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The goals are what the client hopes will happen because of the care needed -- and the bond the specifics that need to be met in order to meet those goals (Widdowson, 2010, 83).
The Transference/Countertransference Section -- Within this section of the therapeutic relationship, transference and countertransference are phenomenons in which feelings between the client and caregiver are directed and redirected to one another. This has been part of clinical psychology since Jung, and may be both harmful or positive. Within the caregiver model, it is usually heightened empathy for the patient, with the client, a feeling of greater emotional bonding to the caregiver than that of a professional relationship (Wiener, 2009).
The Real Relationship -- This is the ideal outcome, the real or personal relationship between client and caregiver. It may, of course, include deception on the part of the caregiver or therapist depending on the actuality of the illness or the prognosis for the patient; but it transcends the dancing around and dishonesty that sometimes is indicative in new healthcare relationships because of the client's need to appear special on one hand, very needy on the other. The real relationship is often goal oriented as well, and allows both parties to develop a more positive and genuine way of dealing with the issues at hand (Gelso, 2010).
Just as there are no hard and fast rules for every doctor patient relationship; there is no way to accurately predict the way that individuals will interact with each other in the health care paradigm. The bounds of the relationship, however, are not only governed by the Hippocratic...
Above all, any relationship between patient/client and caregiver should remain professional and objective in order for the best decisions possible to be made regarding the health of the patient. Losing objectivity means losing the ability to provide the best care, or make the best decisions based on medical facts, rather than personal opinions. In addition, lack of objectivity in healthcare can damage future relationships with other patients. The goal, then, of any professional healthcare relationship is the improvement of the client's health or healthcare experience, and the actualization and professional care from the medical professional (Belle, Stewart, & Weston, 2002, 15).
REFEENCES
Belle, J., Stewart, M., & Weston, W. (Eds.). (2002). Challengs and Solutions in Patient-Centered Care. Oxon, UK: Radcliffe Medical Press.
Gelso and Samstag. (2010). The Therapeutic Alliance. (M. a. Barber, Ed.) New York: Guilford Press.
Gelso, C. (2010). The Real Relationship in Psychotherapy: The Hidden Foundation of Change. Chicago, IL: American Psychological Association.
Peplau, H. (2004). Interpersonal Relations in Nursing. New York: Springer.
Watson, J. (1997). The Theory of Human Caring: Retrospective and Prospective. Nursring Science Quarterly, 10(1), 49-52.
Widdowson, M. (2010). Transactional Analysis: 100 Key Points and Techniques. New York: Taylor and Francis.
Wiener, J. (2009). The Therapeutic Relationship: Tranference, Countertranference. Austin, TX: Texas a&M…
Watson, J. (1997). The Theory of Human Caring: Retrospective and Prospective. Nursring Science Quarterly, 10(1), 49-52.
Widdowson, M. (2010). Transactional Analysis: 100 Key Points and Techniques. New York: Taylor and Francis.
Wiener, J. (2009). The Therapeutic Relationship: Tranference, Countertranference. Austin, TX: Texas a&M Univeristy.
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