Risk and the therapeutic relationship
Chapter 10
Risk and the therapeutic relationship
2 topics
- 26Suicidal and aggressive behaviour in mental disorders: risk assessment and therapeutic managementHow to assess and manage the risk that a person with a mental disorder will harm themselves or others. Suicide and self-harm in Europe, the assessment after self-harm, why risk scales are not used to predict suicide, safety planning and follow-up; the risk factors for violence, structured professional judgement, and the steps from de-escalation to rapid tranquillisation, with the law in brief.
- 27Therapeutic alliance in psychiatry: key components, establishment and maintenance, and impact on treatment outcomesThe working relationship between a patient and a clinician, which carries every treatment in psychiatry. Bordin's goals, tasks and bond, Rogers' core conditions, transference and countertransference; how an alliance is built and kept, how ruptures are repaired and boundaries held, how it fares under coercion, in severe mental illness and through an interpreter; and what the meta-analyses say about its effect on outcome, adherence and engagement.