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[libribook.com] Traumatic Scar Tissue Management 1st Edition

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Clinical Consideration

It is important that every client understands that they are in charge in the

treatment room; that nothing occurs without their consent and that any

aspect of interaction or intervention can be halted at any time. Because

those who have experienced traumatic events may feel particularly

vulnerable, this understanding warrants heightened consideration.

It is important that the client understands that if anything does not feel right to

them, in any way, they need to inform the therapist so that treatment can be

paused, changes/modifications discussed and carried out in a manner that is

satisfactory to the client. This affirms that the client’s voice matters – they are in

control.

In addition to verbal direction from the client, it is the professional’s

responsibility to be attentive and appropriately responsive to client non-verbal

cues that indicate discomfort and/or unease.

Establishing the treatment room and therapist/client interaction as a safe

environment enhances the therapeutic process and treatment outcomes.

Client-Centered Care

A safe therapeutic environment ensures that the client has opportunities to

express their needs and priority concerns.

Client-centered care looks beyond the mere delivery of services to the client to

include advocacy, empowerment, respect for the client’s autonomy and

participation in decision-making (Andrade 2013).

The authors embrace a clinical philosophy that encompasses a collaborative

position of working with a client rather than on a client. Respecting that, while

the therapist is the professional in the therapeutic relationship with expertise to

help guide the treatment process, clients are experts on their own lives and

bodies and what they feel and experience.

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