I am replying to a peer’s post on Therapeutic communication

NU-664C-02-23PCS3 FamilyPsychiatric Ment.Hlth I

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  4. Week 4: Therapeutic Communication
  5. Week 4 Discussion 1: Therapeutic Communication Skills

Week 4 Discussion 1: Therapeutic Communication Skills

Done: Make forum posts: 1

Value: 100 points

Due: In an effort to facilitate scholarly discourse, create your initial post by Day 4, and reply to at least two of your classmates, on two separate days, by Day 7.

Grading Category: Discussions

Note: In this type of discussion, you will not see the responses of your classmates until after you have posted your own response to the question below.

Pick an aspect of therapeutic communication to complete your video for this discussion. Here are some example aspects or you may choose a different one.

  • Boundaries
  • Transference
  • Cultural Sensitivity
  • Non-Verbal Meanings
  • Resistance
  • Alliance
  • Listening and Attending

Once you have chosen an aspect, create a video that shows how you would demonstrating active listening, paraphrasing, and mentalizing using the aspect you have chosen.

Your video should demonstrate your knowledge and skills of therapeutic communication in order to do the following:

  • Assess the needs of the client
  • Respect the client values and beliefs
  • Provide support
  • Encourage the client to verbalize feelings
  • Offer effective communication with the client.

Your job is to move your client to health and show the skills that are involved as you focus on the client.

You can create your own scenario and begin your video at a place where you feel is best.

Examples:

  • Thank you for meeting with me Mr. Brown, I understand that you have been having nightmares again.
  • Let me clarify what I believe you are saying…
  • It states here in your chart that you have been participating in illegal…

Your video should be no longer than 3 minutes in length. You can create your video using Zoom Instructions and the YouTube Instructions.

Initial Post

Along with your video, answer the following prompts in your initial post.

  • Discuss the problems/barriers that can arise for the topic you have chosen.
  • Identify how these problems/barriers can interfere with therapeutic communication.
  • Discuss how this aspect of therapeutic communication might change to enhance alliance building with individuals who are another culture (choose one).
  • Submit your video to this discussion forum.

Replies

Reply to one peer’s post by asking the peer one question about their identified cultural barrier as it relates to therapeutic communication. Please do not reply to a student that already has a reply post associated with it.

  • What did you notice that would help your peer improve upon their delivery of the therapeutic communication technique?
  • Was it convincing? Would you feel comfortable with the technique presented if you were the client?
  • Pick out an idea from your peers’ video that you find most interesting and tell how you will use this information in practice.

Please refer to the Discussion Board Grading Rubric for details on how this activity will be graded. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.  

 

This is a peer’s post

Re: Week 4 Discussion 1: Therapeutic Communication Skills

by Cindy Faraguna – Wednesday, 24 May 2023, 2:36 AM

Here is the link to my video. My sister volunteered to be my patient but did not want to be seen in the video.

Play Video

ResistanceAttending therapy sessions can be difficult for some people. It is not easy to share feelings, thoughts, and traumatic past experiences with a stranger. Resistance delays the therapeutic process by not discussing underlying issues which manifested other concerns. The therapy sessions are as productive as what the client is willing to disclose and discuss. A client who is resistant to therapy can make the therapy process unsettling and challenging for treatment success (Sutton, 2021).Resistance could stem from the unwillingness to change due to a negative reaction to the therapeutic process triggered by the therapist (Ucar, 2017). The therapeutic relationship can be unproductive if the therapist and client are not a good match. A client not comfortable with the therapist will interfere with therapeutic communication. When sensing client hesitation, it is important to not label the behavior as “resistant” because it can appear the therapist has a lack of knowledge or therapeutic skills (Sutton, 2021). An observant therapist can detect signs of resistance from a client, such as avoiding specific topics, using statements that distance the therapist, and/or physically withdrawing from the conversation (Sutton, 2021). It is important to first provide a safe place for a client and allow time for the therapeutic relationship to build. It is natural that disclosure of personal material can take some time, sometimes opening up may occur only after months and sometimes it never happens (Kleiven et al., 2020). The client may also become resistant because the therapist tried to investigate sensitive issues too early in the session before the client was ready (Ucar, 2017).Therapy alliance remains a critical component to determine positive outcomes from therapy (Asnaani & Hofmann, 2012). Resistance may be seen in one culture more than others. Asian Americans underutilize mental health services more than any other ethnic group (Hall et al., 2019). Cultural beliefs are rooted and difficult to alter. Resistance to therapy due to a cultural belief can be challenging to change. Therapeutic alliance and treatment engagement can prevent resistance to treatment and premature termination (Hall et al., 2019). It is important to address the client’s needs by understanding the cultural beliefs. Cultural competence involves the ability to demonstrate skill in providing culturally relevant help to a client (Hall et al., 2019). For example, the Asian culture has gift-giving rituals. Gift-giving in psychotherapy can be translated to symptom reduction, reassurance, skills acquisition, and goal setting (Hall et al., 2019). Understanding and respecting the client’s culture is important to support alliance building and prevent treatment resistance.ReferenceAsnaani, A., & Hofmann, S. G. (2012). Collaboration in multicultural therapy: Establishing a strong Therapeutic Alliance across cultural lines. Journal of Clinical Psychology, 68(2), 187–197. https://doi.org/10.1002/jclp.21829Hall, G. C., Kim-Mozeleski, J. E., Zane, N. W., Sato, H., Huang, E. R., Tuan, M., & Ibaraki, A. Y. (2019). Cultural adaptations of psychotherapy: Therapists’ applications of conceptual models with Asians and Asian Americans. Asian American Journal of Psychology, 10(1), 68–78. https://doi.org/10.1037/aap0000122Kleiven, G. S., Hjeltnes, A., Råbu, M., & Moltu, C. (2020). Opening up: Clients’ inner struggles in the initial phase of therapy. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.591146

Sutton, J. (2021, April 21). Client resistance in therapy: How to help difficult clients. PositivePsychology.com. https://positivepsychology.com/resistance-to-change/

Ucar, S. (2017). Reluctance and resistance: Challenges to change i̇n psychotherapy. Journal of Psychology & Clinical Psychiatry, 7(6). https://doi.org/10.15406/jpcpy.2017.07.00464

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