• Title/Summary/Keyword: therapeutic relationship

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Dynamic Analysis of Mindfulness and Therapeutic Relationship using System Dynamics (시스템다이내믹스를 활용한 마음챙김과 치료관계 간의 동태적 분석)

  • Choi, Yeon-Hee
    • Korean System Dynamics Review
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    • v.17 no.3
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    • pp.121-143
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    • 2016
  • The purpose of this study to analyze the effect of Mindfulness on the Therapeutic Relationship using System Dynamics. The biggest factor in psychotherapy's treatment outcome is the Therapeutic Relationship including the quality of the therapist (empathy, therapeutic presence) and therapy alliance. Mindfulness practice can facilitate the therapeutic relationship. In order to analyze the therapeutic relationship, I measure FFMQ(Five Facet Mindfulness Questionnaire), Empathy, Therapeutic presence and Therapy alliance. Participants consist of 55 mental health professionals (doctor, psychologist, psychiatrist, counselor, social worker). The result of the study will be explained. First, with the causal loop diagram research, I analyze how mindfulness can influence the quality of therapist and therapy alliance. The result of literature research indicate that mindfulness increase therapist's empathy, congruence, therapeutic presence, flow, therapy alliance. And then mindfulness reinforces the ability of therapeutic relationship. Secondly, through the real data research and simulation analysis, mindfulness practicing period (year and hour a day) of therapist is studied. The result of the therapist experiencing mindfulness practice period is over 5 years and the daily hours of practice is 2 - 2.5 hours in order to enhance the therapeutic relationship. After reviewing the result of the research it is important to understand the practicing period and daily practice of mindfulness. With daily practice and time, the level of mindfulness will increase and influence positively the therapeutic relationship between therapist and client.

Therapeutic Relationships Between Parent and Therapist in Child Counseling (아동상담에서 부모와 치료자간 치료관계에 대한 연구)

  • Choi, Myung Seon;Kim, Kwang Woong
    • Korean Journal of Child Studies
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    • v.26 no.3
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    • pp.111-125
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    • 2005
  • The Korean version of the therapeutic relationship scaled for parents was administered to 156 Korean parents and 51 therapists. Statistical analysis of the data showed that highly educated parents who graduated from university had the most negative emotional perceptions against therapists. Working class parents made more positive therapeutic helping relationships as assistants though they also had negative emotional relationships. Differences in perception of emotional relationships between parents and therapists were found even when there were no differences in the therapeutic helpfulness of the relationship. That is, when effectiveness of the therapeutic relationship was held constant, perceptual disagreement about the emotional relationship between parents and therapists was more prevalent than agreement about the emotional relationship.

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Mediating Effects of Hope and Therapeutic Relationship in the Relation between General Social Functions and Mental Health Recovery of Community People with Mental Illness (지역사회 정신장애인의 전반적 사회기능과 정신건강 회복 간의 관계에서 희망과 치료적 관계의 매개효과)

  • Shin, Sun Hwa;Hwang, Jung Hee
    • Research in Community and Public Health Nursing
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    • v.30 no.1
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    • pp.69-78
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    • 2019
  • Purpose: This study tries to test mediating effects of hope and therapeutic relationship in the relation between general social functions and mental health recovery of community people with mental illness. Methods: This study was carried out in a cross-sectional research design. The participants included 217 people with mental illnesses who were enrolled at eight Mental Health Welfare Centers in the Gyeonggi Province. Data were collected from February to May, 2018. The collected data were analyzed using a regression analysis, and SPSS PROCESS macro was used to test the mediating effects. Results: This study analyzed the direct effects of general social functions on the hope, therapeutic relationship and mental health recovery. And general social functions had indirect effects on their mental health recovery via hope and therapeutic relationship. Both hope and therapeutic relationship had dual mediating effects in the influence of general social functions on mental health recovery. Conclusion: The role of hope and therapeutic relationship in the mental health recovery of community people with mental illness is important, and it is confirmed that hope is a powerful factor influencing mental health recovery.

