The Therapeutic Alliance Is The Foundation For Successful Or Unsuccessful Treatment Engagement

1491 Words Feb 23rd, 2016 6 Pages
The therapeutic alliance is the foundation for successful or unsuccessful treatment engagement (Sprenkle et al., 2009). The extent to which clients are able to engage with the therapist, will likely determine the expanse of participation and commitment they will attribute to therapy (Sprenkle et al., 2009), or social work intervention in its entirety. To elaborate, consider patients diagnosed with CKD. CKD is a primarily asymptomatic, but progressive and physiologically degenerative disease; if specific protocols to maintain sufficient kidney function are not adhered to (Collins et al., 2003). One may assume, these patients may feel intrinsically oppressed by their diagnosis, because they are typically advised to make specific changes in their diet and lifestyle (Collins et al., 2003) that affect their interactions amongst friends, colleagues and co-workers.
Furthermore, the recommended treatment regimen, hereafter dialysis, only furthers the patients’ oppressive state, due to its time consuming and location dependent arrangement. Dialysis is a life-long treatment; therefore the therapeutic alliance between the renal social worker (RSW) and the patient is morphogenic, as people grow and change so does the alliance. Therefore, as this paper will demonstrate, when working with patients diagnosed with CKD, aspects of neuroscience and emotional regulation become crucial to the therapeutic alliance with the patient.
Neuroscience examines the complexities…
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