How to Coach Yourself and Others Coaching and Counseling in Difficult Circumstances | Page 62
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additional therapeutic or interactional techniques have been described, such as supportive psychotherapy, pretherapy, solution-focused therapy and psychosocial interventions, all of which harmonise well with the
fundamental attitudes and values of Rogers’ person-centred therapy. A further few can be readily borrowed
from developments in caring for dementia patients. These, and the ventures from outside of mainstream
psychiatry, all emphasise the importance of deep respect for, and interest in the acutely psychotic patient as a
fellow human being.
However while these sources do give us some useful tools, there is a sense in which they do not go far enough.
The literature does not really tell us how best to spend time with the deluded or hallucinating patient. There is an
over emphasis on dealing with those patients who are comparatively well, and certainly on those that are cooperative, insightful, and friendly. However many acutely psychotic patients on acute wards can be deeply
unwell, severely deluded, suspicious, hostile and aggressive, and incredibly challenging to spend time with, let
alone provide care to and treat. Here the literature and previous work seems to be silent, hence this research was
undertaken to discover if there were untaught, traditional or self-developed skills amongst nurses identified as
being highly skilled with acutely psychotic patients.
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