ATTITUDE THERAPY

✔ Attitude indicates a set of feelings, faith, and behaviour at an individual or incident.

✔ There are four types of Attitude: Positive, Neutral, Sicken, and Negative.

✔ The main aim of Attitude therapy is to convert a person’s negative attitude to a positive
attitude through a change of behavior and beliefs by different techniques.
✔ Attitude represents our personality. If we show a negative attitude towards others, it will
express the harmful nature of the individuals.
✔ Attitude is that what someone feels towards one individual that he is experiencing.

✔ The Attitude of others towards us shows the behaviour or action. Attitude therapy also
helps people who have a mood swing. Attitude therapy is prescribed the designed
therapeutic Attitude that every individual should have.

Before the therapy

✔ The patient is interviewed to assess his emotional and psychosocial state and activity
level.
✔ Family members address the attitude therapy they are using for the patient. You have to
apply the same for the patient to bring the desired changes into the patient.
✔ A staff meeting is held when all mental health team members are present.

✔ This planned attitude that will be used for the patient should be discussed purposefully.

✔ All the team members use one main line of approach at a time.

5 Types of Attitude Therapies

1. Solid Attitude Therapy
● It’s a direct, clear, and confident approach to the patient in which rules and
regulations are calmly explained.
● They are used on people who are depressed and uncooperative.
● The therapist must stand their ground. They must inform the patient that they will not
listen to their negative talks.
● Staff members put firm limitations. Direct, clear, and confident rules are calmly
imposed on the patient. Directions are specific and concise, with expectations that
the patient will follow them. For manic patient’s manipulative behaviors and requests,
hysterical patients who are asking for attention.
2. Not Demanding Attitude Therapy
● Use on out of control people.
● The therapist needs to show caring behavior to show the person that they won’t hurt
them.
● When the patient goes out of control, the therapist does nothing but just come back
to them later.
● Active friendliness staff plays an active role in the therapeutic professional
interpersonal relationship.
● Advisable for withdrawn, apathetic patients, schizophrenia and patient who is shy,
aloof, and isolated from others.
3. Passive Friendliness Therapy
● The patient is allowed to take the initiative in a therapeutic relationship.
● Use on people that have distrust with others.
● Therapist assures that they will always available for them and engage the patient into
the activities.
● For the patient who is extremely withdrawn, confused, frightened,
paranoid schizophrenia, organic brain syndrome and the depressed patient who
shows no activity.
● The therapist uses an approach of casualness in interaction, especially in requests
and manipulative behaviors. Reassurances and emotional responses are avoided.
For hysterical patients, manic patients.
● Do not give false reassurance to the patient.
● Non-judgemental, no judgments are passed on the way the patient’s thought, felt,
and behaved.
● The acceptance is accepting the patient the way he is and giving respect and
unconditional positive regard.
● Empathy
● Warmth
 ● Positivity
4. Active Friendliness Therapy
● Use on people that have withdrawn.
● Give them a reason to be active and not to withdraw.
● The therapist needs to be very verbally supportive.
5. Matter-Of-Fact
● Use for irresponsible and manipulative people.
● The therapist has to state and stick to what they say and NOT deviate from them.

Attitude Therapy in Psychiatric Nursing

✔ Psychiatric patients can have difficulty making the right decision about the treatment and
care.
✔ In this context, the provision of quality health care services is firmly tied to the attitudes
and behaviours of mental nurses.
✔ The positive nurse attitude displayed during the treatment relaxes patients, promotes
their integration into the environment, and ultimately facilitates their response to
treatment.
✔ In contrast, negative nurse attitudes lead to poor social interactions, leading to problems
such as patients gradually disconnecting from their environment and developing high
resistance to treatment.
✔ Awareness of psychiatric nurses’ attitudes towards mental illness and patients help them
establish an early and accurate diagnosis of mental illness and provide adequate
medication and care, which is of great importance in protective treatment, rehabilitation,
and nursing services.

Advantage of Attitude Therapy

✔ It enhances the positive attitude that someone can learn from the patients.

✔ It brings members together to place, work, and evaluate each other’s efforts and to
discover new ways of helping the patient. Ex: Each patient or therapist or lab tech or
nurse has to put his efforts, so each member should come together.

Conclusion
✔ The main attitude to work on is your own attitude. Although we can influence another
person’s attitude, but cannot change it. Changing an attitude is the responsibility of the
owner. This is a person’s power.
 ✔ The most important thing for everyone to be aware of is that the only person we have
direct control over is ourselves.

Reference: https://starhealthline.com/attitude-therapy/