Creating Therapeutic Relationships Through Communication: A Qualitative Metasynthesis From the Perspectives of People With Communication Impairment After Stroke

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aut.relation.journalDisability and Rehabilitationen_NZ
aut.researcherBright, Felicity
dc.contributor.authorBright, FASen_NZ
dc.contributor.authorReeves, Ben_NZ
dc.date.accessioned2020-11-26T03:35:08Z
dc.date.available2020-11-26T03:35:08Z
dc.date.copyright2020-11-09en_NZ
dc.date.issued2020-11-09en_NZ
dc.description.abstractPurpose Communication between patients and clinicians influences the development of therapeutic relationships. Communication is disrupted when the patient has communication impairments after stroke. However, how these communication disruptions influence therapeutic relationships is not well-understood. This qualitative metasynthesis explores the perspectives of people with communication impairment to understand how interpersonal communication influences therapeutic relationships. Material and methods Four databases were searched for qualitative studies which discussed how communication influenced therapeutic relationships from the perspectives of people with aphasia, dysarthria or apraxia of speech. Additional papers were identified through citation searching and subject experts. Nineteen eligible papers were included and analysed using thematic analysis. Results Four themes were constructed from the analysis: (1) Relationships provide the foundation for rehabilitation; (2) Different relational possibilities arise from “reading” the clinician; (3) Creating therapeutic relationships through validating interactions and connections; and (4) Creating therapeutic disconnections through invalidating, exclusionary interactions. Conclusions A therapeutic relationship develops, at least in part, in response to the clinician’s communication and how this is received and experienced by the patient. Understanding the characteristics of relationship-fostering communication and knowing how communication influences relationships can help clinicians critically reflect on their communication and better develop therapeutic relationships with people with communication impairment. IMPLICATIONS FOR REHABILITATION Practitioner-patient communication can facilitate therapeutic relationships or create therapeutic disconnections. Communication patterns that are commonly evident when a patient has communication impairments can impede therapeutic relationships. Clinicians need to attend to how their communication is received and how it influences people’s sense of self. Communication partner training should address the existential and relational needs of people with communication impairment after stroke.
dc.identifier.citationDisability and Rehabilitation, DOI: 10.1080/09638288.2020.1849419
dc.identifier.doi10.1080/09638288.2020.1849419
dc.identifier.issn0963-8288en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13825
dc.publisherTaylor & Francisen_NZ
dc.relation.urihttps://www.tandfonline.com/doi/full/10.1080/09638288.2020.1849419
dc.rightsCopyright © 2020 Taylor & Francis. Authors retain the right to place his/her pre-publication version of the work on a personal website or institutional repository as an electronic file for personal or professional use, but not for commercial sale or for any systematic external distribution by a third. This is an electronic version of an article published in (see Citation). Disability and Rehabilitation is available online at: www.tandfonline.com with the open URL of your article (see Publisher’s Version).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectTherapeutic relationships; Communication; Communication impairment; Aphasia; Stroke; Rehabilitation; Review
dc.titleCreating Therapeutic Relationships Through Communication: A Qualitative Metasynthesis From the Perspectives of People With Communication Impairment After Strokeen_NZ
dc.typeJournal Article
pubs.elements-id393606
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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