Search results for "Professional-Patient Relations"

Patients' narratives of patient education in physiotherapy after total hip arthroplasty.

2019

Abstract Objective The aim of this study was to explore patients' narratives of patient education in physiotherapy after a total hip arthroplasty (THA). Method The data was collected via open thematic interviews from ten patients who had had a primary THA. The interviews were analysed using a qualitative, narrative method. Results Three story models of patient education in physiotherapy were identified: Supportive patient education in physiotherapy, Co-operative patient education in physiotherapy and Contradictory patient education in physiotherapy. The emphasis of narration in the first story model was on the trust in the guidance, functioning interaction in the second and insufficient pat…

Sympathetic nervous system synchrony: An exploratory study of its relationship with the therapeutic alliance and outcome in couple therapy.

2019

In previous research, we found that sympathetic nervous system synchrony, measured via electrodermal activity (EDA), occurs between participants at the start of couple therapy. The aim now was to test whether this synchrony changes during the therapy process, and how any changes may be related to clients' and therapists' evaluations of the working alliance, and the outcome of therapy. Twelve different couple therapy processes were analyzed (24 clients, plus 10 therapists, working in pairs; hence, 4 persons per session) using EDA concordance indices and questionnaires (Outcome Rating Scale, Session Rating Scale, and Clinical Outcomes in Routine Evaluation-Outcome Measure). EDA synchrony betw…

The alliance-outcome association in group interventions: A multilevel meta-analysis.

2022

Objective: The therapeutic alliance has been studied in group interventions, but its relationship to patient outcome is still controversial. This study systematically reviewed the association of both the member-leader and member-group alliance with patient outcomes, and assessed the effects of several theoretically informed moderators. Method: A three-level meta-analysis was conducted on 57 studies to disentangle within- and between-study variability in the alliance-outcome association. Results: The overall effect size of the unconditional model was r = -.259 (95% CI: -.302, -.214; p < .001), whereas the correlation between alliance and outcome based on the three-level meta-analytic mode…

Discursive Strategies to Negotiate Power Relations in Disability Services Client Juries

2020

Collaboration with clients is an efficient way to develop social services. To strengthen the possibilities for clients to influence services, client juries are established. However, collaboration in the juries is perceived as difficult because of the power imbalance inherent in the client–social worker relationship. The aim of this study was to examine how the participants negotiated power relations in client jury meetings. The data consisted of four observed disability services client jury meetings. Analysis was performed using action-implicative discourse analysis, which aims to define different communicative problems, interactional strategies, and situated ideals of communicative practic…

Socio-affective characteristics and properties of extrinsic feedback in physiotherapy

2000

Background and Purpose The usual approach in physiotherapy is to communicate the desired action by means of some combination of verbal instruction and explanation, visual demonstration and manual assistance. Patients' and physiotherapists' communication and acts express socio-affective elements which influence the atmosphere governing this interaction. The purpose of this study was to investigate the socio-affective characteristics of the verbal, visual and manual feedback given to their patients by physiotherapists in the performance of their duties. Method Data were collected by videotaping patient–physiotherapist interaction. Systematic observation was used to depict physiotherapists' an…

An intensive midsummer night’s dream

2018

Self-reported reflective functioning mediates the association between attachment insecurity and well-being among psychotherapists.

2020

Objective: Subjective well-being is a crucial variable for mental health practitioners. This study examines the influence of therapists’ attachment dimensions and self-reported reflective functioning on their perceived well-being. Further, it examines if reflective functioning mediates the association between attachment insecurity and well-being. Method: A total of 416 experienced psychotherapists were enrolled in this cross-sectional study, and completed self-report measures of attachment insecurity, reflective functioning, and well-being. We tested the hypothesized mediation model with path analysis that examined indirect effects. Results: Both attachment anxiety and avoidance dimensions …