Interpersonal relationship
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Transcript of Interpersonal relationship
INTERPERSONAL RELATIONSHIP
Presented by:Mr. Anslin Sugil Kamesh., M.Sc(N)HOD of MHNSACON.
INTRODUCTION One of the most distinctive
aspects of human beings is that we are social beings.
Interpersonal relationships are & have been the core of our social system since the dawn of civilization.
Nursing is a therapeutic process & demands an association between the nurse & the patient.
Interpersonal relationships refer to reciprocal social & emotional interactions between two or more individuals in an environment.
Interpersonal relationship is defined as a close association between individuals who share common interests & goals.
DEFINITION
PURPOSE OF INTERPERSONAL RELATIONSHIP
I. Interpersonal relationship for an
Individual Personal growth & developmentSource of enjoyment Sense of security Context of understanding Interpersonal needs Establishing personal identity
CONT…II. Interpersonal relationship for Nurses Building a positive functional multidisciplinary
team Improving intra-and/or inter-team
communication, coordination & cooperation Building mutual understanding & cooperation Understanding self Improved decision making & problem solving
CONT…III. Interpersonal relationship for patientsDeveloping a sense of security &
comfort Fostering trust & cooperation Facilitating communication Improving socializationDeveloping & maintaining positive feelings
TYPES OF INTERPERSONAL RELATIONSHIP
Friendship Family & kinship Love Marriage
Platonic relationship Casual relationships Brotherhood &
sisterhood Acquaintances
Interpersonal relationships are classified based on relational contexts of interaction & the types of mutual expectations between communicators.Some common types of interpersonal relation are:-
FRIENDSHIP Theories of friendship emphasize the
concept as a freely chosen association where individuals develop a common ground of thinking & behaving when they enter into the relationship by including mutual love, trust, respect & unconditional acceptance for each other.
Friendship is a relationship with no formalities & the individuals enjoy each other’s presence.
FAMILY AND KINSHIP
Family communication patterns establish roles & identify & enable personal & social growth of individuals.
Family relationships can get distorted if there is an unresolved conflict between members.
Most of the time, a significant family member senses other family members have significant emotional difficulties but fails to bring them out unless the physician or nurse enquires .
PROFESSIONAL RELATIONSHIPIndividual working for the same
organization are said to share a professional relationship & are called colleagues.
Colleagues may or may not like each other
LOVEA informalized intimate relationship
characterized by passion, intimacy, trust & respect is called love.
Individuals in a romantic relationship are deeply attached to each other & share a special bond
MARRIAGE
Marriage is a formalize intimate relationship or a long-term relationship where two individuals decide to enter into wedlock & stay together life-long after knowing each other well.
PLATONIC RELATIONSHIP A relationship between two individuals
without feelings of sexual desire for each other is called a platonic relationship.
In such a relationship, a man & a woman are just friends & do not mix love with friendship.
Platonic relationships might end in a romantic relationship with partners developing feelings of love for each other.
CASUAL RELATIONSHIPS In these relationships, the individuals
usually develop a relationship that exclusively lacks mutual love & consists of sexual behaviour only that does not extend beyond one night.
These individuals may be known as sexual partners in a wider sense of friends with benefits who consider sexual intercourse only in their relationship.
BROTHERHOOD & SISTERHOODIndividuals united for a common
cause or a common interest (may involve formal membership in clubs, organization, associations, societies, etc.) may be termed as a brotherhood or a sisterhood.
In this relationship, individuals are committed to doing good deeds for fellow members & people.
ACQUAINTANCESAn acquaintance is a relationship
where someone is simply known to someone by introduction or by a few interaction.
There is an absence of close relationship & the individuals lack in-depth personal information about other.
This could also be a beginning of a future close relationship.
PHASES OF INTERPERSONAL RELATIONSHIP
Orientation
IdentificationExploitation
Resolution
Hildegard Peplau(1952) gave the interpersonal relationship model.
ORIENTATION Start with an initial encounter with
nurse & patient The pact formulation begins between
the nurse & the patient.The nurse clarifies his or her roles &
responsibilities within the therapeutic boundary to the patient.
