• 3. Therapeutic Relationships

  • Jul 26 2023
  • Length: 30 mins
  • Podcast

3. Therapeutic Relationships

  • Summary

  • Therapeutic relationships help your clients become centered in four domains of psychological functioning.  This can be visualized using The Domain Compass:

    ·       In the East, there’s the domain of emotions, consisting of feeling and moods.

    ·       In the South, there’s the domain of cognitions, consisting of thoughts and beliefs.

    ·       In the West, there’s the domain of behaviors, consisting of both all external actions and the internal actions of the physical body.

    ·       In the North, there’s the domain of executive skills and self-regulation. 

    1.  Three relationship qualities to strive for within the domain of emotions.

    ·         Focus on increasing clients’ awareness of their own emotions.

    o   The Check-In technique helps clients express their feelings and moods in words or in various kinds of rating scales.

    ·         Help sooth emotions that become too powerful or chaotic.

    o   The Low and Slow approach helps to cool down an overheating nervous system.

    o   The Organized Activities approach helps to structure a chaotic nervous system.

    ·         Build up clients’ fragile and/or low self-esteem.

    o   Praise works through high frequency repetition to help kids see their own strengths and worth.

    o   Attention helps kids feel their own worth.  Often times, older kids in residential treatment still need the intense level of attention that people appear to intuitively give to pre-schoolers.

    2.  Two relationship qualities that help kids within the domain of cognitions.

    ·         Increase external structures to reduce cognitive chaos.

    ·         Break sequences down into smaller chunks.

    3.  Three relationship qualities that help kids become behaviorally and physiologically centered.

    ·         Attend to kids’ basic physiological needs (water, food, sleep, exercise, rest).

    ·         Become an active and skilled listener.

    ·         Co-regulate with kids through joining them in play.

    4.  One key relationship quality that helps kids in the domain of executive skills.

    ·         Help each kid make and keep friends. 

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