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Caring, curing, and brief therapy: a model for nurse-psychotherapy
1University of Colorado Health Science Center, School of Nursing, Denver 80262.
Traditional psychotherapy models are insufficient for accessible mental healthcare. A shift towards a nursing-based, care-oriented approach, utilizing brief or possibility-oriented therapies, offers a more consumer-centered solution.
Area of Science:
- Mental Health Nursing
- Philosophy of Science
- Psychotherapy Research
Background:
- Traditional psychotherapy models struggle with accessibility, cost-effectiveness, and accountability in mental health services.
- The received view of science underpins current mental health approaches, often emphasizing a 'cure-orientation'.
- This 'cure-orientation' contrasts with nursing's inherent 'care-orientation', which aligns better with postmodern scientific perspectives.
Purpose of the Study:
- To deconstruct traditional psychotherapy models and their scientific underpinnings.
- To contrast the 'cure-orientation' of psychotherapy with the 'care-orientation' in nursing.
- To propose alternative therapeutic approaches for mental health nursing.
Main Methods:
- Deconstruction of traditional mental health models based on the received view of science.
- Contrastive analysis between psychotherapy's cure-orientation and nursing's care-orientation.
- Exploration of postmodern ideas of science in relation to mental health care.
Main Results:
- Traditional psychotherapy, focused on a cure-orientation, is found to be inadequate for current mental health demands.
- Nursing's care-orientation is more aligned with postmodern scientific principles and consumer needs.
- Brief, intermittent, or possibility-oriented therapies are identified as potential methods.
Conclusions:
- A care-orientation in mental health nursing, supported by postmodern science, offers a more accessible and effective model.
- Shifting from a cure-orientation to a care-orientation is crucial for meeting consumer needs.
- Implementing brief or possibility-oriented therapies can actualize this care-orientation in practice.
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