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Counselling With a Therapy Animal
Published in Lori R. Kogan, Phyllis Erdman, Career Paths in Human-Animal Interaction for Social and Behavioral Scientists, 2021
You likely love your TA and will watch for the way your clients treat them. What would you do if they held the animal so tightly that they yelped? How might this impact the therapeutic alliance? And how would you deal with your TA if they became frightened, upset or needy during a client session?
Chatting Revisited
Published in Rubin Battino, Using Guided Imagery and Hypnosis in Brief Therapy and Palliative Care, 2020
I include the description of this session here as another reminder of how effective I feel that “chatting” can be with clients. Chatting is almost the essence of establishing the therapeutic alliance, is it not? Isn’t this what you do with chance encounters on airplanes or other occasions? Chatting for me means really being there with a client in an interpersonal encounter where we both know that the our mutual goal is to explore and find ways that whatever has been troubling him or her will realistically and satisfactorily be resolved. I believe that this way of interacting (and it is an interaction) is conducive to rapid change.
Prenatal Diagnosis
Published in Rosa Maria Quatraro, Pietro Grussu, Handbook of Perinatal Clinical Psychology, 2020
Establish a therapeutic alliance. Create a trusting relationship through empathy, develop a nonjudgmental attitude, support the parents for the difficult decision they made, listen carefully to parental language (e.g., term they use to refer to their baby), help parents to contain the intensity of their emotions in the first session, show understanding and respect for the variability in patterns of grieving and coping, and be sensitive to culturally diverse approaches to grief.
‘Stakeholders are almost always resistant’: Australian behaviour support practitioners’ perceptions of the barriers and enablers to reducing restrictive practices
Published in International Journal of Developmental Disabilities, 2023
Erin S. Leif, Russell A. Fox, Pearl Subban, Umesh Sharma
First, we recommend practitioners build a strong therapeutic alliance with the PWD, family, and members of the care team. A therapeutic alliance is a relationship between a practitioner and client in which the practitioner views that client (or team) as an active partner and equal in the treatment process (Stubbe 2018). Research has shown that the therapeutic alliance is an important part of person or family-centred care and can improve outcomes for clients (Baier et al.2020, Bose 2022). In the provision of PBS, a strong therapeutic alliance might be developed by spending time with the PWD, family, and care team and listening to their concerns, prior to the development of a behaviour support plan. During this time, the practitioner can gather information about the types of practices used by the team to respond to challenging behaviour and whether such practices constitute RPs. The practitioner can also seek to understand why such practices are used and how the use of practices might in fact fulfil an immediate need and promote a sense of physical and psychological safety for the PWD and others. Finally, during this time, the practitioner can learn more about previously used behaviour support strategies, the degree to which previous strategies were successful, and why previous strategies may have been ineffective or abandoned.
The slow medicine approach to chronic pain
Published in Physiotherapy Theory and Practice, 2022
Positive health is more than the absence of illness or pain; it is living the healthiest life possible in all aspects of life, regardless of challenges (Cloninger, Renard, Salloum, and Mezzich, 2012; Hall et al., 2010). It requires the ability to adapt and persevere in the face of social, physical, and emotional trials (i.e. resilience) (Huber et al., 2011). Resilient patients experience less pain, depression, functional impairment, and higher self-efficacy than those with low resilience (Büssing, Ostermann, Am Neugebauer, and Heusser, 2010). The nature of chronic pain and the patient’s contextual influences may enhance the difficulty of making necessary lifestyle changes and require more involvement of the treatment team (Institute of Medicine, 2011; Verbeek, Sengers, Riemens, and Haafkens, 2004). A positive therapeutic alliance is essential to the process of supporting patients as they learn to master these challenges (Hall et al., 2010). Not all problems have a solution, so behavioral change and improved quality of life should be the focus of treatment rather than disease modification or symptom amelioration (International Association for the Study of Pain, 2020b; Turk and Gatchel, 2002). Physical therapists and psychologists are uniquely positioned to help patients learn and adopt self-management strategies.
Is the biopsychosocial model in musculoskeletal physiotherapy adequate? An evolutionary concept analysis
Published in Physiotherapy Theory and Practice, 2022
Georgi Daluiso-King, Clair Hebron
A reductionist19Viewing complexity in its simplest or fundamental parts., objectivist20A view that knowledge is dependent upon objective evidence. view of the BPSM seems to result in its implementation in separate ‘bio’, ‘psycho’ and ‘social’ forms. The conceptual maps, reconstructed Venn diagrams and proposed holistic framework (Figure 3, 4, 5, 7, 8 and 9) aim to offer an opportunity for the model to support future training practically, alongside philosophically informed practice. This study identified communication and therapeutic alliance as the binding themes that enable the other themes within the analysis to exist. Musculoskeletal physiotherapy education should therefore support enhanced communication skills alongside an awareness of philosophy.