The Nurse identifies the patient’s problem & settles on the type of nursing services needed.
CONT…After developing a trustworthy
relationship, the patients start clarifying doubts, share perceptions & convey their needs & expectation to the nurse.
There are several factors that may affect this phase in a nurse-patient relationship
Values•Culture •Beliefs
•Past experience•Expectations
•Preconceived ideas
Values•Culture race
•Beliefs•Past experience
•Expectations•Preconceived
Nurse Patient Relationship
IDENTIFICATION The nurse must approach the
patient with empathic understanding to perceive the patient’s current feeling.
The nurse must avoid vagueness & ambiguity by using specific terminology rather than abstractions in communication process.
CONT…The nurse helps the patients
identify their problems in their own context & use the available resources to solve the problem.
The patient’s self esteem will be boosted by having feelings of belongingness.
EXPLOITATION In this phase, the patient are made to
understand the problems by exploring all available avenues to solve the problem.
The nurse can help the patient by extending minimal professional assistance to learn how to solve the problem.
The patient starts exploitation all the available resources in spite of making requests to others to extend help
Finally the patient is able to deal adequately with his or her problems
RESOLUTION This is the termination of the professional
relationship that begins with convalesce &rehabilitation stage of hospitalization.
The patient’s needs have already been met by the collaborative efforts of the patient & the nurse in previous phases.
If psychological dependence persists between both of them, it become difficult to resolve the transferences or counter transferees. A nurse must aware of the techniques to resolve it.
The relationship must be terminated by maintaining a healthier emotional balance by both the parties.
BARRIERS OF INTERPERSONAL RELATIONSHIP
Barriers
Socio cultural
Situational Personal
TYPES OF BARRIER
PersonalBarriers
Lack of honesty & trust
Gender Psychiatry problems
Fear of rejection
Feeling of compatibilit
yFeeling of insecurity
Ineffective communi-
cation
Distorted self
concept
Lack of flexibility
Lack of respect
Situational barrier
•Complex interaction settings
•Adverse environmental situation
•Lack of territoriality•High density of
individual•Large distance •Lack of time
Cultural diversity
Ethnic diversity
Social diversity
Language diversity
Socio cultural barriers
BARRIERS OF IPR & METHOD OF OVERCOMING THESE
BARRIERS Categories of
barrierDescription of barrier of IPR
Methods of overcome
barrier of IPR
Personal barrier Gender variation In IPR, gender must to given due consideration
Lack of honesty & trust
Honesty & trust must be maintained while establishing & building IPRs
Categories of barrier
Description of barrier of IPR
Methods of overcome barrier of IPR
Personal barriers
Lack of compatibility
Compatibility between the individual involved in IPR must be ensured.
Feeling of insecurity
A sense of security must be ensured between the people involved in an IPRT
Ineffective communication
Effective communication is a key aspect of efficient IPRs, therefore, effective communication must be ensure.
Categories of barrier
Description of barrier of IPR
Methods of overcome barrier of IPR
Personal barriers
Distorted self-concept
Individuals involved in IPRs must have a sound self-concept & +ve self-esteem
Lack of flexibility There must be flexibility in ideology & philosophy of the individuals in a relationship for an effective adaptation & success of the IPR
Lack of respect for others rights
A mutual senses of respect must be ensured by the people involved in personal & professional relationships
Categories of barrier
Description of barrier of IPR
Methods of overcome barrier of IPR
Personal barrier
Fear of rejection
Fear of rejection must be eliminated between the individual involved in a relationship
Pre-existing psychiatric problem
Skilled therapeutic communication is required to interact with individuals suffers from psychiatric or personality problems.
Situational barrier
Complex interaction setting
The individuals must try to make the interaction setting simple & familiar & must make the other person feel important.
Categories of barrier
Description of barrier of IPR
Methods of overcome barrier of IPR
Situational barrier
•Adverse environmental situations•Lack of territoriality •High density of individuals
Special care must be taken while developing a relationship between individuals of diversified territories & high density or interaction in adverse environmental situations.
