resources are agencies defined resources to help maintain a normal quality of life that can include housing…
Brittany utilizes her supports: partial hospital staff, group and individual therapy, case management and her fellow group members. She has phone numbers of local crisis hotlines/services in her area, and has utilized calling her friends for support on the weekend. The therapeutic alliance is strong in both group and individual therapy sessions.…
Scenario 1: I had a new client come in, we followed the same rules and procedures as usual. She filled out the medical intake form, which I reviewed once it was given to me. The medical intake form, had listed some potential contraindications. Such as diabetes and high blood pressure. I went to go to introduce myself and took her to the therapy room. Once we were in a private room, I told her that those conditions could possibly prevent her from having the therapy performed. I started to ask her more about her conditions. I discovered that she had appropriate medication for all of her diseases. She mentioned that she had been living with them for several years, even stating that she had asked her doctor about massage therapy. I then decided that since her conditions were under control, I would perform the…
It also requires that at the start of every new counselling relationship a clear contract is set up between the counsellor and the client. Confidentiality must be discussed within this contract, there should be a clear agreement between client and counsellor as to the type of counselling offered, the number of sessions, the frequency, timing and length of the session. There should be clarity on payment and the terms of payment. Counsellors must remain professional at all times and should have boundaries in place to help differentiate the client and counsellor’s relationship from any other relationships that the client may have. Good clear boundaries will also help protect the client from any kind of exploitation. The counsellor’s role and that of the client should be very clear, the counsellor is there to counsel and the client is there to be counselled, the counsellor and client are not friends and there should be no attraction between counsellor and client. The BACP also states that “Good Practice” involves clarifying and agreeing to the rights and responsibilities of both the counsellor and the client at appropriate points in their relationship.…
The code of ethics is clear about boundaries and relationships with clients and these ethics are in clear danger. The sexual suggestions made by the client present a clear danger for the therapist and possible future malpractice issues.…
The counsellor will need discuss boundaries, this can be achieved by having an agreed Joint contract signed by both, which will show the client that each session will be approached in a professional and ethical way it will be the start of a professional relationship and a therapeutic alliance thus meaning a willingness to work together in a congruent way.…
Nichols, M. P. (2012). Family therapy: Concepts and methods. (10th ed.). Upper Saddle River, NJ.: Pearson Education Inc.…
The principles of beneficence and nonmaleficence remind us to do no harm to clients and to choose interventions most likely to benefit them. Because touch is deeply emotional, it can trigger powerful negative as well as positive feelings in clients. Clients who have been victims of violence or abuse, or those with paranoid or borderline personality characteristics can experience touch as intrusive or threatening. Touch should never be used unless the therapist knows the client well and is certain that touch is in the client’s interest. Hunter and Strube (1997) ask “Who is likely to benefit from this? In all cases, the answer must be the client. These authors caution that clients should consent to touch before it is…
In respect to Islamic boundaries set between genders, especially issues of eye gaze and handshake concern therapeutic relationship. Therapist 4 realizes the discomfort of her conservative male clients when she wears a miniskirt. Consequently, she adopts “L” style seating arrangement, does not meet her eyes with the client. She also dresses humbly not to deliver attention to herself and to feel personally comfortable. Therapist 3, on the other hand, continues eye contact until her patients habituate. Psychotherapists whose families come from Islamic background wait male clients to offer a handshake. Further, Therapist 2 recognizes that it is hard for…
If the boundaries are not kept to then issues could become apparent which could effect the ethical practice of counselling. Such issues include, dual relationships is a no no, the counsellor is there to counsell and the client is there to be counselled and this is the way it must remain, the counsellor must by no means make a self disclosure to the client. If the counsellor feels they have something to disclose than they must see a counsellor themselves. It is important that the counsellor…
