Competence is the ability to use personal and environmental resources to reach one's objectives. Professional competence includes scientific knowledge, skill (e.g., problem-solving and communications), and attitudes of painstaking attention and commitment to the client's interests.8111415 It includes teaching patients or caregivers the spectrum of options and consequences, and helping them to make informed choices.

The objective is to direct professional competence toward outcomes that the patient values and can choose when he knows the possibilities and costs (risks). So, a therapeutic relationship falls between the extremes of paternalism and consumerism. In a therapeutic relationship, the patient and provider might negotiate within all three dimensions, but ideally the patient's values would take precedence over the professional's, the professional would attempt to teach his knowledge and beliefs to the patient (or the patient would accept professional knowledge), and decision making would be shared. The patient and professional would apply the professional's scientific knowledge and experience and the patient's personal experience to develop a plan intended to achieve goals valued by the patient.

Sasz and Hollender suggest a number of prerequisites for this model of mutual participation. Each person needs to be able to recognize emotional connections with the other (common humanity), balanced with respect for and ability to tolerate differences. It is crucial that each recognize dependency on the other for the purpose of reaching shared goals.7

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Present Power

Present Power

Learning About Present Power Can Have Amazing Benefits For Your Life And Success. Harnessing The Moment For Maximum Results. Consider our youngsters; they do not have a care in creation as they live for the moment. I question why we don't learn from youngsters instead of going between past tense and future tense.

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