Berger: Developing the Relationship Flashcards
What is the theme that Berger is under?
Role Relationships
What is the name of the piece by Berger?
Developing the Relationship
What is therapeutic alliance?
The ability of a [provider] and patient to work together in a realistic collaborative relationship based on mutual respect, liking, trust, and a commitment to the work of treatment
What is therapeutic alliance based on?
It is based on psycho therapeutic principles but can be applied to other health care contexts.
What does T.A. define?
It defines an idealized role relationship between patients and providers.
“Reach for the moon and land on the stars”
Why are respect, liking, trust and commitment important?
Rapport: through the ease of communication, chemistry and click (measurable)
What is the example that we talked about in class about expectations in therapeutic alliance?
Story about VA veterans and them having doctors who “look” different if they are from a different cultures.
How can it be shown?
Therapeutic Alliance shows the relationship between person A & B affects the interactions between person A & B.
“Every time you revise a relationship you revise the types of interaction”
What can relationships do to people during difficult interaction?
Insulate people
and
Provoke people
What are the 5 basic principles for developing a therapeutic alliance?
- People behave in order to get their needs met
- Feelings are real
- Although patients ultimately have responsibility for their medication-taking behavior, pharmacists may have substantial influence on this behavior
- Communication can be evaluated as appropriate or inappropriate only in relation to objectives
- Unrealistic expectations can drive you crazy
What is involved in the 1st principle in therapeutic alliance?
- When people interact, they pursue needs (or goals)
- Pursuing needs/goals, people do what is successful not necessarily what is”right”
- People operate with multiple simultaneous goals, not all of which are compatible (must balance, prioritize, or sacrifice)
What are the needs/goals that patients bring to an encounter with a pharmacist as part of the first principle?
Medical
Financial
Emotionally
What is involved in the 2nd principle, feelings are real?
- Feelings are feedback; they help us understand how we are relating to the external world.
- Feelings can be; ignored or confronted; expressed or withheld.
- feelings are not directly caused by others; feelings are based on an internal process of assigning meaning to others’ behavior.
What is an example of feelings?
Outside things can’t make you feel “sad” you yourself have a big part and influence on the way you feel
What is involved in emotional intelligence?
- *Empathy: the ability to read social cues and “take the role of the other”
- *self-awareness: the ability to confront and understand the basis of one’s own feelings
- self-regulation: the ability to make choices about expressing and withholding one’s own feelings
