Connecting with Compassion: The Therapeutic Relationship

2013 ◽  
Author(s):  
SuEllen Hamkins
Keyword(s):  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Treatment Process ◽  
The Other ◽  
Patient Relationship ◽  
Thought Processes ◽  
Doctor Patient Relationship ◽  
Body And Soul ◽  
The Impact

Compassionate connection is the heart of narrative psychiatry. As humans, we live our lives in relationships. Who we are and what we feel—the very development of our nervous systems—arises through our connection and emotional resonance with others. The quality of that attunement determines what is possible for us to feel and to know of ourselves. The meanings we give our experiences and feelings—the stories we tell about who we are—arise in relationships. Every story has a teller and an audience, and the nature of that audience determines what kind of story it is possible to tell. Telling an emotionally moving story in a way that is healing requires an empathically attuned listener. For all these reasons, connecting with our patients is our first priority. Creating a therapeutic alliance with our patients begins with emotional attunement and is strengthened by transparency and collaboration. That is, in narrative psychiatry, we are open with our patients about our thought processes and we work with them in a side-by-side stance to look together at the problems they are facing, the values and strengths they can develop, and the treatment resources they can choose to draw upon. Addressing the impact on patients’ lives of racial, cultural, sexual, gender, and other identities and narratives with sensitivity to issues of privilege and oppression also builds trust. Attending thoughtfully to issues of power in the doctor-patient relationship serves to empower patients as partners in the treatment process. Supporting patients in developing empathic communities of support outside of therapy expands opportunities for healing connections in patients’ lives. Let’s look at how we can put these ideas into practice, starting with developing emotional attunement. Empathic emotional attunement is connection at its core, and from infancy on, experiencing another’s empathic attunement is soothing to us, body and soul. It is, in itself, healing. Becoming emotionally attuned with someone means listening with your whole being. It is attending not only to what you see and hear, but also what you feel in your gut and in your heart in being with the other person, and responding compassionately from that place.

scholarly journals Videoconferencing Psychotherapy: a literature review of the perspective of relationships for patients and psychologists (Preprint)

2020 ◽  
Author(s):  
Francesco Cataldo ◽  
Shanton Chang ◽  
Antonette Mendoza ◽  
George Buchanan
Keyword(s):  
Literature Review ◽  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Active Role ◽  
High Demand ◽  
Face To Face ◽  
Patient Relationships ◽  
The Impact ◽  
The Relationship

BACKGROUND During the COVID-19 pandemic, people are being encouraged to maintain social distance. Technology is helping people to reschedule meetings from “face-to-face” interactions to remote videoconferencing. Psychologists are in high demand, due to an increase in stress as a result of COVID. Many seek to both keep treating their current patients, and welcome new ones, given the current high demand for their services. Videoconferencing provides an opportunity to do this. However, shifting treatment from face-to-face to the videoconferencing is not simple as both the psychologist and the patient miss the in-person information and cues, such as body language provides. OBJECTIVE A new theoretical framework is proposed to guide the design of future studies on the impact of the computer as a mediator of psychologist-patient relationships, and the influence of videoconferencing on the whole relationship process. METHODS A literature review has been conducted, screening studies focusing on communication, and the key concepts of therapeutic relationship and therapeutic alliance. RESULTS Studies report that patients are generally satisfied with videoconference therapy in terms of the relationship with their therapists and the establishment of the “therapeutic alliance”. However, psychologists report difficulties in establishing same quality of therapeutic relationship and therapeutic alliance. The analysed studies lead us to interpret data under a different perspective. A new model of relationship is proposed, along with further hypotheses. CONCLUSIONS It is important to consider the computer as having an active role in psychologists and patients’ relationships. CLINICALTRIAL

White Doctors and Black Patients: Influence of Race on the Doctor-Patient Relationship

PEDIATRICS ◽  
1985 ◽  
Vol 75 (4) ◽  
pp. 639-643
Author(s):  
David. R. Levy
Keyword(s):  
Racial Differences ◽  
Negative Impact ◽  
Teaching Hospitals ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Class Differences ◽  
Black Patients ◽  
The Impact ◽  
The Relationship

