Recognizing, understanding, and responding to familiar responses: The importance of a relationship history for therapeutic effectiveness

PROBLEM. To describe aspects of therapeutic effectiveness, including the importance of an ongoing relationship. METHODS. A phenomenological study (n = 14) involving nurse psychotherapists (n = 6) and clients (n = 8). FINDINGS. Participants recognized dense meanings and familiar, shorthand communications evolving from their relationship history. This ability to read another's responses with sensitivity and attunement contributed to a sense of comfort and openness during therapy sessions. CONCLUSIONS. Students should be taught how a relationship history contributes to sensitivity to nuances of meaning and development of an individualized approach. Reimbursement structures must be developed that acknowledge the situated nature of change and the significance of an ongoing relationship.