The care and feeding of therapeutic relationships.

2005 ◽  
pp. 141-167
Author(s):  
Robert Elliott ◽  
Jeanne C. Watson ◽  
Rhonda N. Goldman ◽  
Leslie S. Greenberg
Keyword(s):  
Therapeutic Relationships

In and Out of Painful Therapeutic Relationships

1993 ◽  
Vol 38 (12) ◽  
pp. 1299-1300
Author(s):  
Alvin R. Mahrer
Keyword(s):  
Therapeutic Relationships

Effect of Feedback on Three-Party Therapeutic Relationships: A Puerto Rican Sample

2014 ◽  
Author(s):  
Aida L. Jimenez ◽  
Jose Martinez ◽  
Larimar Fuentes ◽  
Stephen Gonzalez ◽  
Caleb Esteban ◽  
...  
Keyword(s):  
Puerto Rican ◽  
Therapeutic Relationships

‘The face of the programme’: How local clinicians shape decisions about eligibility for a national caregiver support programme in the USA

2020 ◽  
pp. 135581962098337
Author(s):  
Nina R Sperber ◽  
Rebecca Bruening ◽  
Joshua Dadolf ◽  
Katherine Miller ◽  
Jennifer Henius ◽  
...  
Keyword(s):  
Social Services ◽  
Interdisciplinary Teams ◽  
Assessment Tools ◽  
Assessment Process ◽  
Therapeutic Relationships ◽  
Veterans Health ◽  
Health Administration ◽  
Eligibility Criteria ◽  
Caregiver Support ◽  
Potential Harm

Objective To examine the causes of variation for determining clinical eligibility for a national caregiver programme in the US Veterans Health Administration (VHA) and so help inform standardization of clinical eligibility assessment for support and establish conditions for more consistent caregiver experiences across the country. Methods We used mixed methods, including a national survey of caregiver support coordinators (CSCs) across VHA medical centres, semi-structured interviews with a purposive sample of 53 CSCs and interdisciplinary team members, and observations of four VHA medical centre sites. Results A majority (70%) of CSCs across VHA medical centres reported that they used interdisciplinary teams to conduct assessments. Interdisciplinary teams were seen to help mitigate potential harm to therapeutic relationships from eligibility decisions. Survey respondents reported using a range of assessment tools provided by the national VHA Caregiver Support Program office, but participants expressed concerns that the tools did not necessarily effectively assess clinical need. Some local sites had developed innovative person-centered approaches, in which the assessment process provided an opportunity to assess veterans’ holistic clinical needs, in contrast to a programme-centered approach, which focused on assessing whether veterans/their caregivers meet eligibility criteria. Conclusion Discretion by those involved in making decisions on programme eligiblity is important for implementing a national social services programme based on clinical need. Interdisciplinary teams can help mitigate potential harm to therapeutic relationships. Discretion allows for innovation. This work has implications for setting policy in other programme contexts in which applying eligibility criteria requires clinical judgment.

scholarly journals Perceived Coercion of Persons with Mental Illness Living in a Community

2021 ◽  
Vol 18 (5) ◽  
pp. 2290
Author(s):  
Min Hwa Lee ◽  
Mi Kyung Seo
Keyword(s):  
Mental Illness ◽  
Life Satisfaction ◽  
Therapeutic Relationship ◽  
Psychosocial Functioning ◽  
Structural Equation ◽  
Therapeutic Relationships ◽  
Equation Modeling ◽  
Perceived Coercion ◽  
Clinical Variables ◽  
People With Mental Illness

Aims: The purpose of this study is to analyze the effect of the perceived coercion of people with mental illness living in a community on their therapeutic satisfaction and life satisfaction, mediated by therapeutic relationships. Methods: We evaluated several clinical variables (symptoms, psychosocial functioning, and insight), levels of perceived coercion, therapeutic relationships, therapeutic satisfaction, and life satisfaction in 185 people with mental illness (Mean age = 47.99, standard deviation (SD) = 12.72, male 53.0%, female 45.9%) who live in the community and use community-based mental health programs. The data collected were analyzed to test the proposed hypotheses using structural equation modeling (SEM). Results: The correlation analysis of all variables showed that clinical variables had statistically significant correlations with therapeutic relationship, therapeutic satisfaction, and life satisfaction, but no significant correlation with perceived coercion. Furthermore, perceived coercion was found to have significant predictive power for treatment satisfaction and life satisfaction mediated by therapeutic relationship. Specifically, the lower the perceived coercion, the better the therapeutic relationship. This, in turn, has a positive effect on the therapeutic satisfaction and life satisfaction of participants. Conclusions: Based on these findings, we suggest strategies to minimize coercion in a community.

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