1. The Effectiveness of Therapeutic Relationship Provided bythe Psychiatric Nurse in Contrast
with the PsychiatristAs Perceived by Schizophrenic Patient
THEORETICAL BASIS
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HILDEGARD PEPLAU‟ S INTERPERSONAL RELATIONS THEORY
Peplau's theory implies the health care provider's importance in the patient's socialnetwork. Peplau proposes
that the relationship between the patient and the primary healthcare-provider (PHCP) is the basis of therapeutic
practice and that every aspect of apatient's care centers around that relationship (Howk et al., 1998). A
positive relationshipbetween the patient and the PCHP is vital to achieving a positive outcome. This
study conceptualizes the influence of the relationship between schizophrenic clients and their PHCPas
one of the most important factors in determining the prognosis of their illness. In atherapeutic
relationship, the PCHP and a mentally-ill patient come together, identify a problem,and develop a
strategy to overcome that problem (Peplau 1952, 1988).During all phases of the therapeutic relationship,
communication is essential.Communication requires honesty and self-scrutiny on the part of the PHCP
and the patient.During interactions with the patient, PCHPs must diligently analyze their own behavior
andassess what their behavior is communicating to the patient. PHCPs need to understand thattheir own
behavior can facilitate or deter positive health behaviors by the patient.
Peplau‟ s theory focuses on “Psychological Mothering” that includes accepting patientunconditionally,
recognition of the patient‟ s readiness for growth, and the shift of power in
the relationship to the patient. This theory will help the researcher to organize and establishthe
foundation of his/her basis of therapeutic relationship to mentally-ill patients.
With scheme, nursing researchers follow the major assumption that patient‟ s problems
were within
theperson‟ s phenomena and were dealt inside the nurse
-patient interactionstudies
Her theory is based on reality. It could be tested and observed using pure examination,especially from
psychiatric healthcare providers to their patients