It appears that for Jack, a major issue in both the therapeutic relationship and his interpersonal relationships is his tendency to utilize splitting based defense/coping mechanisms. When the interactions between Jack and Al and Jack and his therapist are mentioned, it is apparent that Jack tends to split. He feels that Al is completely against him and out to take advantage of him. He is also unable to consider things from Al’s point of view in order to better understand the reality of the situation. Another instance of this splitting behavior is noted when Jack accuses the therapist of stringing him along simply for more money and considers him on Al’s “side”. In fact the therapist noted that Jack believed that he was either completely on his side or completely against him. Furthermore in his interactions with his therapist, Jack seems to project his emotions and feelings outward. Although it was clear that Jack was the angry one, he accused the therapist of being angry with him. (Defense mechanism notes, and pg 280) Related to his habit of utilizing splitting based defense mechanism, is Jack’s faulty assumptions and errors in thinking. From the information provided, it appears that he tends to rely on all-or-nothing concepts, specifically in his relationship to his mother. He recalled that he felt as though he needed to whatever his mother wanted him to otherwise he would become a disappointment to her. Furthermore, he erroneously believes that other people must treat him
Jack lead a life that would not make most envy him. He suffered from many traumatic events, most of these can
On the contrary, Jack chooses how to act regardless of his role models, meaning that he can be held accountable for his own actions. From the beginning of the memoir Jack is depicted as an immature child whose dream it was to transform into someone different. Jack’s dreams of transformation get further and further from reality predominantly due to how he decides to act and the people he chooses to spend his time with. Jack is responsible for his own actions as he is the one who actually decides how he acts. A moment in the memoire where Jack’s delinquency is depicted is when Jack states that “[he] was a thief.
Historically, the alliance construct refers to the effective relationship between the therapist-patient and varying aspects of the alliance have been studied, for example, the relationship and outcomes (Horvarth & Bedi, 2002, Lustig et al, 2002), the role of the alliance (Horvarth & Luborsky, 1993) and the therapist’s behaviours that predict the alliance (Duff and Bedi, 2010) and failures in the alliance (Duff & Bedi, 2010). Lambert & Barley (2001) argue that a supportive alliance accounts on average for 30% of the variance in outcomes, whereas theory and techniques only accounts for 15% of the variance in outcomes. In comparison to the coaching relationship, the reverse is true as the same study (Grant, 2014) indicate theory and techniques account for 18.49% of the variance in outcomes whereas a supportive
The whole reason for a therapeutic relationship is to facilitate a successful patient outcome. Each person is unique and has different needs.
A therapeutic relationship is a key component in the nursing profession. Without therapeutic relationships, the best possible care can never be provided. The foundation in which trust is built upon is created from the nurse’s ability to truly listen and respond appropriately. Listening creates the base in developing a strong, trusting relationship. Sometimes it is simply hearing what a patient says that makes all the difference, empowering them to open up and become more comfortable with the nurse (Hawkins-Walsh, 2000).
Jack also had a strong sense of paranoia. He constantly thought that his wife Wendy was out to get him. He thought that she was going to take their son Danny away from him and accuse him of abuse. I feel that although Jack had more symptoms of schizophrenia it could be justified that he had an antisocial personality
Throughout the movie, Jack is suicidal. He self-pity himself and thinks he is somehow being penalized for his deeds and what he told the murderer on the radio, he even start talking to a doll saying, “Do you ever get the feeling you’re getting punished for your sins?”. There are several DSMs connected to being suicidal. One is fatigue and loss of energy, feeling of worthlessness or unwarranted and misplaced guilt on a daily basis. Also, weakened capability to think or focus. Lastly, persistent thoughts of death, repeated thoughts of suicide with no detailed strategy or suicide attempts. The idea of killing yourself originates from more than one part of the brain. One such place is the Frontal Lobe where reasoning, planning, parts of speech, movement, emotions, and problem solving
Jack's violence that had once been simply part of his disguise, seems to have become a part of him. And it seems to be something that Jack enjoys too much, somewhat like a psychopath. “Robert was screaming and struggling with the strength of frenzy. Jack had him by the hair and was brandishing his knife.” “Then Jack found the throat and the hot blood spouted over his hands.” Jack's original plan of creating a new personality for himself seems to have gone to his head. And the psychopath within him has come alive.
In this essay, I am going to give a structured reflective account on the development of a therapeutic relationship with a client on one of my clinical placements as part of my training as a student nurse. I will be using a reflective model which explores the processes involved in developing and maintaining such relationships bearing in mind theoretical knowledge and how it applies to this clinical experience. Jasper (2003) describes reflective practice as one of the ways that professionals learn from experience in order to understand and develop their practice. As a trainee health care professional, I have learnt the importance of reflection in
Many people with this character such as Jack tend to be very manipulative, reckless, and have no sympathy for others. Jack was originally emitted into the hospital because he claimed that he was suicidal due to his living situation, his mother’s illness and his most recent breakup of his girlfriend. In reality Jack lied just so he could seek shelter in the hospital because he had nowhere else to go. When Dr. Harris met with Jack,
Jack, negatively portrayed in comparison to Ralph, tempts the boys with an array of forbidden treats, indulging their most violent, suppressed desires in an attempt to lull them away from the security of Ralph. In a sense, Jack is negatively compared to Ralph throughout the novel, and is often portrayed as confused and violent, very aware of the evil inside of him: “The real problem that arises among the boys involves their own inner nature…” (Johnston 2). When his plan fails, Jack feels as though his seat of power is threatened and therefore resorts to terrorizing, threatening and essentially forcing the boys to join him and align themselves against Ralph, alienating them from their former, comfortable life-style and thus making what they once failed to appreciate all the more desirable.
This essay will explore the nature of the therapeutic process; using my fifty minute long real play session with one of my colleagues. Also, I will explore my experience of the therapeutic relationship and how it influences therapeutic change and increase the affectivity of the therapy.
First of all, when Jack was around the age of 10, and moved to his new house across town, he was being constantly bullied by another kid in the same neighborhood after Laohu, the tiger, broke one of the kid’s toys. He was obviously upset one day at dinner as the kid, Mark, had been popular at school and was constantly bullying him.Consequently, he decided to lash out at his mother, whom he blamed for his
Over the course of the term we have looked at basic aspects of counselling and interpersonal skills, how we understand and relate to them as well as how we have experienced them within our counselling triads. Within the Humanistic schools of theory, we have looked at Person-Centred Counselling, Transactional Analysis and Gestalt, under the heading ‘Integrative learning’. This has allowed me to identify my own preferences and strengths in relation to each theory and apply them in learning triads. I shall also be focussing on interpersonal skills of a more generic nature, and how they can be applied to ease, encourage and explain interactions. Repeatedly this term I have found myself fascinated with the importance of the ‘Therapeutic
Solidarity is generally considered as a communicative approach to improve personal relationships. Individuals may express their feelings, attitude, opinions or belief which are rather indicative of an orientation towards solidarity (Koester, 2006). The core intention of individuals expressing solidarity is mutuality. The individuals convey their solidarity in different ways, which include expressing approval, showing interest, sympathy or claiming common grounds (Koester, 2006). In health care context, solidarity approaches in conversations were used the health professionals to attain various aims. For instance, it is used as a simple way for a medical professional to find out more about the