Therapeutic Communication
Presented by:
Safiya Salem Bakarman .
Objectives :
By the end of the session the student will be
able to :
Define
the communication .
Explain
State
the communication process .
factors affecting communication
process .
 Use
talking and non talking
therapeutic techniques .
 Explain the phases of nurse-patient
relationship.
 Differentiate
between social and
professional relationship .
Contents :
 Definition
of communication .
 Clients Rights .
 The communication process .
 Goals of therapeutic communication.
 Qualities of a Good communicator .
 Types of communication .
Communication skills and techniques .
 Tools for effective communication .
 Factors effecting communication .
 Characteristics of successful
communication .
 Phases of nurse-patient relationship .
 The different between social and
professional relationship .

Introduction :
Establishing a therapeutic relationship
is one of the most important
responsibility of the psychiatric team
when working with client .
Definition of communication :
Is the art of transferring or exchanging
information ideas or thoughts easily
and correctly through verbal or nonverbal language .
Clients Rights:
Dignity .
 Information .
 Choice .
 Privacy .
 Confidentiality .
 Continuity of care .
 Opinion .

The Communication process:
The communication process could be
defined as a sending-receiving
process .
Goals of therapeutic communication :





Establishing a therapeutic providerclient relationship .
Identify client’s concerns and problem .
Assess client’s perception of the
problem .
Recognize client’s needs.
Guide client towards a satisfying and
socially acceptable solution .
The Qualities of a Good communicator :
Respect and empathy for the client .
 Good communication skills .
 Tolerance of values and beliefs different
from one’s own .
 Unbiased attitudes .
 Patience .
 Awareness of gender issues.

Types of communication :
1- Non-verbal communication
1.
2.
3.
4.
5.
Is what is observed and send .
* Is often more important than verbal communication it includes:
Paralanguage : (tone of voice , stream of talk ).
Kinesis : (all body languages and facial movement ).
Proxemies : (the distance between the sender and the receiver ).
Touch .
Cultural arte facts : (the way a person dressed , make up ) .
2- Verbal communication:





Is what is said and heard .
*It is the content of communication :
Use an appropriate tone of voice .
Give verbal encouragement .
Ask questions .
Paraphrase .
Seek clarification.
Communication techniques and
skills :
1-Talking Techniques :

Questioning and general leads .
- Make broad opening statements .
- Paraphrase , reward or summarize what has
been said .
- Reflect feelings .
- Re-state or repeat the client’s statement .
- Clarify .
- Focus and re-focus .
2Non talking techniques :


Feed back .
Active listening .
- Focus .
- Reflect .
- Drawing out .
- Acceptance .

Silence .
Tools for Effective communication:
Communication skills :







Effective of verbal and non-verbal
communication .
Active listening .
Questioning .
Use of simple language .
Reflecting feelings .
Paraphrasing .
Silence .
Factors affecting communication :
personality of both sender and
receiver including ( strengths
,weakness , skills, values , perception
and Background experience ) .
 Environment in which communication
occurs .

Characteristics of a successful
communication :
Communication is successful when the person
has a feeling of being understood .
This feeling is the result of and dependent
upon the presence of 4 characteristics :
1.
2.
3.
4.
Honesty .
Appropriateness .
Efficiency .
flexibility .
Phases of the nurse-patient
relationship :
1- Initiation (orientation) phase :
partners (nurse-patient) are strangers to each other.
2- Continuation (Active Working) phase :
Lowering of anxiety level, increased feeling of trust ,
however some patients may continue to test the
nurse .
3- Termination concluding) phase
patient is almost cured , or at least integrated and
ready
for discharge .
sometimes problems of termination occur in the form of relapsing
symptoms , regressive behavior and/ or feelings of rejection and
depression .
Different between social and
professional relationship :
Professional relationship
Social relationship
Concerned
with helping the patients
(regardless their sex, religion,
race…etc.)
Interaction
Require
the help of person with
scientific knowledge and special skills
(the nurse).
No
There
is intention of dealing with
other's problem.
There
The
The
relation ship is purposeful
directed toward a therapeutic.
is primarily for reason of
pleasure or companion-ship.
person is in the position of
responsibility of helping the other.
is no this intention.
goal is more or less social
The
relationship should not entail the It is up to the partners to share their
nurse's personal matters or problems. personal affairs.
Time
limited.
Unlimited.
THANK YOU