•Lack of distance•Lack of time
Even in an organization, individuals must spend quality time with their co-workers to strengthen the bond between them
Categories of barrier
Description of barrier of IPR
Methods of overcome barrier of IPR
Socio cultural barriers
•cultural diversity •Ethnic diversity •Social diversity
Individual can try to overcome cultural diversity to trying to enhance the four primary factors that decide interaction patterns (such as openness, trust, owing & risk to experiment)
•Language diversity
Individuals must try to enhance interpersonal communication skills (such as maintaining good eye contact, appropriate body language, listening with patience, etc.)
JOHARI WINDOW The johari window model is a simple &
useful tool for illustrating & improving self-awareness & mutual understanding between individuals within a group.
The johari window terminology refers to self & others.
Self refers to the person subject to the Johari window analysis & others refers to other people in the person’s group or team.
FACTS RELATED TO JOHARI WINDOW The johari window model was devised by
American psychologist, Joseph Luft& Harry Ingham, in 1955.
The model was first published in proceedings of the Western Training Laboratory in Group Development by UCLA extension Office in 1955.
The Johari window model represents self-awareness of an individual towards himself or herself, & later on become a widely used model for self-development by helping the person understand & learn about improvement of communication skills & IPRs
known to self unknown to self
Known to Others
Unknown to Others
The open or public self
The unknowing
self
The Private self
The unknown self
THE OPEN OR PUBLIC SELFThe upper left quadrant of the
window represents the part of the self that is public; that is, aspect of the self about which both the individual & others are aware.
EXAMPLE Susan, a nurse who is the adult child of an
alcoholic, has strong feelings about helping alcoholics to achieve sobriety. She volunteers her time to be a support person on call to help recovering alcoholics. She is aware of her feelings & her desire to help others. Members of the alcoholics Anonymous group in which the volunteers her time are also aware of Susan’s feelings & they feel comfortable calling her when they need help refraining from drinking.
THE UNKNOWING SELFThe upper right (blind) quadrant
of the window represents the part of the self that is known to others but remains hidden from the awareness of the individual.
EXAMPLE When susan takes care of
patients in detox, she does so without emotion, tending to the technical aspects of the task in a way that the clients perceive as cold & judgmental. She is unaware that she comes across to the clients in this way.
THE PRIVATE SELFThe lower left quadrant of the window represents the part of the self that is known to the individual, but which the individual deliberately & consciously conceals from others.
EXAMPLESusan would prefer not to take
care of the client in detox because doing so provokes painful memories from her childhood. Because she does not want the other staff members to known about these feelings, however, she volunteers to take care of the detox client whenever they are assigned to her unit.
THE UNKNOWN SELFThe lower right quadrant of the window represent the part of the self that is unknown to both the individual & to others.
EXAMPLE Susan felt very powerless as a child
growing up with an alcoholic father. She seldom knew in what condition she would find her father or what his behaviour would be. She learned over her life situation, & left home as soon as she graduated from high school. The need to stay in control has always been very important to susan, & she is unaware that working with recovering alcoholics helps to ful fill this need in her. The people she is helping are also unaware that susan is satisfying an unfulfilled personal need as she provides them with assistance.
FUNCTIONS OF JOHARI WINDOW MODEL It has become a widely used model for
understanding & training self-awareness & personal development & improving communication, IPRs, group dynamics, team development & inter-group relationships.
It puts emphasis on soft skills, behaviour, empathy, cooperation, inter-group development & interpersonal development.
It can also be used to improve an individual’s relationship with others or a group’s relationship with other groups.
CONT… The model is a simple & useful tool for
illustrating & improving self-awareness & mutual understanding between individuals in a group.
The Johari model can also be used to assess & improving self-awareness & mutual understanding between individuals in a group.
The johari window actually represents information –feelings, experiences, views attitudes, skills, intentions, motivation, etc. -within or about a person in relation to their group from four perspectives.
The johari window provides a useful way to graphically visualize the process of self-disclosure.
Thank you