Dysfunctional Therapeutic Connections – Negative Factor in the Therapeutic Process. The Role of Supervision in the Management of the Therapeutic Relationship

2019 ◽  
Vol 1 (2019) ◽  
pp. 33-42
Author(s):  
Maria Voicu
Keyword(s):  
Therapeutic Relationship ◽  
Therapeutic Process ◽  
Negative Factor

scholarly journals Η θεραπευτική σχέση στην ψυχοδυναμική συμβουλευτική και ψυχοθεραπεία: σύγχρονα κλινικά και εμπειρικά δεδομένα

2021 ◽  
Vol 26 (2) ◽  
pp. 32
Author(s):  
Vasiliki Yotsidi ◽  
Kalliopi Kounenou
Keyword(s):  
Therapeutic Relationship ◽  
Therapeutic Process ◽  
Clinical Work ◽  
Real Relationship ◽  
Dynamic Interactions ◽  
Therapeutic Value ◽  
Essential Components ◽  
Key Factor ◽  
Relationship Of

In the psychodynamic approach, the therapeutic relationship stands at the core of the therapeutic process and constitutes a key factor of the effectiveness of treatment. As such, highlighting the psychodynamic components associated with the therapeutic relationship can help reinforce the role of counseling and clinical psychologists, by offering a broader understanding of the various dynamic interactions in clinical work. Specifically, the present paper delineates particular aspects of the therapeutic relationship (e.g. therapeutic alliance, transference, countertransference, real relationship) that should be taken into account in counseling and psychotherapy as essential components of the therapeutic relationship. Current empirical data are presented to demonstrate the importance of these parameters for the therapeutic process and outcome. Emphasis is also placed on the conditions that need to be fulfilled in order to ensure a relationship of therapeutic value, such as the importance of the therapeutic framework and the role of the psychologists / psychotherapists in dealing with enactments. Finally, the benefits of using the potential of the therapeutic relationship in clinical practice are highlighted, for improving both someone’s relationship with oneself and with others.

The analyst as “boundary artist”: how does Winnicott’s theoretical and clinical work affect our perception of boundaries in the therapeutic relationship?

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Antoine Gordon
Keyword(s):  
Clinical Practice ◽  
Therapeutic Relationship ◽  
Therapeutic Process ◽  
Clinical Work ◽  
Transitional Space ◽  
Boundary Crossings ◽  
Relational Psychotherapy ◽  
Work Affect ◽  
Therapeutic Frame

Winnicott positioned his psychoanalytic style as distinct from Freudian and Kleinian theory, while his clinical practice was viewed by many as too enigmatic from which to establish a suitable theoretical framework. This article explores the role of boundaries within his practice and discusses whether he could be considered a “boundary artist” in the analyst’s chair. Winnicott’s underlying philosophy and clinical approaches are examined in relation to the analyst’s intrapsychic boundaries and the permeable border between the roles of analyst and analysand—particularly with regard to his notion of transitional space. Despite Winnicott exhibiting narcissistic tendencies that may have blurred the boundaries of the therapeutic frame, this critique demonstrates how he used his unique skill set to ensure boundary crossings could benefit the therapeutic process whilst avoiding harmful violations. Additionally, we will also consider the more problematic implications of Winnicott’s practice on modern relational psychotherapy.

Differentiation of Self in the Therapist's Family of Origin

1980 ◽  
Vol 61 (7) ◽  
pp. 394-399 ◽  
Author(s):  
Philip Rich
Keyword(s):  
Family Therapy ◽  
Family Systems ◽  
Family Of Origin ◽  
Therapeutic Process ◽  
Differentiation Of Self ◽  
Family Therapists ◽  
Essential Nature ◽  
Degree Of Differentiation ◽  
High Degree

The essential nature of family therapy, the role of the therapist in the therapeutic process, and the need for family therapists to possess a high degree of differentiation of self are examined. As a prerequisite to conducting successful family systems therapy, therapists must examine their own family of origin.

scholarly journals PERSEPSI DOKTER TERHADAP PERAN APOTEKER DALAM PELAYANAN KEFARMASIAN DI RUMAH SAKIT ROBERT WOLTER MONGISIDI MANADO

PHARMACON ◽  
2020 ◽  
Vol 9 (3) ◽  
pp. 357
Author(s):  
Ni Nengah S. Indiyani ◽  
Widya A. Lolo ◽  
Gerald Rundengan
Keyword(s):  
Pharmaceutical Care ◽  
Health Workers ◽  
Therapeutic Process ◽  
Health Sector ◽  
Care Physician ◽  
Data Collection Tool ◽  
Average Value ◽  
Quantitative Descriptive ◽  
Physician Perception