Effective communication between doctor and patient, a skill not emphasized in medical education programs, is essential for patient satisfaction and optimal patient care. In many teaching hospitals, the doctor is commonly white and middle class and the patient black and indigent. Racial differences, even in the absence of social class differences, may have a negative impact on the quality of the doctor-patient relationship. The impact of racism is reviewed, and recommendations to enhance the relationship between white doctors and black patients, are made.

scholarly journals Impact of treated sewage on meiobenthic nematodes: a case study from the Tunisian Refining Industries Company

2022 ◽  
Vol 82 ◽  
Author(s):  
A. Hedfi ◽  
M. Ben Ali ◽  
A. Noureldeen ◽  
H. Darwish ◽  
T. Saif ◽  
...  
Keyword(s):  
Organic Matter ◽  
Environmental Parameters ◽  
The Other ◽  
Treated Sewage ◽  
Before And After ◽  
Bizerte Bay ◽  
De Man ◽  
The Impact

Abstract The main objective of the current study was to assess the impact of the water taken from the ‘Tunisian Refining Industries Company’ on meiobenthic nematodes, before and after a series of treatments in decantation basins followed by its discharge in Bizerte bay, Tunisia. The comparison of environmental parameters of the two types of water was clearly indicative of an improvement in the quality of treated waters after a significant reduction in their loads in hydrocarbons. Overall, the water retained a good quality after being treated by ‘Tunisian Refining Industries Company’ before discharge in the sea. At the end of the experiment, differential responses were observed according to the richness of sediment in organic matter and hydrocarbons. Thus, it was apparent that the nematode assemblage exposed to the treated waters was closer to controls and associated to higher values of abundance, than that under untreated ones. It was also assumed that the species Microlaimus honestus De Man, 1922, Paramonohystera proteus Wieser, 1956 and Cyartonema germanicum Juario, 1972 are sensitive bioindicators of bad environmental statues and of hydrocarbon presence in the environment. On the other hand, Metoncholaimus pristiurus (Zur Strassen, 1894) Filipjev, 1918 would rather be classified as a positive bioindicative species of this type of pollutants.

scholarly journals A Qualitative Study on the Importance and Value of Doctor-Patient Relationship in Iran: Physicians' Views

2018 ◽  
Vol 6 (10) ◽  
pp. 1895-1901 ◽  
Author(s):  
Ahmad Kalateh Sadati ◽  
Seyed Ziauddin Tabei ◽  
Kamran Bagheri Lankarani
Keyword(s):  
Content Analysis ◽  
Verbal Communication ◽  
Faculty Members ◽  
Patient Relationship ◽  
Medical Sciences ◽  
Doctor Patient Relationship ◽  
Group Discussions ◽  
Conventional Content Analysis

BACKGROUND: Doctor-patient relationship [DPR] refers to verbal and non-verbal communication between doctor and patient, which is of great importance in consultation sessions. AIM: Therefore, the present study attempts to explore the importance and value of DPR in Iran. MATERIAL AND METHODS: The method used in the study was conventional content analysis. The data were collected from 21 faculty members (FMs) of Shiraz University of Medical Sciences (SUMS), Shiraz, Iran, who participated in three focus group discussions (FGDs). Transcribed data were analysed using Conventional Content Analysis (CCA) which identified condensed meaning units, subthemes, and themes. RESULTS: Four themes were extracted from 198 meaning units, 87 condensed meaning units, and 17 subthemes. These included gateway [the role of DPR]; nonlinearity [the nature of DPR]; distortion (quality of DPR in the context); and dysfunctional system (weakness in health system). Generally, results showed DPR to be the gateway to consultations based on non-verbal communication and doctor empathy. The study showed distorted DPR which was due to the dysfunctionality of the health care system. CONCLUSION: As indicated DPR plays an important role in medical contexts, but if distorted it leads to an unsuccessful outcome. Therefore, to promote DPR, it is necessary to reinforce its structure. Thus, the infrastructure has to be modified and developed at all levels.

