Transportation/logistics
Competency in therapeutic dialogue therefore encompasses the ability to deftly balance the strategies used in the discourse (Binder 2004 Drawing from empathy which is inadequate but theless the basis of psychotherapeutic patient care , the therapist not only uses empathy to understand the patient in the course of therapy and also engages in conversations aimed at revealing the patients understanding of the situations (Tasman Goldfinger 1990 . Fruitful therapeutic dialogue is instrumental in changing or introducing corrections on the patient 's perceptions . Should the patient trust the therapist and engage him or

her in shifting through personal experiences in relation to their resistance to physical therapy , then their understanding on the role of such therapeutic interventions on their health outcomes can be challenged and hopefully the new understanding can necessitate the continuation of the therapeutic exercises as they were initially constructed . On the other hand , the physical therapy regimens can be reconstituted to be in line with patient 's preference so long as there is evidence that the health outcomes would not be adversely affected
Therapeutic dialogue which is an active and effect laden engagement effectively replaces the early therapeutic alliance concept where the [patients ego was understood to be split into two parts . While one part become emotionally involved in the treatment process , the latter was akin to an observing entity on the experience off treatment itself and the subsequent effect of treatment . It can be conclusively surmised that it is the observing entity that ensured the rational commitment to the treatment process . Moreover , commitment as an action promulgated by the observing entity was embodied in curative fantasy (Tasman Goldfinger 1990 . One disadvantage on therapeutic alliance was the dependency on the practitioner on the health outcomes of the patient . While the paradigm shift to therapeutic dialogue was eventful , new questions on...
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