ABSTRACT
Leaders in today's NHS face the unenviable task of reconciling rising demand, frozen resource allocation and increasing accountability. As the NHS itself stands at the nexus of an unstable political and socioeconomic landscape, its future success relies largely on its ability to nurture excellence, to encourage open communication within and across health-care teams, and to inspire its workforce through exemplary leadership and followership. Key to these endeavours are clinicians on the 'shop floor', whose daily interactions with patients and staff help to shape prevailing culture and drive progress through quality improvement and leadership initiatives. This article considers how transactional analysis can be incorporated into professional development to help doctors develop insight into and optimize the use of different communication styles. The authors propose that a working knowledge of the transactional analysis ego state model can enhance effective communication, leadership and followership within and across health-care teams, with a view to optimizing patient outcomes and workforce interactions.
Subject(s)
Health Personnel/organization & administration , Leadership , Quality Improvement/organization & administration , State Medicine/organization & administration , Transactional Analysis/organization & administration , Attitude of Health Personnel , Communication , Health Personnel/standards , Humans , Organizational Culture , State Medicine/standards , United KingdomABSTRACT
El presente artículo constituye la primera parte de dos artículos dedicados a la Psicoterapia Relacional del Trastorno límite de personalidad. A pesar de que muchos modelos de psicoterapia entienden que las relaciones con personas significativas forman la base de la personalidad, no todos conciben la relación terapéutica como la herramienta fundamental del cambio personal. En el presente artículo, se describen en primer lugar los presupuestos básicos del Movimiento relacional que ha aproximado numerosas corrientes de psicoterapia. Posteriormente, se resumen las aportaciones de los principales autores que han realizado avances significativos en el tratamiento psicoterapéutico del trastorno límite de personalidad. La última parte describe los principios básicos de una psicoterapia relacional de este trastorno utilizando un abordaje que prima la relación como eje vertebral del tratamiento y la implicación y sintonía del terapeuta (AU)
The current article is the first part of two devoted to Relational Psychotherapy in Borderline Personality disorders. Although a lot of Psychotherapy models support the idea that meaningful relationships in childhood with significant people are at the base of personality development not all think about therapeutic relationship as the main tool to achieve personal change. In this article the basic principles of Relational movement, one that is currently helping different psychotherapy schools to get closer, are described. Then the development of meaningful approaches to Borderline Personality Disorder psychotherapy is summarized. The last part presents the basic principles of a Relational Psychotherapy of these disorders with an approach which underlines therapeutic relationship and the involvement and attunement of psychotherapist as the core of treatment (AU)
Subject(s)
Humans , Male , Female , Psychotherapy/instrumentation , Psychotherapy/methods , Borderline Personality Disorder/diagnosis , Borderline Personality Disorder/psychology , Transactional Analysis/instrumentation , Transactional Analysis/methods , Transactional Analysis/organization & administration , Transactional Analysis/trends , Psychoanalysis/instrumentation , Psychoanalysis/methods , Psychotherapy, Psychodynamic/methods , Psychotherapy, Psychodynamic/trendsABSTRACT
El presente trabajo es una investigación sobre como organizan el tiempo individuos pertenecientes a distintos grupos de edad, especialmente los mayores. Es un enfoque psicológico y transaccional, realizado por medio de dinámica de grupo con hombres y mujeres en el que se pretende poner en evidencia que este campo de investigación sobre el empleo del tiempo es extremadamente complejo y alberga, en sus conclusiones, datos y afirmaciones que se contradicen con el parecer popular, e incluso a veces con el parecer de profesionales y científicos sobretodo de la geriatría y la gerontología. Se tienen en cuenta, igualmente, en este estudio variables contextuales, como estar o no institucionalizado, lo que determina las formas de estructurar la jornada en el caso de las personas mayores investigadas (AU)
