Speech Pathology, School of Psychology and Social Science, Edith Cowan University, Joondalup, Western Australia.
Top Stroke Rehabil. 2010 Jan-Feb;17(1):30-8. doi: 10.1310/tsr1701-30.
This article uses the medium of clinicians' comments and stories to explore their perceptions of therapeutic relationships and how these relationships come to a close at discharge from aphasia therapy. These narratives are drawn from a qualitative, grounded theory study carried out in South Australia and Northern Territory involving semi-structured interviews with 30 speech pathologists. The stories reported here shed light on the complexities of negotiating boundaries and endings to therapeutic relationships. Interviewees discussed the special nature of their relationships with their clients with aphasia, professional distance, and dependence. Exploration of these narratives is timely because of the increasing emphasis on person-centeredness in rehabilitation, shared decision making, and authentic relationships. This work is important to encourage reflective practice and greater insight into both speech pathologists' professional identities and their therapeutic relationships.
本文通过临床医生的评论和故事,探讨了他们对治疗关系的看法,以及这些关系如何在失语症治疗结束时结束。这些叙述来自于在南澳大利亚和北领地进行的一项定性、扎根理论研究,涉及对 30 名言语治疗师进行半结构化访谈。这里报道的故事揭示了协商治疗关系的界限和结束的复杂性。受访者讨论了他们与失语症患者的关系的特殊性、专业距离和依赖性。由于康复中越来越强调以人为中心、共同决策和真实关系,对这些叙述的探讨是及时的。这项工作对于鼓励反思实践和更深入地了解言语治疗师的专业身份和治疗关系非常重要。