Page 2232 - Saunders Comprehensive Review For NCLEX-RN

to accomplish treatment goals.
5. One-to-one relationships are used to examine client
behaviors, feelings, and interactions within the
context of the therapeutic group activities.

The focus of milieu therapy is to empower the client through

involvement in setting her or his own goals and to develop purposeful
relationships with the staff to assist in meeting these goals.
B. Interpersonal psychotherapy
1. A treatment modality that uses a therapeutic
relationship to modify the client’s feelings, attitudes,
and behaviors and work within an agreed-upon time
frame to help meet the client’s goals
2. Therapeutic communication forms the foundation of
the therapist–client relationship, and this relationship
is used as a way for the client to examine other
relationships in her or his life.
3. Supportive level of psychotherapy
a. Brief therapy or may extend over a
period of years, allowing the client to
express feelings, explore alternatives,
and make decisions in a safe, caring
environment
b. No plan exists to introduce new
methods of coping; instead, the
therapist reinforces the client’s existing
coping mechanisms.
4. Re-educative level of psychotherapy
a. The client explores alternatives in a
planned, systematic way; this requires
a longer period of therapy than
supportive therapy.
b. The client agrees upon and specifies
desired changes of behavior and
learning new ways of perceiving and
behaving.
c. Techniques may include short-term
psychotherapy, reality therapy,
cognitive restructuring, behavior
modification, and development of
coping skills.
5. Reconstructive level of psychotherapy
a. Emotional and cognitive restructuring
of self takes place.

b. Positive outcomes include a

2232