ASSIGNMENT

THERAPEUTIC IMPASSES AND ITS

INTERVENTIONS

Subject:MENTAL HEALTH NURSING

2Oa
DATE a6t" September
:

Subrmitted to Swbrmitted by
Ma'am VL.Biaknung Malsawrntl vang9
Roll no.16
RPANS
3dy 8Sc (NS
AIPANS
 Poge no.

INTRODUCTION
he m henapuuc umpoA maH be avd

Bo drcuwbe o wmbe siiuatie that Con

mpooe Con ocw O o

Pychathmhar
|wult doagrumunt betwen the hnapvt ard
Cunt ,wnachnowldgid vou w wn thvoy o
Stognoten un hnapy whn on myoaoe erot oc
CSS huary Stoyes mahng pogi A c n t may
Ptey howe bean gulivg bettn Ol eyplerung

pay unvpleud vsw Dut an umpoast

mak wtw eepterotian djtculs o can alse
C a L a thvnapuot to quwotuen huo o hn Cornyo

na
PEFINITION
wapeutvc mpooe ane boco n

thi nwvalpotunt iatuenofrp

pog
ny Owa varuiy o eeron Ond mau
all cuou
tor many Cppnt umy but thy
Stoll n h e thmoputuc uloonhypmpaoe
onc
Poveta L t n a gungs n both the nw
t h poturt u c h may o n g o r n oneuty ond|
o n te wtnaiion ove o ntnioige
EXAMPLES OF THERAPEUTIC IMPASSE
h o p t c ypaoe v an ectunmy bOad

t r n that con oly

to o wcu vouty sutua
tuonohe onythung thio
siluotano h a co
amon t h a t huy Stou cown halA beatme
 age no. a

and rmay CC Conict beueen theopust

and clwrt Buw ecomyels ncludi
Acunt whe becom ussant to coleng
VUtUab jengo o e v u r c to SUch a dleg

she io alro lng to pler the

hat he c unuw

betwen the thvouat ond

doagruimnt
clurnt about th popu woy to
wau a Corguct
secual ng betuen the the
Urwoawed

aopuot annd cunt

betuween he
ulouevy
H unhalny
thuapot ad clunt
rtvuweriion
thwnapetC
An unsvc md

modaluy ncuooouy.
Athwnapeuuc mypvaoe don Aet
and h o p i o t o ancd Cento
have t be p u m a r e t
wdh thovgh pasoe toguth nsorre
nty bo

C a e s woung ough o nopeutc po

Coact ob h cbunto thoay O
On unpetiont c u n t wel oß bunt
th
C Ond mnay n C w L
within the trwnoyneutc Jilotuonehip
ond so4ty
THERAPIST'S ROLE
vw tt an LmYpasal w u r
hapioto may
houwetheeCunoyiStulo, , tnow-
t h y n o longn
Concon hn
to bot a clurt poatuclon
tdga
u net
O thwnoputuc modaluty thy CrR waur9
whun th Cunt upu-
o ohrr9 - t h a clurt o
se to o c k n o w c g a o uecws a p CuaN Vosu
 Page no.3

Cuties wthun ha gulet o mental heoltn

ownty pout out that thvayaioto hawe a

tnduncy t patheloge thwnapuutic umpoas and

|Pobe!hum onbod hvapnt may-ttorne the
ciunt de th mpa ond seahe mypo a
a unul t h cuntómental healtn condulio
a hwopunt mupht belwe that
onple
a clunt who u ongy at hu thvornt o arPY

becaw o dpwooor n e t becaw Sormuthing

the hoapnt h o actuall deene.t o unype-

tont thenapu o eapleu thvapuutic um-

pase a obcwe a pesLbli n man n
a supUr
Stonan thwnaruvto w l conouult wtn
DLe moa eptuunce clirucon te auoel
th henapuuc mparoe h v anl alre
a mon
e morny

autrcu, bootv and thaununes that vplaun sta

t tho-
tegu that thoapuat Con w mou

o Ont a.t h u a p t c myos

CLIENT'S ROLE
Clent may ovwe a t an m p o r n the-
ma
whn thy hau a duoagperunt about
ay
buatment wn thw thaurt whn hy
ana

to
not mahng t h progwothuy would h e
h e huopunt
be maRing when thy gul
net competuy mtng t h n nudh al O
t arenno t vo mpetont to note that the
aetic umpaAL a net a potioular peenA
may eod to on um
 Poge no.
pravd mau SUccndul hwoputic Julaien-
stuyp betuen clent ond mapust o may od
te trmunaten o hary d Sou enoutvon
n betun h e two outcornen
TYPES OF THEAAPEU 7IC MPASSE
leovtanci: oovotance the patunto aam

pt o maun ancuy pouarg 0-

unauwa
ratuwral
rct w i n the sel (hunelz).t o a
tearrnuo Jrluctonce to owoctarci verbalgung
e v e epuncrg thoubvd apra a5 se

