Barriers of interpersonal relationship part 1

2nd-year B.Sc Nursing
Communication and Educational Technology
unit-2 Interpersonal Relations
class-3 Barriers of interpersonal relationship part 1

1. BARRIERS OF IPR and METHODS OF OVERCOMING PART- 1 BY, VEDANTHA VINOD ASSISTANT LECTURER CCON-MYSORE

2. BARRIERS OF INTERPERSONAL RELATIONSHIP AND HOW TO OVERCOME THEM :- Therapeutic impasses are the blocks/barriers in the progress of the nurse-patient relationship.  The therapeutic impasses, even though arise due to different reasons but tend to impede the therapeutic relationship.

3. The common impasses are as follows:

4. RESISTANCE Resistance is the patient's reluctance or avoidance while talking about or experiencing troubling aspects of oneself.  Causes:- Because the nurse moved too quickly into the patient's feelings which makes them shrink

5. Because of intentional or unintentionally conveyed lack of respect Secondary If a psychiatric patient exhibits resistance in nurse patient relationship . it is better to provide him with related benefits such as avoiding responsibilities, etc.

6. OVERCOMING RESISTANCE  Active listening :- Improving clarification in the information provided to the patient.  Reflect the feelings of the patient so that patient can understand and be aware of what is going on in his/her mind.

7. Explore the behavior to find the possible reason for resistance. Maintain open communication with the supervisor. Thus supervisor can help in facilitating the communication.

8. TRANSFERENCE   Transference is an unconscious response in which patients experience feelings and attitudes toward the nurse that were originally associated with other significant persons of their life.

9. This causes inappropriate intensity of the patient's response. Transference reduces the self awareness by allowing the patient to maintain an inaccurate view of the world in which all people are seen in a similar way. Transference responses are harmful to the therapeutic process only if they were ignored and unexamined.

10. TYPES There are two types of transference: Hostile transference Dependent reaction transference

11. HOSTILE TRANSFERENCE Hostile transference is the one in which the patient internalizes the anger and hostility. This may be expressed in the patient's behavior as depression and discouragement.

12. DEPENDENT REACTION TRANSFERENCE This is characterized by patients who are submissive, subordinate and ingratiating; and those who regard the nurse as god like figure. In this type of transference patient continues to demand more from the nurse and when these needs are not met, the patient is filled with hostility and contempt.

13. OVERCOMING TRANSFERENCE The relationship has to be maintained unless otherwise it poses a serious barrier to therapy or safety.  The nurse should assist the client in sorting out their past from the present.

14. Assist the patient in identifying the transference and reassign a new appropriate meaning to the current nurse-patient relationship. The goal is to guide the independence by teaching them to assume responsibility of their own behaviors, feeling and thoughts, and

15. To assign the correct meaning to the relationship based on the present circumstances rather than corroborating to the past.

16. ANY DOUBTS??

17. THANK YOU