- A Study on Therapeutic Relationship between Nurse - Patient - (Measurement of Relationship Scale as Perceived by Discharged Psychiatric Patient) (간호원-환자 관계에 관한 연구 (퇴원한 정신과환자가 인지한 대인관계 요인 측정을 중심으로))

  • 이소우;오경옥;하양숙
    • Journal of Korean Academy of Nursing
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    • v.7 no.1
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    • pp.20-29
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    • 1977
  • The purpose of the present research is to evaluate the therapeutic ingredients-empathy, warmth, and intimacy - as perceived by patient in the relationship with nurses during his hospitalization. "Relationship Questionnaire"developed by C. B. Truax during 1963 was administered from September 1976 to December 1976 to a sampling of 61 discharged patients, 20 were received by mail questionnaire, 19 were successfully interviewed by their doctor at a regular psychotherapy meeting, 22 were contacted by nurses or psychiatric residents at discharge day. Findings showed that 1) the total mean score of therapeutic ingredients of nurses was 9. 54 ; 2)the total mean score of empathy, warmth and intimacy was 10. 10, 9.57, and 9.00 : 3) there was the significant relationship between therapeutic ingredients and other variables-sex, education, number of admission, helpfulness ratings of admission and, present health condition- : 4) there was no significant. relationship between therapeutic ingredients as patient′s perception and age, duration of admission, or motivation of admission, or follow - up rare ; 5) there was no relationship among empathy, warmth and intimacy ; 6) tile ranking of the important psychiatric personnel who were marked as the helper at the treatment and understanding for patient′s recovery, was psychiatric doctor and nurse and then nurse student and then nurse aid.

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Mediating Effect of Therapeutic Relationship with Mental Health Professionals in the Relation between Empowerment and Recovery of Community Dwelling Patients with a Mental Illnesst (지역사회 정신장애인의 임파워먼트와 회복 : 치료적 관계의 매개효과)

  • Oh, Mi-Hwa
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.211-220
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    • 2018
  • This study was conducted to identify the mediating effects of the therapeutic relationship with mental health professionals between empowerment and recovery in mental illness. The participants were 168 adults in two community mental health centers and three rehabilitation centers in Jeonbuk. The data were collected by structured questionnaires from April 15 to April 30, 2015 and analyzed using descriptive statistics, Pearson's correlation coefficient, and multiple regression analysis with the SPSS 19.0 statistical program. The mean score of empowerment for mental illness, recovery and therapeutic relationship were $60.4{\pm}10.85$, $101.8{\pm}20.70$ and $74.5{\pm}14.30$, respectively. There were significantly positive correlations between recovery in empowerment and therapeutic relationship (r=0.33, p<0.001), as well as empowerment and recovery (r=0.51, p<0.001), while there were significantly positive correlations between therapeutic relationship and recovery (r=0.55, p<0.001). Therapeutic relationship had a partial mediated effect between empowerment and recovery, which was found to be significant by the Sobel test (z=3.706, p<0.001). The results of this study can be used as basic data for development of a practical recovery-enhancing program to promote therapeutic relationships and improve empowerment in relation to therapist of the mentally disabled.

Mediating Effects of Resilience on the Relationship between Stress and Therapeutic Compliance in Patients with Systemic Lupus Erythematosus (루푸스 환자의 스트레스와 치료지시이행의 관계에 미치는 극복력의 매개효과)

  • Lee, Mi Hye;Min, Hye Sook
    • Journal of muscle and joint health
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    • v.24 no.3
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    • pp.196-204
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    • 2017
  • Purpose: This study was conducted to explore the mediating effect of resilience in the relationship between stress and therapeutic compliance in patients with systemic lupus erythematosus. Methods: The subject (N=145) was a systemic lupus erythematosus patient who visited the D Hospital in B city. Data collection was conducted from January 2016 to August 2016. Twenty-five resilience measurement tools, 20 stress measurement tools, 39 therapeutic compliance measurement tools used to measure resilience, stress and therapeutic compliance levels. The collected data were analyzed using descriptive analysis, Pearson correlation, 3-step regression analysis of Baron and Kenny, and Sobel test in SPSS/WIN 21.0. Results: There was a significant negative correlation between stress and therapeutic compliance, a significant negative correlation between stress and resilience, and significant positive correlation between resilience and therapeutic compliance. Resilience showed a direct effect on therapeutic compliance through stress as a mediating variable. Conclusion: It is necessary to develop appropriate resilience enhancement program to improve therapeutic compliance with systemic lupus erythematosus.

The Development and Effectiveness of a Therapy Competency Enhancement Program for Novice Play-therapists Using Traditional Play (전통놀이를 활용한 초보놀이치료자 치료역량강화 프로그램 개발 및 효과)

  • So, Hyeon-ha;Han, You-jin
    • Journal of Families and Better Life
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    • v.33 no.5
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    • pp.103-115
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    • 2015
  • The purpose of this study is, first, to develop a Therapy Competency Enhancement Program for Novice Play-therapists Using Traditional Play to enhance therapy Competency and second, to examine the program's effectiveness. The program consists of 10 sessions and each session employs a variety of traditional plays. The Therapeutic relationship Scale and Playfulness Scale were used as a pre-test and post-test respectively. The data were analyzed by the SPSS 18.0 program, which applied the Mann-Whiteney U test and Wilcoxon rank sum test. Twelve novice play therapists participated in ten sessions of the Therapy Competency Enhancement Program, and were compared with the control group of twelve novice play therapists who did not receive treatment. The treatment group statistically showed significant enhancement in therapeutic relationships, and playfulness in comparison to the control group. It was concluded that the Therapy Competency Enhancement Program for Novice Play-therapists Using Traditional Play was effective for enhancing therapeutic relationships and playfulness. This study has significance in its attempt to develop a Therapy Competency Enhancement program to improve the therapeutic relationship, and playfulness of novice play therapists by Traditional Play.