PumauOtun cawbo by Patient6 wwl

ngne tochonge when the nud Bo chong
cegruad3t may alee be o acten by the p a a t

t he nwa whe h a mael toov aopidiy and

too dleypy nto Patuntsuling
Secondou Seconciwy 90urnowouroblr

ment ntvyuornol arndl sutuatiornol,chan

g oCC Maual adwontagi a wult Ob

t cudrs narncro COmypratuoavo

sutuatuoro LnCuan-d symypathy

dineottunion, eocop
ding uneorant
om e r o n b i l y , o e
o
nurg soCuo pwaouwu
fertance may o k aubhort dem and
som thum wer identiguel by uotzbeg
 Page no.5

Sureoen and eProlon o JRwari

nBeurmotten
ntnocaten ch syrtomo
AA hulpis otiech on t h utuwu
a t
Gmakng oppoinimunto, Comug
sulurt and sty
tuo seoe being agtzul
duurg t h toroveiu
teno
Uvhateral behoview
Out o
Heting
an ng en t h
eccrouwe
ExphU
Con yplac
ruwol and caumung hat natody

whuch mau
a t i n g phyical Sumptomo
the me the patunt o wth
Ocn ony oluwing
the rww
morto
Hostuuy ceaunchnce POUocatwe
seouol niDut nth nuw
anafvncL v an ncon
a) noroRvnc
Unwhuch the potunt ecperrnc
sCews ono
and attutucleo toewld t h nwvpe that
rg
oosocuaucl t n sgugicort
wer oiguna ly
9uw n the potunt ecnly uz
Svch uyoonn utlug h cleaerC m

choruam Oueplocenmunë
t
ManaUunce
eactons Cw houm

hvnapeuuc pom only thy ma g

the
naud Cnd wneooTuned
the
Sa eocomple, apatunt Ucewe
mothn oud
CLcting the wa thot t
 Page 0.6

r g o r d i h o w he nuvo io buu octrg Don

gerrnc Con be poautuwt L patento vwwo
a hrul and CoungVegaiue a m
C D msl diALcult becaun h n p l a
Sant emotor that t o wth uatrrrt
SUch

harodvunc t h patune n-
Hootile
vovtace
anger ard hetiluiy t h v
tnalygu
cnd duocev0g
be ecya d a deprroo
may
th hostuy ectrnatgicl, the po
munt 9 uu-
and
turt may becorme Cutcal dlect
dloubt a b o t the n
table Ord nmay eocqrhuro
Se
acuenhe vo ance
Depenconi
whe ne Submuwowe
chonactvuged Oy patent

ddunot oncl Lngroioaing

Sub
t h ruwa o a goduk g
anvoßunC t t a heopeu-
3) Cortn- t a
the nwvot t eReuo
mporol
Cuatrcl bu
tic the nwv Tavands
ematenal eeponae by
Srocniic the Conent
thal nogpopati to
Ehat pabunt thwoptc Juatienehue o
the
and cortuct oh
emetioral unteroty n
thi
n t
Unorphopuais
uoluntizus the patent wuth undi-
Co the n u w
nid w
vduol Orm h u parst ond peoerral
h e nus
u r t u p e with thunoaiuc eictuwmnmo
vwelvol cen4uc oabout aurthouty s e c Oroen-
 Page no.
twen Onc noleyencdenc tend-to Cate prob-
ono ath hon Solve thum

wacten o ntni teve o Coung

nuneehostiuy hadnd
Reactieno o
/Leacieno oh u r a Oncy t n
to a catunts woviance
Rpora
Somo oB CountutranaRenceCeolaye

nempothugurg
wth paturnt
DGnCulty
COwa
un Ctan phebiem
o guult
ecwvurt ancuty u c e

abd to paiunt wuth

u wth
soCal uatuonahyp
Peronal O

paturt
patunt clernclercy phane
Encanaging
o2ofcten toword
o t a L L towards
o agg owe
ecual

pabunt o tundency to pur

wth pauré
aguing
He vo Juacly
paiurt bezou o patunt becawa ob
9erlng
to Change
unuwlungnw
paturt
duung Oagtn the seo
DepeArd

