Transference and counter transference is one of most important aspects of treatment between patient and practitioner. In a clinical setting we do not always have the opportunity to have consecutive treatments with the same patient and as a result may not be able to acknowledge or notice these occurrences. It is not often that I have the opportunity to see a patient on a regular basis or even twice for that matter. As a result, it is not possible for me to notice or recognize any transference that the patient my have towards me. At times however, I clearly know the impose counter-transference & boundaries issues which patient and I experience.
When my patients are of similar race or age range, I feel a stronger tide towards them. I
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I was trained by my previous interns to being an active part of the process, and expected that this past internship was going to be the same but it was not. This particular intern was very arrogant, thought she was always right, and looked down upon me. She made her feelings clear to me and I really hated working with her. I noticed she really hated whenever I gave her any suggestions about treatments principle, even when the supervisor would say the same thing she totally would ignore it. The reason she felt this way, I think, was because she was an intern and I am an assistant. There was definitely a superiority complex/power struggle thing going on here. Maybe she felt humiliated by me noticing thing she did not. I certainly did not mean to humiliate her. I think she should understand, me being an assistant, that I am there to help her. It was not uncommon for her to forget things that I might catch on and let her know. That is what I am supposed to be there for isn’t it? In addition to observing, aren’t I supposed to assist? I am not saying that I was more knowledgeable than my intern but I was able to catch some mistakes of hers because I of my position as an intern. I’m sort of an outsider looking in on an interviewer and interviewee. I am able to focus on what both are saying instead just listening to the patient. Because of my suggestions to the intern, I definitely felt resentment from her towards me. It was definitely not a friendly atmosphere or a good
As much as we would like to believe, since it is the twenty first century, race and ethnicity would never factor into the quality of an individual’s care, it unfortunately till this day still affects some individuals. There are countless of reports submit daily on races such as black and Latino. Forbes magazine reports in a study African- Americans, Latinos, and economically disadvantaged experience lower quality of care than white Americans; the worst part? This number is continuing to grow. Statistically, 35% of Latinos
The title of the current event news is Hospital’ing while black: New study shows black people receive cold shoulders from doctors. In the article, author Clutch brings attention to how people of color are treated in American hospitals. A study by the Journal of Pain and Symptom Management found that doctors treat their white patients better than their black patients. Black actors were used in the study to pretend to be patients with serious medical conditions. The findings revealed that when communicating and interacting with patients, doctors showed little sympathy towards their black patients. For example, the doctors often touch, stood closer, and made eye contact with their white patients, but not with their black patients. What is more,
Self-awareness, verbal dialogue in supervision, personal- therapy, and journaling, are some common inventions used to help therapists learn positive coping skills to deal with positive and negative counter-transference responses and behaviors. “Marriage and family therapist have come to perceive the concept of counter-transference as a valuable tool for enhancing the therapeutic process” (Gil & Rubin, 2005, p. 87).
One of the most apparent cultural differences is one’s biological variations. This refers to growth patterns, physical characteristics, disease prevalence, and resistance to disease. In health care there is a baseline for cultural and ethnic groups, however, it is important to view everyone as an individual. Culturally appropriate care is an ever changing process. Nurses should always be sensitive to their patients and remember that if nothing else they need to treat them with respect (Davidhizar, Giger, pg. 121).
Based on common interests, I formed lifelong relationships with my classmates even though initially I was ignored due to my race. Having interacted with individuals raised in PA, allowed me to understand the culture of the area while providing further motivation to practice medicine here as well.. I also preserved my Indian heritage in a town where one percent of the population is of Asian descent. Raised in an Indian household, taught me the rich culture and history of India but I also observed the culture of rural America and combined both perspectives. I have been able to effectively communicate with any individual regardless of what part of the world they come from. I strongly feel my childhood experiences will help me immensely in practicing medicine by developing a great patient-physician rapport in any area as a doctor, who happens to be a
Part of my role as an intern at “Dress for Success” is to assist the client with finding appropriate clothing to wear for an interview. It was my second week at my internship sight and I came in one afternoon and realized that my other co-worker Marlene had a client in the back that she was assisting. Therefore, I made my way to the back to shadow and help her in anyway that I could, since I was trying to get a feel for how things ran. This particular client happened to be one that was a little more difficult to assist. She came in with demands about the particular style of clothes that she liked and didn’t like. Likewise, she voiced her opinion time and time again about how she
While these beliefs may be strange to many African American, however they still influence the health care behavior of a good portion of their patients. For this reason, the caregiver should be familiar with them in order to deliver Culture-Sensitive Health Care to African American.
Practitioners should be prepared to understand and account for the special needs of minorities. As reflected throughout this volume, this means that we need to consider carefully in our practice the dimensions of race and ethnicity, including not only their significance for human functioning but also their impact on service delivery. In this regard, Pecora, P. J., W. R. Seelig, F. A. Zirps, and S. M. Davis, eds. (1996) assert: "Training
These findings suggest that factors such as patient and physician attitudes, as well as race concordance, play a role
It is important to remember that no two human beings are the same, we are all individuals with their own unique set of characteristics, personalities, interests, life experiences and abilities. People who will need care often grouped together because of the needs they have in common.
“But… what ARE you?” It was a question I encountered with discomfiting regularity. As a biracial child growing up in a working-class southern community, I was often the only non-white student in my classes. In this homogeneous town, my otherness stuck out like a sore thumb, and I learned from a young age that people can be unkind when they feel threatened by bucked conventions. Though I inhabited two cultures, I didn’t fit neatly in either. These experiences taught me the importance of inclusivity, and I developed a sensitivity for people deemed outsiders because of their differences. In college, these feelings became more acute when I learned that minority and multiracial patients often face specific medical challenges, and need culturally
After the IOM conducted a few studies using clinical data abstracted from patients, it was found that minorities do not receive the same needed treatment than caucasians do. However, some researchers, patients might react differently to treatment because of their racial and ethnic backgrounds. One factor for this justification, is the fact that some patients have racial differences in attitudes and behavior causing them to reject or delay getting treatment. Many people's cultural backgrounds impact their medical decisions. In addition, research suggest that many doctors may be justify when diagnosing and treating minority patients. As a result, researchers believe that these aspects are linked together with providers attitudes. In most cases providers have to use these disparities to diagnose treatment to patients. A
While, distrusts results after years of oppression, adverse disparities, and renegade behavior which existed between some ethnic groups and providers. Now, decades after research are finding that minorities continue to have inadequate access to quality health care (Singh, 2010,p.1). Even after all those years, respect” may be the one element that will not undo social wrongs, however it will put ideals into perspective, the perspective is having respect for our fellow men and woman, treating others as we would want to be treated. Clinical care etiquettes and processes can regiment precaution and guaranteed identical care for racial or ethnic minority patients. Respect is
This bias will be formed in the “classroom” in which multicultural competency takes place. If therapists are taught certain things about certain races, they have no choice but to implement these issues into their practice. I think the implementation of any sort of knowledge is absolutely dependent on the patient and what is the nature of their illness.
We live in a society where people come from different countries, they belong to different cultural, religion, ethnic groups, and races. All these factors come together and contributes to differences that make us unique from each other. Hence, a multicultural country with huge diversity. This reflection journal will cover what “human race” is and what role it plays in ones’ personal life and in a nursing profession. Moreover, what bias, assumptions and judgements are, and how to avoid them. Lastly, what caring is and what role does it play in nursing.