Factors Influencing Nursing Students실 Psychiatric Nursing Practice Evaluation Scores (간호학생의 정신간호학 실습에 영향을 미치는 요인)

  • 배행자;안황란
    • Journal of Korean Academy of Nursing
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    • v.23 no.1
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    • pp.5-15
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    • 1993
  • This study examined the effects of therapeutic communication skills, self esteem and self concept, psychiatric nursing lectures on students' psychiatric nursing practice evaluation scores. The purposes of this study were to determine factors influencing students' psychiatric nursing practice to improve the quality of that practice. The subjects were 123 third year nursing students in the department of nursing of G University in C city. Data were collected from 1989 to 1991 by question-aires and academic records. Pearson Correlation and t-test were used in analysing the data to confirm the relationship and influence among the study variables. Stepwise Multiple regression was used to confirm the predictors of the nursing students' psychiatric nursing practice evaluation scores. The results were as follows : 1) Relationship of General characteristics and Psychiatric Nursing Practice Evaluation Scores : General characteristics were not significant on psychiatric nursing pracice evaluation scores. 2) Relationship of the therapeutic communication skill and psychiatric nursing practice evaluation scores : the higher the degree of therapeutic communication skill was the higher the scores for psychiatric nursing practice (r=.5528, p(.001). 3) Relationship of psychiatric nursing course and psychiatric nursing practice evaluation scores the higher the scores in the psychiatric nursing course the higher the scores for psychiatric nursing practice (r=.2793, p(.01). 4) Relationship of self-esteem & self concept and psychiatric nursing practice evaluation scores : Self-esteem 8f concept was not significant on psychiatric nursing practice evaluation scores. 5) Stepwise multiple correlation of therapeutic communication skills, self-esteem and self concept, psychiatric nursing lectures on psychiatric nursing practice evaluation scores showed that therapeutic communication skills and the psychiatric nursing course scores influenced the evaluation scores psychiatric nursing practice significantly.

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A Concept Analysis of Therapeutic Intervention in Nursing (간호학에서 치료적 중재(therapeutic intervention)에 대한 개념분석)

  • Jin, Hye Kyung;Kim, Moon Ja;Lee, Eun Nam
    • Journal of muscle and joint health
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    • v.26 no.1
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    • pp.1-14
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    • 2019
  • Purpose: This concept analysis was done to clarify therapeutic intervention in nursing. Methods: For this study the process of Walker & Avant's concept analysis was used. Twenty-nine studies from electronic data bases met criteria for selection. Results: Therapeutic intervention can be defined by the following attributes: 1) goal-oriented, 2) forming a therapeutic relationship, 3) reinforcement of coping ability, 4) patient-centered, 5) a holistic integrated approach. The consequences of therapeutic intervention were improvement of quality of life, coping skills, self-care. Conclusion: Attributes of therapeutic intervention identified in this study can be applied to develop tools for measuring therapeutic nursing behaviors or to develop therapeutic nursing intervention programs for patient or family.

Modeling Adherence to Therapeutic Regimens in Patients with Hypertension

  • Roh Young Sook
    • Journal of Korean Academy of Nursing
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    • v.35 no.4
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    • pp.737-744
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    • 2005
  • Purpose. This study was done to identify and test a model of the psychosocial variables that influence adherence to therapeutic regimens in patients with hypertension. Method. A convenience sample of 219 patients with hypertension who were enrolled in an outpatient clinic of a cardiovascular center in Korea participated in the study. They completed self-administered questionnaires anonymously. The questionnaire was based on the Social Action Theory model and a literature review. The explanatory model was constructed and tested using structural equation modeling in order to examine the effects within the model. Results. The results of this study showed that perceived self-efficacy was the strongest factor influencing patient adherence in this sample. Adherence to therapeutic regimens in patients with hypertension was influenced by self-efficacy, patient-provider relationship, social support, and depression. Conclusions. Adherence to therapeutic regimens in patients with hypertension was most strongly influenced by self-efficacy. These findings suggest that nursing interventions to promote patient adherence should focus on the promotion of self-efficacy including improvement in patient-provider relationship and social support, and reduction in depression.