshipProblems when:Professional relationship turns into social one.Needs of the nurse are met at expense of patient.