Week 3 - Therapeutic relationships and Emotional Intelligence Flashcards
What is a therapeutic relationship?
The therapeutic relationship (also therapeutic alliance)
refers to the relationship between a healthcare
professional and a client (or patient). It is the means by
which a therapist and a client engage with each other,
and effect beneficial change in the client
What are components of a therapeutic relationship?
- Independence not dependence
- Individual needs fulfilled not the health professionals
- Professional sharing of skills and knowledge with comfort and support
- Empowers not disempowers
- Collaborative partnership
- Respect
- Confidentiality
- Autonomy
- Non-judgemental
What are challenges in a therapeutic relationship?
- Resistance
- Transference
- Counter transference
- Splitting
- Boundary Violations
What is resistance?
- Due to nurses judgement/interpretation of
situation - From individual to options provided/giving up
symptoms - To changing behaviour e.g relationship
dynamics
What is transference?
- A situation when childhood patterns of cognitive
understanding are repeated in adult life situations - Occurs at an unconscious level
- The individual views the nurse/therapist as a significant
figure /carer from their childhood. - Emotional responses associated with that person are
then experienced towards the nurse/therapist - These emotional responses are inappropriate to the
current relationship and often reflect dysfunctional
patterns that negatively impact the therapeutic
relationship
What is counter transference?
- Strong negative or positive emotions that the nurse/
therapist feels towards the individual – originating from
previous relationships - Experiencing extreme anxiety about the relationship
- Feeling overly concerned and nurturing
- Feeling judgemental or hostile
- This is not considered therapeutic
What is splitting?
- Clients view of the world, themselves and those
in it is that people are ‘all good’ or ‘all bad’ - This essentially occurs at an unconscious level
- Positive or ‘all good’ is idealised
- Negative or ‘all bad’ is devalued.
What is emotional intelligence?
Emotional intelligence can be defined as the ability to monitor one’s own and other people’s emotions, to discriminate between different emotions and label them appropriately and to use emotional information to guide
thinking and behaviour.