[libribook.com] Traumatic Scar Tissue Management 1st Edition
Providing a Safe Therapeutic EnvironmentAs professional healthcare providers, massage therapists (MTs) carry theresponsibility to neither harm nor exploit and to provide a safe therapeuticenvironment. A safe therapeutic environment is essentially two-fold; the physicaltreatment space and therapist demeanor.Numerous elements factor into a safe treatment space (e.g. free of potentialhazards and a quiet/low stimulation environment with calm lighting and décor).In terms of therapist demeanor, creating a safe environment begins withestablishing rapport with the client through respectful, collaborative, clientcentereddiscussion – a partnership grounded in the point of view andexperiences of the client. Good rapport helps build trust and the client’s sense ofsafety.
Clinical ConsiderationIt is important that every client understands that they are in charge in thetreatment room; that nothing occurs without their consent and that anyaspect of interaction or intervention can be halted at any time. Becausethose who have experienced traumatic events may feel particularlyvulnerable, this understanding warrants heightened consideration.It is important that the client understands that if anything does not feel right tothem, in any way, they need to inform the therapist so that treatment can bepaused, changes/modifications discussed and carried out in a manner that issatisfactory to the client. This affirms that the client’s voice matters – they are incontrol.In addition to verbal direction from the client, it is the professional’sresponsibility to be attentive and appropriately responsive to client non-verbalcues that indicate discomfort and/or unease.Establishing the treatment room and therapist/client interaction as a safeenvironment enhances the therapeutic process and treatment outcomes.Client-Centered CareA safe therapeutic environment ensures that the client has opportunities toexpress their needs and priority concerns.Client-centered care looks beyond the mere delivery of services to the client toinclude advocacy, empowerment, respect for the client’s autonomy andparticipation in decision-making (Andrade 2013).The authors embrace a clinical philosophy that encompasses a collaborativeposition of working with a client rather than on a client. Respecting that, whilethe therapist is the professional in the therapeutic relationship with expertise tohelp guide the treatment process, clients are experts on their own lives andbodies and what they feel and experience.
- Page 593 and 594: Clinical ConsiderationThe effects o
- Page 595 and 596: Stress DisordersFollowing a traumat
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- Page 601 and 602: ASD symptoms include (DSM-V 2013):
- Page 603 and 604: Box 7.1Why do medical events potent
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- Page 607 and 608: Pathophysiological ConsiderationAcc
- Page 609 and 610: Clinical ConsiderationAccording to
- Page 611 and 612: DissociationDissociation is describ
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- Page 615 and 616: not only does the brain carry memor
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- Page 629 and 630: The Massage Therapist and TraumaThe
- Page 631 and 632: Bordoni B, Zanier E (2014) Skin, fa
- Page 633 and 634: Foex (2013) Surgical Tutor UK Avail
- Page 635 and 636: Kutner JS, Smith MC, Corbin L et al
- Page 637 and 638: Schmidt NB, Richey JA, Zvolensky MJ
- Page 639 and 640: CHAPTER 8Communication and the ther
- Page 641 and 642: The Therapeutic RelationshipThe the
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- Page 647 and 648: Therapeutic Closeness and Vulnerabi
- Page 649 and 650: BoundariesOver the course of our li
- Page 651 and 652: Box 8.1Aside from obvious sexually
- Page 653 and 654: Box 8.2Eight principles that guide
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- Page 661 and 662: Interview exampleMary is a client w
- Page 663 and 664: SummarySeveral pieces of informatio
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- Page 669 and 670: Referral exampleTonya, a 21-year-ol
- Page 671 and 672: Referral exampleJane experienced me
- Page 673 and 674: CHAPTER 9Assessment and treatmentHe
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Providing a Safe Therapeutic Environment
As professional healthcare providers, massage therapists (MTs) carry the
responsibility to neither harm nor exploit and to provide a safe therapeutic
environment. A safe therapeutic environment is essentially two-fold; the physical
treatment space and therapist demeanor.
Numerous elements factor into a safe treatment space (e.g. free of potential
hazards and a quiet/low stimulation environment with calm lighting and décor).
In terms of therapist demeanor, creating a safe environment begins with
establishing rapport with the client through respectful, collaborative, clientcentered
discussion – a partnership grounded in the point of view and
experiences of the client. Good rapport helps build trust and the client’s sense of
safety.