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Therapeutic Support
Relevant information about Therapeutic Support.In years '60, some theoretical models criticized the isolation maintained by the clinical model of internment. That way, some psychotherapeutic alternatives arose that aimed towards the insertion of the patients in the society. In this frame, it was born the strategy from domiciliary internment and the figure of the therapeutic companion, a practice based essentially on the bond that restores between the companion and the accompanied one. The accompanying therapeutic intervention is a strategy that assists the patient in their daily lives. It applies in situations of home care and in-patient treatment. The task of a therapeutic companion is always defined as a team. The objectives will respond to those raised by the professional in charge of the patient. However, the Therapeutic Support is a device that can sustain the continuity of treatment by containment and care of critically ill patients. The attempted suicide, depression, panic attacks, phobias, geriatric patients, terminal illness, addiction, bulimia, anorexia and psychotic disorders are some typical cases that require this type of intervention in order to carry out their respective treatments. For the patients with psychiatric internment, therapeutic accompaniment becomes a privileged tool from which you can implement different types of intervention that promote social inclusion. The search for new spaces of socialization is part of this process. Somehow, the therapeutic companion is a kind of auxiliary health. Its functions are: to contain the patient and their families in situations of crisis and emergency clinics, check the prescription and rehabilitation processes, accompany the transition process towards a situation of high and pre-high or towards reintegration in their workplaces or educative scopes.
The functions of the Therapeutic Support are multiple. In general terms, it tries to share, to listen, to observe, to collaborate, to restrain the impulses, to contain and to stimulate the patient. This is a nonaggressive method of containment for the uncompensated patients, which prioritizes the approach to its environment and history. As a health worker, the psychotherapist is able to support, care, relief and share the anxieties, fears and imbalances of the patients. The area of concern of this professional begins in that one place at which the possibilities from containment of the classic therapist do not arrive. For that reason, the primary target to which responds is that one defined by the head treatment, that in main lines, it always is to generate a change towards the well-being. However, the specificity of Therapeutic Support is on the companion link together. It will be at the level of relationship that will act according to the changes sought.
Each patient requires a different treatment modality. The device can be group or individual. In principle, the instructions to follow by the therapeutic companion are indicated by the therapist in charge of the treatment. Among the guidelines assigned defined schedules, types of outputs, permits, restrictions, risks and potential emergencies. For example, support may be indicated for certain moments, hours or days. If the picture is very serious, the accompanying planning can take the form of home care. When it takes part one or accompanying therapeutic, the work is unfailingly interdisciplinary and, at least, there will be another professional involved, that is, the head therapist. Therefore, in these cases, the exchange of information is necessary. On the other hand, the effects of the intervention of the companion must be evaluated and coordinated according to goals. At the end of follow -or in the shortest possible time-, the attendant prepares a report for the team. It can be oral or written. In some institutions, is turned into the patient's medical history. In any case, must be essentially descriptive and experiential.
As the therapeutic objectives are defined by the head therapist, the time of a therapeutic support will vary according to the cases.
The framing of therapeutic support allows new meanings to traditional interventions by enhancing the subject's own resources together. Patients who require a therapeutic support are those with a sharp decline in their ability to self-reliance and a significant retraction caused by the disease. The acute or chronic psychiatric patients (severe neurosis, psychosis, addictions, eating disorders), the motor or psychological disabilities, and the clinical conditions of oncological, renal, or terminal are tables to which this intervention can be helpful. Bond to emphasize that the therapeutic support is valid for the subjects that undergo disturbances in outer means, natural or social. Panic, agoraphobia or other social phobias treated through practices that progressively approach the patient to the feared situation. When operating as a support, the companion avoids relapses, promoting self-observation. In this sense, it is a good way to learn to cope with future problems and to gain personal security.
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