Therapeutic impasse and it's interventions ppt presentation

_Therapeutic Impasse: Description and Interventions_

A therapeutic impasse, also known as a therapeutic stalemate, occurs when a patient and therapist reach a point in treatment where progress appears to have halted, and the therapeutic relationship becomes stuck.

*Causes of Therapeutic Impasse:*

1. *Resistance to Change*: Patient's unwillingness to confront and change maladaptive behaviors or thought patterns.
2. *Lack of Trust*: Patient's mistrust of the therapist or the therapeutic process.
3. *Inadequate Therapeutic Alliance*: Poor communication, mismatched expectations, or unrealistic goals.
4. *Complexity of Issues*: Presence of multiple, complex problems that overwhelm the therapeutic process.
5. *Therapist's Countertransference*: Unconscious emotional reactions or biases that interfere with the therapist's objectivity.

*Interventions to Overcome Therapeutic Impasse:*

1. *Re-evaluate Treatment Goals*: Collaborate with the patient to reassess and redefine treatment objectives.
2. *Improve Communication*: Enhance active listening, empathy, and clarity to strengthen the therapeutic alliance.
3. *Address Resistance and Defenses*: Explore and work through patient's resistance, defenses, and underlying fears.
4. *Introduce New Therapeutic Strategies*: Incorporate alternative techniques.

Key Principles:

1. Flexibility: Be willing to adjust therapeutic approaches and strategies.

2. Empathy: Maintain a non-judgmental, empathetic attitude towards the patient.

3. Self-Awareness: Recognize and manage your own countertransference reactions.

4. Collaboration: Work closely with the patient to identify and address the impasse.

1. Therapeutic impasse and it 's interventions

2. Presentation topic - Therapeutic impasses and it 's interventions submitted by- Arti Deshmukh

3. Index Introduction Definition Types - resistance Transferance Gift giving Counter transference Boundary violence Intervention to overcome therapeutic impasse

4. Introduction Therapeutic impasse - Therapeutic - healing , curative, curing remedial medicine Impasse - can't or won't move forward

5. Definition Therapeutic impasse are block in the progress of the nurse patient relationship. Impasse provoke intense feeling in both nurse and patient which may range from anxiety and apprehension to frustration , love or intense anger.

6. Ty pes Resistance Transference Gift giving Counter transference Boundary violence

7. Resistance Resistance is the patient attempt to remain unaware of anxiety producing aspects within himself. Types of resistance Primary resistance -often caused by the patient's unwilling to change. Secondary resistance -Avoiding unpleasant situation , increased sympathy, financial compensation.

8. Manag ement Active l istings Clarification Maintain to open communication Explore behaviour to find problem

9. Transference It is a unconscious response in which the patient experience feeling and attitudes toward the nurse that were originally associated significant figure in the patient's early life

10. Management No need to terminate the relationshipness poses a serious barrier to therapy. Assist patient in identifying transference. Work with patients in sorting out pass from the present.

11. Gift giving Receiving a gift from the patients make nurse to inhibite independent decision making and create a feeling of anxiety and guilt. Forms of gifts - Boxes of sweets, boquet of flowers , expression of thanks.

12. Counter transference It is a ther apeutic impasse created by the nurse. It refers to nurse specific response generated by quality of the patient .

13. Boundary violence It occurs when a nurse goes outside the boundaries or the therapeutic relationship and established a social , economic or personal relationship with the patient.

14. Intervention to overcome therapeutic impasse Nurse must have knowledge of the impasse and recognise behaviour that indicate their existence. Nurse must reflect on feeling explore reason behind such behaviour. Nurse must reflect on examine their strength, weakness prejudice and value before they can interact more appropriately with patients. Nurses should also state action that they can and cannot take a meet patients need. The transference reactions of patients must also be examined gently but directly Nurses must be open and clear about their genuine reaction when patients misperceive behaviour