The Thereputic Relationship Flashcards
(29 cards)
Name 2 models of communication
Linear model of communication (Shannon and weaver, 1949).
The circular transactional model of communication.
Who invented the linear model of communication and when ?
Shannon and weaver 1949
Explain the linear model of communication
- One directional
- A source will send a message to a receiver through a channel.
- Once the message is sent the receiver will decode it.
Explain the circular transaction model of communication.
- Considers intrinsic and extrinsic factors.
- An ongoing dynamic complex process.
- Individuals can simultaneously be senders and receivers.
Explain the negative of the linear model.
Doesn’t considered intrinsic factors that can effect the communication process such as values and beliefs.
Doesn’t consider extrinsic factors such a the 4 types of noise (berlo, 1970)
What are Berlos (1970) 4 types of noise and explain them.
1-Physical noise
2-Physiological noise - physical impairment that influence perception by the receiver.
3-Psychological noise - Individual beliefs, cognitive bias and values of goals.
4- Semantic noise - words have different meanings in different contexts
What does devito (2011) say about noise in communication
Distort the message being transmitted or distort the perception of the receiver.
What approach is most commonly used in health care?
The person centred approach ( Carl Rogers)
Explain Carl Rogers person centred approach
- Physiological needs met and environmental distractions reduced before children can engage in a theraputetic relationship.
- No two assessment/treatment is the same due to different background.
- Focuses on a holistic assessment.
Who created the core conditions for therapeutic change ?
Carl Rogers
What are the core conditions for therapeutic change ?
1 -congruence - the helper is genuine and consistent
2- unconditional positive regard - behaviour remains the same no matter what the client does or how they act.
3 - empathy - understanding the thoughts and feelings of the client
Explain the theory of interpersonal relationships ( Hildegard Peplau, 1952)
1 - Orientation - stranger
2- Working phase - gaining more familiarity
3 - Exploration phase - Applying skills and techniques to tackle the problem and reach goals.
4- Termination phase - end the relationship
Who created the theory of interpersonal relationships and when ?
Hildeguard Peplau 1952
Role of the Nurse in therapeutic relationships
- Employ counselling strategies or helping strategies
- Initiating, building and ending the therapeutic relationship appropriately.
- Keeping to time
- Increasing patients personal responsibility for helping themselves.
- Establish trust
- Show empathetic understanding.
- An enabler not a fixer
Role of the client in therapeutic relationship
- The client needs to be at ease with the person they are opening up to.
- To be truthful
- Accept that interaction is a collaborative process
- Not expected to conform but use opportunities to reflect and improve
- Assess readiness for change
- Engage and share information
- Accepting they have a part to play in making and sustaining change .
- turn up - regular attendance
- Client needs to accept change and responsibility lies within them
Barriers to a therapeutic relationship
- making promises you can keep.
- poor time keeping
- using jargon
- advice - isn’t helpful - clients need to come to their own conclusion
- lack of self awareness
- not understanding social and professional boundaries/ understanding boundaries
Name 2 non verbal therapeutic communication techniques
- SURETY (Stickley,2011)
- Use of silence
Explain SURETY (Stickley, 2011) as a non verbal communication technique.
S - Sit at an angle U- uncross legs R- relax E - Eye contact T - Touch Y - Your intuition
Who created SURETY and when ?
Stickley 2011
Explain silence as a non verbal communication technique
- sign of respect
- support and empathy
- shows you don’t have all the answers but you’re there to support them
Name 4 verbal communication skills
Reinforcement
Reassurance
Self disclosure
Explain reinforcement as a verbal communication skill
- encourages clients involvement
- demonstrates interests by giving supportive/evaluating comments.
Explain reassurance as a verbal communication skill
- conveys friendliness and warmth
Explain self disclosure as a verbal communication skill
Revealing information about yourself or own experiences can enhance a therapeutic relationship as it can convey genuiness
