chapter 3 Flashcards
therapeutic relationships
Differs from our normal “friendships”, where there is a mutual “give and take”
In therapeutic relationships the goal is for the client to benefit…not the clinician
Universal Stages of LossElizabeth Kübler-Ross
Denial – “But I feel so healthy” “I can’t believe she is gone”
Anger- “This isn’t fair. I (he or she) doesn’t deserve this!”
Bargaining – “Just let me live long enough to see my grandchild’s birth” “I’ll do anything if you give me a few more years”
Depression – “I’m going to die so why does it matter?”
Acceptance – “Death is near, but I will be ok”
Therapeutic Use of Self
Can be seen as the “art of relating” Using our interactions to benefit others Awareness of ourselves is a MUST! our communication style how we present ourselves to the client how we relate to others
We must assess our own interaction skills & make adjustments about how to use our skills to help the client
Therapeutic Use of Self
“…term used to describe how an OT practitioner uses personal understanding about relationships, emotions, and experiences in an intentional way in order to communicate with the client” (Taylor, 2008)
Considered a treatment method
Identified by clients as “critical” to the outcome of OT treatment (Cole & McLean, 2003).
Working towards establishing “rapport”
Therapeutic Use of Self- Rapport
“…an essential part of a healthy therapist-client relationship, leaving the client feeling safe and respected….”
Includes agreement on therapy goals & methods to be utilized
Intentional Relationship Model (IRM)
Developed by Renee Taylor PhD
IRM defines how the client and the therapist each contribute to the unique interpersonal dynamic that becomes the therapeutic relationship
Intentional Relationship Model (IRM)
IRM emphasizes how the client-therapist relationship influences occupational engagement and therapy outcomes
Other OT models do not address this particular concept
Client is central focus
Intentional Relationship Model (IRM)
Consists of six primary interpersonal modes:
specific way of relating to a client
Advocating Collaborating Empathizing Encouraging Instructing problem solving
Intentional Relationship Model (IRM)
Interpersonal Reasoning
An internal process in which we choose the most appropriate mode for interacting with a client at a certain time
Require us to be mindful during our interactions
Goal of the IRM is to be “multimodal”
Advocating (six primary interpersonal modes)
Therapists stand up for a client’s rights and ensure resources are accessible.
Mediator
Negotiator Enforcer
collaborating (six primary interpersonal modes)
A partnership with the client to ensure that the client plays an active role in the therapeutic process.
Choice
Freedom
Autonomy as much as possible.
Empathizing (six primary interpersonal modes)
Therapist seeks to understand the client’s thoughts, feelings, and behaviors.
Focuses on ensuring that the client feels trusted and understood
Instructing (six primary interpersonal modes)
Role of teaching through clear explanations of the plan, sequence, and events of therapy
Gives consistent objective feedback about performance
Problem-Solving (six primary interpersonal modes)
Problem-solving describes when the therapist acts as a facilitator.
Using logical thinking
Outlining choices
Utilizing strategic questions.
Self Awareness as a Tool
Recognizing our true nature
Behaviors
Emotional reactions/responses
Our impact on others around us
What am I bringing to the relationship?
Lack of self awareness can lead to distorted self perceptions.
How can this be a problem?
Skills required ability to develop trust demonstrate empathy use of active listening use of verbal and nonverbal communication
