The therapeutic contract

2018 ◽  
pp. 95-102
Author(s):  
Michele Novellino
Keyword(s):  
1983 ◽  
Vol 21 (2) ◽  
pp. 137-142 ◽  
Author(s):  
Philip G. Levendusky ◽  
Steven Berglas ◽  
Catherine P. Dooley ◽  
Richard J. Landau

1983 ◽  
Vol 143 (5) ◽  
pp. 436-441 ◽  
Author(s):  
Sidney Crown

SummaryPsychotherapy, like any other effective treatment in medicine, may lead to negative effects either in the patient or those around him. The source of these unwanted effects may be in the patient's or the therapist's personality, in the patient-therapist interaction, in faulty therapy technique or in the patient's unresolvable social situation. The possibility of negative effects should be anticipated during the descriptive and psychodynamic assessment of the patient and before establishing the therapeutic contract. The technique of a trial of psychotherapy should be more frequently used than it is in cases where the therapist is in doubt. If negative effects do develop, these should be minimized by decreasing the frequency of psychotherapy sessions and depth of exploration. This may be done by allowing greater therapist “transparency”, by making fewer psychodynamic interpretations and by altering the focus of therapy from problems of early development to problems of current living.


1976 ◽  
Vol 50 (4) ◽  
pp. 611-622 ◽  
Author(s):  
Richard J. Estes ◽  
Sue Henry

2004 ◽  
Vol 4 ◽  
pp. 571-580 ◽  
Author(s):  
Søren Ventegodt ◽  
Mohammed Morad ◽  
Eytan Hyam ◽  
Joav Merrick

Sexual problems are found in four major forms: lack of libido, lack of arousal and potency, pain and discomfort during intercourse, and lack of orgasm. It is possible to work with a holistic approach to sexology in the clinic in order to find and repair the negative beliefs, repressions of love, and lack of purpose of life, which are the core to problems like arousal, potency, and pain with repression of gender and sexuality. It is important not to focus only on the gender and genitals in understanding the patient's sexual problems. It is of equal importance not to neglect the body, its parts, and the feelings and emotions connected to them. Shame, guilt, helplessness, fear, disgust, anger, hatred, and other strong feelings are almost always an important part of a sexual problem and these feelings are often “held” by the tissue of the pelvis and sexual organs. The patient with sexual problems can be helped both by healing existence in general and by discharging old painful emotions from the tissues. The later process of local healing is often facilitated by a simple technique: accepting contact via touch. This is a very simple technique, where the self-acceptance of the patient is to be promoted, for example, asking the female patient to put her hand on her stomach (uterus) or vulva, after which the holistic physician puts his hand supportively around hers. When done with care and after obtaining the necessary trust of the patient, this aspect of holding often releases the old negative emotions of shame bound to the touched areas. Afterwards, the emotional problems become a subject for conversational therapy and further holistic processing. Primary vulvodynia seems to be one of the diseases that can be cured after only a few successful sessions of working with acceptance through touch. The technique can be used as an isolated procedure or as a part of a pelvic examination. When touching the genitals with the intention of sexual healing, a written therapeutic contract with the patient is highly recommended and a strict ethical code is necessary to avoid malpractice. As about one woman in three suffers from sexual problems, many of which seemingly can be efficiently alleviated by the simple holistic techniques of “holding and processing”, it is very important that the holistic physician is also trained to work in the sexual sphere in order to be able to support his patients fully.


1975 ◽  
Vol 9 (3) ◽  
pp. 173-180 ◽  
Author(s):  
Beverley Raphael

Earlier descriptions of pathological grief are reviewed. From the study of recently bereaved widows major forms of pathological grief are outlined. These are suppressed or inhibited grief and distorted grief, including forms with extreme anger or extreme guilt. Other grief variants are noted. The management of pathological grief is outlined; specifically the encouragement of the expression of suppressed affects especially sadness, anger and guilt; as well as the going over of memories and feelings to do with the lost relationship. Consideration is given to: the establishment of the therapeutic contract; the specific exploration of the response to the death and the preexisting relationship; resistances; interpretation of defences; assessment of progress of mourning; social network factors; termination; and transference and counter-transference.


Author(s):  
Made Wirya Darma ◽  
I Gusti Agung Ayu Mas Triwulandari ◽  
I Gede Agus Kurniawan

The agreement is made to undertake a treatment for an illness, which resulted in the conclusion of a therapeutic contract under Laws as regulated under Article 1233 of the Civil Code of Indonesia (Kitab Undang-Undang Hukum Perdata). Every legal relationship will result in rights and obligations. Medical malpractice is usually caused by an unfulfillment of a patient’s basic rights because of the lack of communication or information, which are the basic rights of a patient. The dispute settlement through court system is unsatisfactory for either patient or doctor. Therefore, a dispute settlement that is considered ideal is through non-litigation process, which is mediation, to achieve win-win solution. Procedures for mediators to mediate such malpractice dispute are in accordance to seven principles, which are also regarded as the seven bbaasic philosophies of mediation for medical dispute, which are known as the principle of Iknemook. The contents of the Iknemook principle for mediator in medical malpractice dispute settlement through mediation are the problems in this research. This research aims to assess and study the seven principles of Iknemook for mediator in medical malpractice dispute settlement through mediation. This research is categorised as a library research with a specification of descriptive research, which is presented to explain Iknemook principles for mediator in medical malpractice dispute settlement through mediation. This research finds that the principles comprised of the principles of good faith of both parties, trust, neutrality, exclusivity of a mediator (med-power), open-mind, autonomy, and confidentiality.


2018 ◽  
Vol 2 (7) ◽  
pp. 140
Author(s):  
Jiri Kantor

18 arts therapists from educational and healthcare institutions in Czech Republic were interviewed to determine the specifics of therapeutic practice in educational institutions. The results relate to the presence of different professions in the team, their qualification and  level of therapeutic competence, understanding the roles and work of arts therapists, the impact of arts on institutions, the depth of therapeutic change, formulation of therapeutic contract, therapeutic goals, organisation of therapy, the therapy room and privacy and assessments/evaluation.


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