SoTA the Con-

Covwlrons about unplemunting
etc
roct beurgate unnurg Overtume
 age o . 8

Onousun dwurq Sesolor

to teip the patunt maiero
ging n

not ilatrclto Bhe centigud nwroung goal

poccypatuen wth the
Daramung o

potwnt
A tncen cyoocus ypeotay on Ory
One oyolct oleotung at h e n t s n a t u o n pWAN-
tc by the patunt
Acwarntag o Ceurttorofeunce

Power8ul toot in earldaduan

and ppoturt
otnt

uncoveung U statohy a x
unetument e
a n B w a h u d Oouo gneid
ongeeus onty ib ny
thuy
o tarin Seuowa
tCon eacl te wtthe naunatiern, Can
nw motwualo ond hulyp in duve
brung t oht
epirg rotght
.Uwv undvvstanclurng Courttans
mauntain
unc ancd h owr
engs helytto
wnthe patuent
a weurg lotiorohy
) u t guvuna acuurq
O
a
git o n pa
nus
t nh
n hib
btt nd
nd-
mar he
which
Bunt a erling
Onc catc
decien marirg
encbt
o anauiy o
guult Lo votuntaul
somuthng o valu
L o

to Onotun peUOn wually Conwj

ORUcl Stuatien
gobuce ne tumng b poüaulan
and the Corttoctuol manng
the ndent o gur9
he
 Pageno.9
5BowndayDetarant occw whun
goe Outoce the boundows
ob he
the
O nwv

Bhmapulic lateronyp and eab hs a sOCo

Cconome o n o n c ulatvonahuyp wth apatunt
Possubi bouncdwy Uetotion latd o

poychuatuc nwv
tar the nuvae out to unch
hepaunB

aompatuntE
.Muv accypt 96
o SocCol uotvonoup
Havrg pronol

win pazunt
umutwtn
Ho dizpuculty n setting

potert
0ulotrs the patuunt to a gorupy mem
bero o undo
a Socol uncuon o paiunt
.Attndo
UrOTO! n-
veos
Vwve gutoly
umaien to patunt
o ho pnycoR
wr noutinny u g
Contact wtn patunt
whe
9erl thot She ory one
wncduatondothe potwnt
othn stabs ane oo Culica
3elo he
uatonnhp wuth th potunnt
otews oh he
DUh opuchoa
de buunu

Seewc Onpatunt

Hao Secuol e l i n g tevards t h patunt

 Poge no. 10

IwTER VENTIONs. 70 OUERCOME THERAPE

71C IMPASSES
mu have rnowldge the m-
Vww
behowleuwo thot ndicot
Cuncd
ora Jucoggt
pors
thwn ewatnd

Vwol mut Juplct o n e n g s , eaoler

beund such behowew
luyy than othew
t h a n otheo
n mou
Co-uwotuo
ond guwe
ta ucegug thi phnomenan unuiolly
th nne obout t
dbocR to
ecornune thwr stungtho
Dwvas mwat
ano valuv beee thy
wearwoe s phegudic
th paint
mo Cpopuatwly
Untract
Can Lactiono o potunt mut
h tranajiunc

a n e be
eccomuntd, gerty
but
ciuety1
cdiucty
about
oncl clicun
Vwvar
muat be ooun
whn patunt mueperceuwt
uoctgn
thn gerunte

beh owam actuono that

should ano Stat
Nwr
Can and Connot takl to m potunto n c d
h
dinnt sett o
n when pouto act
nwsu
touDado the
Lnarpopau
Cmmunvcouon
wUn Pun
ouran pen
h n maung acu
who can then gULc
Suyvuwvoe tonce Jiac
n hondun such J
Uot Phogur
 BIBLIOGRAPHY
t (3o16).A v d to Mental Healtn
Snesoru
'sychuabuc 0Uwvang' OayPee rotho Nedu
Cal Puberhws(PLtd

a 3 . hvtapeiac umpaose
a Q w s h u o e (a018 Jan
managemeto.https 7/tdocunents.1n/do
Cunc
Its manage
CUment/ thera peutic -mpasse-and
mentS/
.hnafrutc nyparoe
3 M a a t t o n (a01a eb 23
//wuww.sCriba com/
Ond t o ntwwertiono. https

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