ABSTRACTServices in the health sector are one of the services that are needed by the community, one of them is service in the field of pharmacy. The therapeutic process of a patient needs collaboration between the pharmacist, physician and other health workers. In some hospitals in Indonesia, they have not implementing all pharmaceutical care activities as regulated in Permenkes No. 72 of 2016. This studied aims to know the opinions and expectations of physician to the role of pharmacist in pharmaceutical care. This research was a quantitative descriptive study and data collection tool used was a questionnaire about the opinions and expectations given to 63 physician. Based on the research results obtained, it was known that the perception of physician tend to agree with an average value of 94,55% for the opinion and for the expectation of 91,78%. So that can be concluded that physician had good opinions and expectation to the role of pharmacists in accordance with Pharmaceutical Care Standards.Key words : Pharmaceutical Care, Physician Perception, Pharmacists.ABSTRAK Pelayanan dalam bidang kesehatan merupakan salah satu pelayanan yang banyak di butuhkan oleh masyarakat, salah satunya adalah pelayanan dalam bidang kefarmasian. Proses terapi seorang pasien perlu adanya kerjasama antara apoteker, dokter dan tenaga kesehatan lainnya. Pada beberapa rumah sakit di Indonesia belum melakukan seluruh kegiatan pelayanan farmasi sebagaimana yang sudah di atur dalam Permenkes No. 72 Tahun 2016. Penelitian ini bertujuan untuk mengetahui pendapat dan harapan dokter terhadap peran apoteker dalam pelayanan kefarmasian. Penelitian ini merupakan penelitian deskriptif kuantitatif dan alat pengumpulan data yang digunakan berupa kuesioner tentang pendapat dan harapan yang diberikan kepada 63 dokter. Berdasarkan hasil penelitian yang diperoleh, diketahui bahwa  persepsi dokter cenderung setuju dengan nilai rata-rata untuk pendapat sebesar 94,55% dan untuk harapan sebesar 91,78%. Sehingga dapat disimpulkan bahwa dokter memiliki pendapat dan harapan yang baik terhadap peran apoteker sesuai dengan Standar Pelayanan Kefarmasian. Kata kunci : Pelayanan Kefarmasian, Persepsi Dokter, Apoteker.

Occupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions

2018 ◽  
Vol 81 (6) ◽  
pp. 326-337
Author(s):  
Dorothy Kessler ◽  
Mary Y Egan ◽  
Claire-Jehanne Dubouloz ◽  
Sara McEwen ◽  
Fiona P Graham
Keyword(s):  
Problem Solving ◽  
Therapeutic Relationship ◽  
Qualitative Content Analysis ◽  
Critical Role ◽  
Stroke Survivors ◽  
Occupational Performance ◽  
Theoretical Understanding ◽  
Post Stroke ◽  
Performance Coaching

Introduction Occupational performance coaching modified for stroke survivors is a promising new intervention to improve occupational performance post stroke. In the intervention, following client-centred occupational goal-setting, clients are led through strengths-based problem-solving and experimentation. Emotional support, individualized education and goal-focused problem-solving are hypothesized as key elements. Examination of clients’ experiences is necessary to better understand how occupational performance coaching modified for stroke survivors works, and improve its potential effectiveness. Method A descriptive qualitative study was embedded in a pilot randomized controlled trial. Semi-structured interviews were completed with seven participants in the treatment arm who received occupational performance coaching modified for stroke survivors. Qualitative content analysis was used for analysis. Findings Three categories were identified related to participants’ experiences of occupational performance coaching modified for stroke survivors: (a) the coaching was helpful; (b) the coaching provided opportunity for insightful reflection and (c) a different approach was preferred. Findings also lend support to the critical role of hypothesized key components and theorized mechanisms of action, and demonstrate the overarching role of the therapeutic relationship and the contribution of personal characteristics. Conclusion The revised theoretical understanding of occupational performance coaching modified for stroke survivors provides a valuable framework for communicating the actions that occupational therapists take in enabling occupation and emphasizes the role of the therapeutic relationship in client-centred approaches to improving occupational performance post stroke.

Postpsychiatry and postmodern psychotherapy: Theoretical and ethical issues in mental health care in a Polish context

2018 ◽  
Vol 28 (6) ◽  
pp. 780-799 ◽  
Author(s):  
Radosław Stupak ◽  
Krzysztof Dyga
Keyword(s):  
Mental Health ◽  
Ethical Issues ◽  
Therapeutic Process ◽  
Historical Context ◽  
Theoretical Background ◽  
Social Contexts ◽  
Ethical Challenges ◽  
To Come ◽  
Key Aspects

The article reconstructs postpsychiatry’s core propositions and briefly describes its theoretical background and assumptions. It also presents chosen aspects of postmodern psychotherapy, which seem to be in many ways similar to postpsychiatry’s ideas. Although they are drawn from different inspiration, postpsychiatry and postmodern psychotherapy seem to come to similar conclusions, especially regarding the role of the patient in the therapeutic process, the meaning of psychiatric diagnosis, and the importance of the institutional, cultural, and social contexts in mental health practice and research. The paper also aims to place postpsychiatry and postmodern psychotherapy in a Polish context, focusing on the ethical challenges faced by psychiatry and showing that some of postpsychiatry’s ideas and solutions to contemporary problems were already present in the Polish psychiatric literature of the 20th century. It also contains a brief description of the Polish social and historical context of psychiatry, as well as key aspects of the Polish legal system that relate to mental health and seem to reflect the nature of biomedical explanations of mental distress. It concludes that the model of psychiatric care postulated by “postmodern” approaches seems more ethical and scientifically and philosophically grounded and promises better treatment results than the “traditional” biomedical model.

The role of imaging tests in electrotherapy

2020 ◽  
Vol 1 (54) ◽  
pp. 23-29
Author(s):  
Łukasz Mazurek ◽  
Agnieszka Kotalczyk ◽  
Michał Mazurek ◽  
Ewa Jędrzejczyk-Patej
Keyword(s):  
Sensitivity And Specificity ◽  
Therapeutic Process ◽  
Electronic Devices ◽  
Diagnosis And Treatment ◽  
Imaging Methods ◽  
Cardiac Implantable Electronic Devices ◽  
Wide Range

We currently have a wide range of different imaging tests that are constantly improving and developing. Each test has its sensitivity and specificity and is used in various fields of medicine. Knowledge of the possibilities of using imaging tests in electrotherapy is an important element of the diagnostic and therapeutic process. This article presents selected issues regarding the use of imaging methods in the diagnosis and treatment of patients with cardiac implantable electronic devices.

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