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The therapeutic relationship refers to the relationship between a healthcare professional and a client or patient. It is the means by which a therapist and a client hope to engage with each other and effect beneficial change in the client.
Joel Weinberger and Cristina Rasco listed five common factors in 2007 and reviewed the empirical support for each factor: the therapeutic relationship, expectations of treatment effectiveness, confronting or facing the problem (exposure), mastery or control experiences, and patients' attributions of successful outcome to internal or external ...
Additionally, the patient is more willing to provide information to the nurse that may be pertinent to the safe care and medical needs of the patient. A therapeutic relationship can help patients cope better and lead to calmness at a time that the patient may be struggling with difficult situations. [12]
In its analytic permutation, Freud suggested the importance of allowing for the patient to be a “collaborator” in the therapeutic process. In his writings on transference, Freud thought of the patient’s feelings towards the therapist as resembling the non-conflicted, trusting elements of early relationships with the patient’s parents, and that this could serve as the basis for ...
Before World War II, qualified psychologists typically pursued science, rather than the direct treatment of patients. [3] This task was the domain of psychiatrists who had both a medical degree and psychological training. In 1896, the first psychological patient clinic was opened at the University of Pennsylvania by psychologist Lightner Witmer.
Clinical or therapeutic case management then developed as the need for the mental health professional to establish a therapeutic relationship and be actively involved in clinical care, often in this only the personal and interpersonal resources are utilized. The process involved can be cyclical because of its client-centered nature. [5]
The negative outcomes of some psychotherapies are becoming an alarming reality in the field of clinical psychology. [48] [49] Studies have shown that individuals exhibited negative responses to treatment in some substance abuse work, [44] some types of grief therapy, [47] [50] and certain therapeutic techniques with trauma and PTSD patients.
Patient outcomes are experienced by the patient and have a more proximal relationship with the healthcare intervention. System measures are more distal to the patient experience but are important for assessment of quality of care and influence the patient experience as well.