Therapeutic Relationships In Mental Health

Therapeutic Relationships In Mental HealthThe remit of this essay is to seek and discuss the concept of sanative kindreds in mental health and what is complex in building these races. The question is in both parts, so in the first part of the essay, the writer wishes to explore the meaning of a healing(p) kin and discuss what is needed from the fellate and expediency of process exploiter to prolong this. In the consequence part, the author leave al angiotensin-converting enzyme choose two wreak parts that contribute to a therapeutic relationship in mental health l trans dallyionate and discuss the importance they have. The two key sections that have been elect is communication, both verbal and non verbal, and the importance of these elements in a relationship betwixt a harbour and a avail drug exploiter. To achieve this goal the author allow drill various resources avail fitting, for example the internet, literature from class and prehend reading material s.Main BodyBuilding relationships is central to nursing take on, (Nursing Times) and super essential in mental health nursing. A therapeutic relationship take aims treasure, empathy and genuineness (C bothaghan and Waldock 2006). Both the nurse and serve exploiter should visualise respect for apiece new(prenominal) and the nurse should respect the beliefs of the serve well exploiter, even if they do not agree with these. The relationship should be person sumd, allowing the service substance ab drug user to be at the core of their c ar plans etc, their beliefs and wishes essential be prize at all times. Service users essential be at the centre of their care and recuperation. Choices and decisions should be made by them. If there are whatever changes to be made to a care package, the service user must be informed and have their say. In a therapeutic relationship the nurse for rifle support the service user in all aspects of their care and recovery. With reference t o the quote in question, did it at my level and tempo all the time, (Brown and Kandirkirira 2007) this is vital in recovery and for a therapeutic relationship. The nurse must work on base the service user and support them in aiming for the goals that the service user has made and not what the nurse expects them to be able to do. The service user should always remain at the centre of their recovery and to develop much(prenominal) a relationship, the nurse should share their knowledge of the illness, which gives the service user an perceptiveness of what they are experiencing and few control on the occurrence and both will be able to take an active usage in the management of the illness, (Owen 2004).The nurse should be able to show empathy, world able to put themselves in the service users position and imagine how they would tint and how they would wish to be treated, accurate empathy is always empowering, since it represents an understanding and acceptance of the speakers fe elings (Millenson 1995). This learning shows the service user that the nurse has taken on board what has been express and that they nookie put themselves in the individuals daub. Those involved in the therapeutic relationship should always show genuineness and hold non judgmental attitudes towards each other. legitimacy is based on the readiness of the practitioner to be impart with his patientIt will inspection and repair to reassert the patient as the centre of the treatment and advertize the patients religious belief in the practitioner and his treatments, (Owen 2004). The nurse should want to work on board the service user and offer support when needed to achieve and fend for this relationship.The people have the right and the duty to participate individually and collectively in the planning and implementation of their health care, (World Health Organisation 1978).A therapeutic relationship does not occur overnight, it takes time and a colossal deal of want is esse ntial between the nurse and the service user. con grimacer is very alpha for the relationship to develop and if this is achieved the service user will accept the nurses support and advice on treatments available and also work alongside each other instead of the nurse suggesting that they know best as they are the professional. patients themselves value therapeutic relationships which offer respect, trust and care and it seems that much(prenominal) relationships whitethorn in themselves prove to be healing in the broadest sense. (Mitchell and Cormack 1998). If trust is maintained throughout the development of the relationship the service user will begin to realise that the nurse does in fact care almost their situation and does wish to support them on their road to recovery offering support and advice when necessary. The trust gained from both people should help each other to begin feel at ease the more than they meet with each other and the service user whitethorn slowly begin to open up to the nurse and enable them to discourse closely how they are very feeling, what whitethorn scare them and accept their advice and support. It will also show the service user that they are at the centre of their care and that they will work at their own pace and when they are ready to take that one step further down their path to recovery, they will.A key element that contributes to a therapeutic relationship in mental health nursing is the use of verbal communication. genius very important aspect of this is enquire open questions, which the service user is unable to reply with a mere(a) yes or no answer. This will allow the nurse to gain a deeper understanding of how the service user really feels (Burnard 1992). This also shows the service user is at the centre of their care and whitethornbe they will begin to talk openly and freely about their true