The document outlines principles of therapeutic communication for healthcare providers including maintaining patient confidentiality, using self-disclosure cautiously, avoiding social relationships with patients, and guiding patients to reinterpret experiences rationally. It also discusses characteristics of effective therapeutic relationships such as discovering love and growth, helping patients gain coping skills, and outlines ethical responsibilities like appropriate use of power and maintaining trust, intimacy, and respect. Finally, it mentions therapeutic impasses and types of process recording.

6. PRINCIPLES OF THERAPEUTIC COMMUNICATION
• The patient should be primary focus of interaction.
• A professional attitude sets the tone of the therapeutic
relationships.
• Use self- disclosure cautiously and only when it has a
therapeutic purpose.
• Avoid social relationship with patient.
• Maintain patient confidentiality.
• Asses the patients intellectual competence to determine
the level of understanding.
• Implement interventions on theoretical basis.
• Maintain a non judgemental attitude.
• Avoid giving advice.
• Guide the patient to reinterpret his or her experience
rationally.

29. CHARACTERISTICS OF RELATIONSHIP
discover love ,growth and freedom

30. helping the patient to gain new coping
and adaptation skills.

31. ETHICAL RESPONSIBILITIES

49. • POWER
Appropriate use of power in a caring manner enables the
nurses to work with the patient towards the patient goals
and o ensure that the patients vulnerable position in the
nurse patient relationship is not taken advantage of
• TRUST
Helps the nurses to keep promises.
• INTIMACY
Activities which create personal and private closeness on
many levels.
• RESPECT
Dignity and worth of patient is fundamental to the
relationship

69. THERAPEUTIC IMPASSES

74. • Types

81. PROCESS RECORDING