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Chapter 6: Bridges and Barriers in the
Therapeutic Relationship
Barriers
• Lack of…(bridges)
• Anxiety
• Stereotyping
• Space violation
• Confidentiality
violation
• Cultural and gender
differences
Bridges
• Respect
• Caring
• Empowerment
• Trust
• Empathy
• Mutuality
• Veracity
Steps in the
Caring Process
C.
A.
R.
E.
 CONNECT with the client
 APPRECIATE your client’s
situation
 RESPOND to what your client
needs
 EMPOWER the client to
problem-solve with you
3 skills to facilitate empathy
 A) Recognition and classification of
requests
 Information, action, empathetic understanding
 B) Attending behaviors
 C) Empathetic responses
Stereotyping Exercise
 The nature of this exercise is to engage in an open discussion about the
use of stereotypes and therefore attention must be paid to the personal
experiences brought forth.
 SPECIAL ED STUDENTS
 AFRICAN AMERICAN MALES
 LESBIANS
 VIETNAM VETERANS
 HONOR ROLL STUDENTS
 ASIAN FEMALES
 GAY MALES
 GIRLS W/ GREEN HAIR & PIERCINGS
 HISPANICs
 ATHLETES/CHEERLEADERS
Stereotyping Exercise
 Debrief by asking the following:
 Were there any stereotypes posted about groups or
categories to which you belong?
 Where do they come from?
 Where do we hear them most often used?
 Were there any positive ones? Why should they also be
avoided?
 Is there any group that is free from stereotypes?
 Allow any individuals to share their experiences with being
stereotyped
CHAPTER 7: ROLE RELATIONSHIP PATTERNS
 Role- traditional pattern of behavior and self-
expression performed by or expected of an individual
within a given society
 Ascribed roles (birth)
 Acquired roles (life)
 Role Socialization
Nurses’ Role
 Caregiver
 Teacher
 Client advocate
 Manager
 Evaluator
 Researcher
 Consultant
 Case manager
 Nurse Practitioner
 Nurse-Midwives
 Nurse Specialists
 Nurse Anesthetist
Role Relationship
 ANA Bill of Rights for Registered Nurses-
protect the dignity and autonomy of nurses in the
workplace.
 Magnet Recognition Program

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working on relationships

  • 1. Chapter 6: Bridges and Barriers in the Therapeutic Relationship Barriers • Lack of…(bridges) • Anxiety • Stereotyping • Space violation • Confidentiality violation • Cultural and gender differences Bridges • Respect • Caring • Empowerment • Trust • Empathy • Mutuality • Veracity
  • 2. Steps in the Caring Process C. A. R. E.  CONNECT with the client  APPRECIATE your client’s situation  RESPOND to what your client needs  EMPOWER the client to problem-solve with you
  • 3. 3 skills to facilitate empathy  A) Recognition and classification of requests  Information, action, empathetic understanding  B) Attending behaviors  C) Empathetic responses
  • 4. Stereotyping Exercise  The nature of this exercise is to engage in an open discussion about the use of stereotypes and therefore attention must be paid to the personal experiences brought forth.  SPECIAL ED STUDENTS  AFRICAN AMERICAN MALES  LESBIANS  VIETNAM VETERANS  HONOR ROLL STUDENTS  ASIAN FEMALES  GAY MALES  GIRLS W/ GREEN HAIR & PIERCINGS  HISPANICs  ATHLETES/CHEERLEADERS
  • 5. Stereotyping Exercise  Debrief by asking the following:  Were there any stereotypes posted about groups or categories to which you belong?  Where do they come from?  Where do we hear them most often used?  Were there any positive ones? Why should they also be avoided?  Is there any group that is free from stereotypes?  Allow any individuals to share their experiences with being stereotyped
  • 6. CHAPTER 7: ROLE RELATIONSHIP PATTERNS  Role- traditional pattern of behavior and self- expression performed by or expected of an individual within a given society  Ascribed roles (birth)  Acquired roles (life)  Role Socialization
  • 7. Nurses’ Role  Caregiver  Teacher  Client advocate  Manager  Evaluator  Researcher  Consultant  Case manager  Nurse Practitioner  Nurse-Midwives  Nurse Specialists  Nurse Anesthetist
  • 8. Role Relationship  ANA Bill of Rights for Registered Nurses- protect the dignity and autonomy of nurses in the workplace.  Magnet Recognition Program