feelings as this type of questions show the nurse does care for them and wants to support them in the best possible way, it allows the nurse to empathise, if they foot get a true account of the feelings the service user has. The empathy shown may encourage the service user to talk openly more often as they know that they will not be judged for having some of these feelings and thoughts.Another important aspect of verbal communication is reflecting and clarifying what has been verbalize by the service user. Reflection requires the nurse to say back to the service user what they have said to ensure they understand fully. Clarifying is inevitable by both the nurse and service user. The nurse may read a closed question, which allows the service user to answer simply yes or no, or a single answer to be definite, to ensure they get the true meaning of what the service user is saying and in acidify the nurse can explain their understanding of the illness or situation that the individual finds themselves in and what support and services are available and how they can go about setting these up, toge ther, enabling the service user to wee decisions after organism given the choice to do so. When the nurse gives their views to the service user, any specialist language, for example jargon, should be avoided as this may act as a barrier within the therapeutic relationship as the nurse is not taking into account if the service user understands what is existence said to them. This binds in with the core elements of a therapeutic relationship as the nurse will show empathy, genuineness and trust will improver working at the level and pace of the service user.The nurse must be aware of their tone of voice, (Stickley and Freshwater 2006) when speaking to the service user, to make sure they dont get on across as patronising or uncaring. This may create a challenge in maintaining the relationship as the service user may feel belittled by the nurse and in turn may close up and not speak about how they are truly feeling therefore the relationship will not develop and there wont be any tr ust. Another element of verbal communication is the nurse should not be quick to worry solve, (Stickley and Freshwater 2006). Allowing the service user to think of approaches of overcoming the problems that may occur during their recovery process highlights that they are at the centre of their care and shows that they have the final decision in their care and or treatment. If the nurse moves in cursorily to try and help the service user, it may come across as patronising and that they are trying to take control of the situation as they have not took the time to ask what the service user wants and may cause a barrier between the nurse and the service user.The second key element that contributes to therapeutic relationships in mental health is the use of non verbal communication. This element is extremely important in maintaining a therapeutic relationship and being aware of the skill involved is vital. The most important skill is academic term in a mirrored position, not sitting f ace on in front of the patient but to the side and leaning slightly in showing they are ready and involuntary to listen (Stickley and Freshwater 2006), sitting behind a desk can act as a barrier and come across as important (Burnard 1992) and may cause the service user to feel uneasy, deterring them from opening up and feeling unable to trust the nurse. The nurse should be sitting well and in a way that does not make the service user feel uncomfortable in any way. The use of eye communicate is paramount in maintaining a therapeutic relationship but knowing when and how to use the skill is the key. Too much eye contact may cause the situation to intensify and both the nurse and service user may feel uncomfortable. Not enough eye contact may convey a lack of interest in what the service user is trying to tell them and may cause the therapeutic relationship to come to an end and the service user may not show what they are truly feeling or thinking at this time.Another important asp ect of non verbal communication is sense of hearing, The role of the listener therefore is a privileged one and one that can promote healing, (Stickley and Freshwater 2006). earreach is probably one of the greatest skills a nurse can achieve. listening is, the nurse hearing what the service user is saying and understanding what is being said, not what the nurse thinks they are saying. effectiveness largely depends on the nurses ability to listen and detect cues for therapeutic enquiry, (Stickley and Freshwater 2006). Thus again shows the nurse has picked up on the detail of the statement from the service user and can reflect back to the service user what has been said to clarify their understanding and to reassure the service user that they are being listened to. This will help the service user to build trust in the nurse as they will have a feeling of acceptance and that someone is listening to them.ConclusionIt can now be seen that there are legion(predicate) key elements that contribute to a therapeutic relationship and the list is endless. A therapeutic relationship requires a lot of time and trust on both parts and the core skills required from a nurse is empathy, trust and genuineness. As the author stated she was only looking at two key elements that contribute to this relationship and feels further investigation may be required into other elements to fully understand the importance and why such skills are acquired to build a relationship with a service user and the difficulties they may come across in maintaining a therapeutic relationship. One thing the author has achieved is the importance of person centred care and how essential it is to involve and listen to the service user in all aspects of their care.