Objective 1 Engaging the Patient in Treatment

Depressed individuals with suicidal behavior may present for treatment due to pressure placed upon them by family members or friends, or they may at times appear apathetic, uninterested, or even hopeless about the therapeutic process. The general clinical recommendations we provided earlier have already emphasized the importance of therapy attendance and compliance, implementing a psychoeducation component, a "team" approach to intervention, and the role of sociocultural factors in treatment engagement. What remains to be discussed is the therapist's mind-set and attitude in working with such a difficult, at-risk patient. The therapist is encouraged to develop a strong early therapeutic alliance with the patient, with the direct aim of transforming hopelessness into hope.

The first step in accomplishing this challenging task is to gain an accurate understanding of the patient's experience, negative thinking, and cognitive distortions. Instead of dismissing the hopelessness felt by the patient and its underlying reasons, one needs to understand how the patient has come to see his/her life situation as utterly hopeless. Once the therapist is able to demonstrate true empathy, the patient may be willing to consider that change is possible. Through cognitive restructuring, a patient can be helped to understand that hopelessness equals inertia and powerlessness, whereas realistic hope (i.e., "hoping smart") can result in activity, gained power, and subsequent life change. Hopeless patients commonly demonstrate all-or-none thinking (e.g., "There is absolutely no hope for me"). The therapist's response needs to convey the importance of visualizing a hope continuum for various life domains (e.g., relationship with children, work situation, improved mood).

Power Of Positive Thoughts In The Post Modern Age

Power Of Positive Thoughts In The Post Modern Age

The Power Of Positive Thinking In The Post Modern Age Manifest Positive Thoughts In This Fast Pace Age. Positive thinking is an attitude that admits into the brain thoughts, words and pictures that are conductive to development, expansion and success.

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