Exploring the Effects of Blog Visit Experience on Relationship Quality

2012 ◽  
Vol 8 (2) ◽  
pp. 1-14 ◽  
Author(s):  
Su-Fang Lee ◽  
Wen-Jang Jih
Keyword(s):  
Relationship Quality ◽  
Customer Relationship Management ◽  
Management Practices ◽  
Treatment Process ◽  
Subsequent Treatment ◽  
Customer Relationship ◽  
Patient Relationship ◽  
Cardiac Illness ◽  
Knowledge Intensive

A blog was created to help cardiac illness patients and their families cope with the anxiety caused by their health problems and the subsequent treatment process. An empirical study reveals that the customer relationship management practices of the blog site affect visitors’ visit experience, their relationship learning, and how these latter two variables in turn have a significant impact on the quality of patient relationship with the physician. The study confirms the value of Web 2.0 applications in knowledge-intensive domains such as cardiac surgery.

Impact of Exercise/Sport on Well-being in Congenital Bleeding Disorders

2018 ◽  
Vol 44 (08) ◽  
pp. 796-801
Author(s):  
Silvia Fasoli ◽  
Giorgio Gandini ◽  
Anna Giuffrida ◽  
Massimo Franchini
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Well Being ◽  
The Other ◽  
Bleeding Disorders ◽  
Coagulation Disorders ◽  
Sporting Activity ◽  
The Impact

AbstractPhysical activity provides many benefits in patients with congenital bleeding disorders. Patients with hemophilia are encouraged to participate in exercise and sports, especially those patients receiving prophylaxis. Several publications and guidelines have explored this issue in hemophilia patients, evaluating in particular the impact of physical activity on patients' well-being and quality of life. The other rare congenital bleeding disorders are less studied; they are heterogeneous in terms of clinical bleeding phenotype, incidence of hemarthrosis, and arthropathy. Furthermore, prophylaxis in these patients is less common than in hemophilia patients, which must be considered when choosing the type of physical and sporting activity. In this review, the authors have analyzed the literature focusing their attention on those rare coagulation disorders that may be complicated by arthropathy and the role of exercise and sports in this context.

scholarly journals Timolol 0.1% in Glaucomatous Patients: Efficacy, Tolerance, and Quality of Life

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Letizia Negri ◽  
Antonio Ferreras ◽  
Michele Iester
Keyword(s):  
Quality Of Life ◽  
Side Effects ◽  
Beta Blockers ◽  
The Other ◽  
Visual Field Defects ◽  
Market Beta ◽  
Systemic Side Effects ◽  
The Impact ◽  
Preservative Free

Glaucoma is a progressive, chronic optic neuropathy characterized by a typical visual field defects. Four main classes of topical medication are actually available on the market: beta-blockers, prostaglandins, alpha2-agonists, and topical carbonic anhydrase inhibitor to treat intraocular pressure (IOP). The aim of this review is to outline the efficacy of timolol and to evaluate the impact of this treatment on patients’ quality of life. Among beta-blockers, timolol is most used at three different concentrations: 0.1%, 0.25%, and 0.5%. While the first one is a gel, the other two products are solution. Timolol has few topical side effects, while it has some important systemic side effects on the cardiac and respiratory systems. The balance between efficacy and safety is always the main aspect to care patients. Because of the less efficacy of timolol 0.1% solution, the possibility to use carbomers as vehicle in the gel drops helped timolol 0.1 to be used in clinics, extending the time contact between the active ingredient and the surface of the cornea. Using preservative-free timolol 0.1 for treatment, IOP was at the same level of the other beta-blockers at higher concentration, but it was better tolerated. Preservative-free treatment improved the quality of life reducing dry-eye like symptoms; furthermore, the presence of an artificial tear in the medication bottle could help adherence. The once daily dosing improves compliance.

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