![]() ![]() 30 – 33 Qualitative interviews and surveys have found that patients recognise and value the importance of the therapeutic relationship, 34, 35 and some research suggests that the relationship itself has the potential to be curative. ![]() It has been documented that the quality of the relationship between therapist and patient is a consistent and strong predictor of outcome in many different forms of psychotherapy 29 furthermore, the quality of the relationship has been found to predict treatment adherence and outcomes for patients with a range of diagnoses and in different treatment settings. The importance of the therapeutic relationship is well established. The third is ‘non-positive clinician input’ or ‘emotional difficulties’, referring to the presence of problems in the relationship, for example a perceived lack of empathy. The second is ‘positive clinician input’, referring to the extent to which the patient perceives the clinician to be encouraging, understanding and supportive. 29 The first is ‘positive collaboration’, referring to how well the patient and the clinician get on together. Although difficult to define, the therapeutic relationship has been conceptualised as consisting of three components in a psychometrically validated assessment scale. ![]() Therefore, it is important to consider what effect, if any, the use of these devices may have on patient–clinician interaction, particularly with respect to their therapeutic relationship. The use of software on hand-held computers during meetings between patients and clinicians is a new approach to communication in the community mental health setting, on which little research has been conducted. ![]()
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