Effective communication is important in developing positive relationships with children young people and adults, by communicating effectively you are setting a foundation from which your relationship can build from. It gives each other a mutual understanding of each other, the type of person you each are, your personalities and perceptions. It develops a trust so the other person feels confident in what you tell them and that they feel comfortable talking and if necessary confiding in you. They also need to feel confident that they can ask you to explain things again and in a different way, if they don’t fully comprehend, most importantly the individual needs to feel safe and secure. It helps you to understand the individuals learning patterns from which you can create programmes and activities to promote there learning style; to find their style you may use Kolb’s theory 1984. It is also important as it helps you to understand the individual’s needs, this could be a simple as not understanding what has been said to or asked of them, or it could be that the individual has a physical or learning disability by communicating effectively and developing a positive relationship you would be able to work together to create a positive and effective learning programme/activity and environment for them. Being able to do all of this helps you assess the individual’s needs, from there you are able to create a personal programme for each individual that is adapted to all their educational needs so that they are able to get the best assistance in their education. For a child it is important to them to know you are there to listen, support and advise them and not to judge them, they are contending with learning a lot of new things and often in a new environment. They may feel uneasy with communicating any problems they are having for the fear of what others may think or being ‘told off’, it is important that you as an adult in a supportive role give as…
In the profession and practice of alternative healing and massage therapy, therapists are often faced with ethical dilemmas on a daily basis. I am currently working as a certified massage therapist and holistic health practitioner. I have every intention on using my degree to broaden myself and immerse myself further up the chain of massage therapy. Obtaining my degree in Organizational leadership will be the backbone of my goal to one day either manage or own a spa or healing center. I have the experience of working the front desk of a spa, working as a massage therapist at a spa facility, and in addition to running my own business as an independent contractor. All three of those areas are a crucial part of a massage therapist professional…
In this essay, I am going to give a structured reflective account on the development of a therapeutic relationship with a client on one of my clinical placements as part of my training as a student nurse. I will be using a reflective model which explores the processes involved in developing and maintaining such relationships bearing in mind theoretical knowledge and how it applies to this clinical experience. Jasper (2003) describes reflective practice as one of the ways that professionals learn from experience in order to understand and develop their practice. As a trainee health care professional, I have learnt the importance of reflection in practice as a platform for judging one’s progress, strengths and weaknesses and also as a tool for appraising what went well during an intervention and what needs to be improved upon. Reflective practice is an important factor for nurses when building a therapeutic relationship with clients. Though this is essential in all nursing practices, it cannot be over emphasised in Mental Health nursing as this is based on quite a lot of understanding and trust between nurses and client. It is also now a respected and required learning and assessment method in many nursing programmes worldwide. The Nursing and Midwifery Council (NMC, 2008) requires nurses to keep knowledge and skills up to date throughout their working life. Considering the importance of clinical competence in the nursing profession, then it will suffice to say that reflection is an important tool in the nurse’s range of skills which aids the achievement and maintenance of clinical competence and performance (Mattews, 2004).…
In this essay I will discuss and evaluate “The relationship is the theory” Judgements are based on personal knowledge & experience as well as written material composed by others. The basic principle being “the therapy is the relationship”, does this imply engaging a therapist equates to therapy or does it propose more?…
The text says not to tiptoe around the topic, and to use frank words when discussing it with the client. I think this is profoundly sound advice; sexuality is a normal part of living, and I do not shy away from the topic as some do. Indeed, my own personal thoughts about it leave me a little baffled as to why some people experience uncomfortableness with the topic-having said that- I am still aware and respectful that they are and act accordingly. What I found...interesting(?), or contemplative (?) about their reasons for being straightforward are to appear fearless, and allow the client to label difficult situations appropriately (Pipes & Davenport, 1999). This, to me, makes a modicum of sense, however, I would think the primary reason to avoid the pretense would be just so the client understood there is safety within the therapeutic relationship, no need to hide or avoid anything, and no topic that is considered out of bounds for honest discussion, if it holds relevancy to the presenting…