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On the value of the relationship in psychiatric rehabilitation

On the value of the relationship in psychiatric rehabilitation

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  • 1. “ The Value of the Relationship in Recovery ” Gina Verne, MPA, CSW & John Fossella, PhD, MBA
  • 2.
    • People are asked to engage -and clinicians are asked to engage people
    • Recovery does not happen in isolation
  • 3.
    • Think of someone with whom you have had a positive therapeutic relationship…
    • What was that person like????
  • 4.
    • They listened to me
    • They trusted me
    • They did not judge me
    • They did not leave
    • They cared about me
    • They showed me how to be
    • They let me make mistakes
    • They laughed with me
    • They were excited for my successes
    • They were supportive with my failures
  • 5.
    • We only truly grow through our relationships with others….
    • Carl Rogers (Paraphrased)
  • 6.
    • Decent food, clothing & housing
    • People with whom to be
    • A way to be productive
    • Learning about how to manage symptoms, Meds. and side effects
    • Case management & Individualized Tx
    • Psycho-education
    • Integration into the community
  • 7.
    • “ Someone believed in me”
    • “ Someone told me that I had a chance to get better”
    • “ My own persistence”
  • 8.
    • “ It is only as I understand the feelings and thoughts which seem so horrible to you or so weak, or so sentimental, or so bizarre-it is only as I see them as you see them, and accept them and you, that you feel really free to explore all the hidden nooks and frightening crannies of your inner and often buried experiences ”
  • 9.
    • Our memories of that which seems so bad, seems less so if I share it with you and you accept me unconditionally. The memory changes to include this experience of it.
  • 10.
    • Unconditional Positive Regard
    • &
    • Being psychologically/emotionally present
  • 11.
    • Do not act as something I am not
    • Listen “acceptantly” to myself
    • Permit myself to understand another person
  • 12.
    • Create safety in the relationship-reduce the barriers between others and me so they can reveal themselves more fully
    • Accept the feelings/attitudes/values of the other person
    • Be open to the realities/learning in me and the other person, and the urge to “fix it” will be lessened
  • 13.
    • I learn to listen to you
    • You learn to listen to others
    • I learn to be my true self
    • You learn to be your true self
    • I learn to accept you
    • You learn to accept others
    • I learn to trust you
    • You learn to trust others
  • 14.
    • When we see a person as their true self, not an illness or condition or as separate from us in any way,
    • The relationship can develop into one that is the vehicle for change and growth for us both
  • 15.
    • “ Patch Adams”