The Therapeutic Relationship. Part 1: The Helping Relationship

Authors

  • Almahdi Wardami Alamen Department of Medicine, Faculty of Medicine, University of Sebha, Sebha, Libya
  • Mutwakil Gamal Ahmed Department of Medicine, Faculty of Medicine, University of Sebha, Sebha, Libya

DOI:

https://doi.org/10.51984/4kk9yv73

Keywords:

Communication process, Empathy, Feedback, Health literacy, Therapeutic relationship, Reflection, Self-concept, Self-esteem, Self-disclosure, Values clarification, Telehealth, Verbal communication, Nonverbal communication, Metacommunication

Abstract

Objectives: After completing the series of articles, the reader will be able to:
• Evaluate values of clarification as a prerequisite to effective health promotion.
• Examine the elements of and process of communication.
• Analyze differences between functional and dysfunctional communication.
• Develop strategies to promote therapeutic relations with diverse populations across clinical settings, contexts, and physician roles.
• Synthesize knowledge of the therapeutic relationships as an essential component of health promotion.

Relating to patients offers many challenges and rewards for clinicians. Although some aspects of this work are predictable, each person and family is unique and provides a chance for the clinician to learn, grow, and help in new ways. The series of articles provide guidelines for developing therapeutic relationships, but these guidelines do not guarantee success or an easy job. The desire and skill of the individual clinician bring this information to life. The blend of the clinician’s artistry, humanity, knowledge, skill, and ethics sparks concern and the ability to help another human being communicate effectively – essential components of the clinician-patient relationship.

The therapeutic relationship is the priority arena for health promotion. Values clarification, communication, and the helping relationship are its core components. Applying this knowledge to their varied clinician roles is essential to promoting quality care.

Rising use of technical and mounting pressures for cost-effective care are here to say. In this climate, the importance of therapeutic relationship is underscored. Without a relational context, the care dimension in health care is lost, and health promotion is reduced to standardized, recipe-like prescriptions. Effective health promotion directed to the needs of individuals, families, and communities requires reflection on the value of caring, effective communication, and a helping relationship.

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References

Peplau H.E. Professional closeness. Nursing Forum. 1969; 8: 342- 360.

Moyle, W. Nurse-patient relationship. International Journal of Mental Health Nursing. 2003; 12: 103- 109.

Audit Communication. 'What seems to be the matter?': Communication between hospitals and patients. HMSO, London. 1993.

Fletcher, C.M. Communication in medicine. Rock Carling Monograph. Nuffield Provincial Trust, London. 1973.

The General Medical Council . Tomorrow's Doctors: recommendations on undergraduate medical education. HMSO London. 2002.

Maguire, P., Pitceathly, C. Key communication skills and how to acquire them. British Medical Journal 2002; 325: 697- 700.

Rogers, C. Client-centered therapy. Boston: Houghton Mifflin. 1965.

Gallant, M., Beaulieu, M., Carnevale, E. Partnership: An analysis of the concept within the nurse-client relationship. Journal of advanced nursing, 2002; 40: 149- 157.

Silverman, J., Kurtz, S., Draper, J. Skills for communication with patients. Radcliffe Medical Press, Oxford. 1998.

Margaret, L., Robert, B., Communication skills. Chrchlivingstone, London. 2004.

Singer, P.A. Intimate examinations and other ethical challenges in medical education. Brtish Medical Journal 2003; 326: 62- 63.

Gardiner, H.W., Mutter, J.D., Kosmitzk C. Lives Across Cultures. Allyn and Bacon, London. 1998.

Kleinman, A. Patients and healers in the context of culture. University of California Press, Perkeley, 1980.

Mullavey-O’Byrne C. Intercultural comm.-unication for health care doctors. In: Brislin RW, Yoshida T(eds). Improving inter-cultural interactions: modules for crosscultural training programmes. Sage, London. 1994.

Brislin, R. Understanding Culture’s Influence on behavior. Harcourt, Brace and Jovanovich, London, 1993.

Eleftheriadou Z. transcultural counseling. Central Book Publishing, London, 1994.

Moyle, W. : Nurse-patient relationship: a dichotomy of expectation. International journal of mental health nursing. 2003; 12: 103- 109.

Johannesen, R. Ethics in human communication. Prospect Heights, IL: Waveland Press. New York. 2002.

Bor, R. Miller, R., Latez, M., Salt, H. Counseling in health care settings. Cassell, London, 1999.

Merrill, Laux I., Thornby, J. Why doctors have difficulty with sex histories. Southern Medical Journal 1990; 83: 613- 617.

Ben Irhuma, A. E. Communication Skills in Health Care. Part 1: Introduction. JMJ. 2010; 10 (1) :2- 5.

Ben Irhuma, A. E. Communication Skills in Health Care. Part 11: Basic communication skills. JMJ, 2010; 10(2) :80- 85.

Buckman, R. How to break bad news. Papermac, London, 1992.

Leff, P., Walizer, E. The uncommon wisdom of parents at the moment of diagnosis. Family Systems medicine 1992; 10: 147- 168.

McGuire, P. Faulkner, A. Communicate with cancer patients. 1. Handling bad news and difficult questions. British Medical Journal 1988; 297: 907- 909.

McGuire, P., Faulkner, A. Communicating with cancer patients. 2. Handling uncertainty, collusion and denial. British Medical Journal 1988; 297: 972-974.

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Published

2010-06-01

How to Cite

1.
The Therapeutic Relationship. Part 1: The Helping Relationship. J Med Sci (Sebha) [Internet]. 2010 Jun. 1 [cited 2026 Oct. 31];9(2):6-11. Available from: http://sebhau.edu.ly/journal/joms/article/view/5084

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