The Physical Therapist as “Therapist”

Successful physical therapy depends not only on physical techniques but upon the psychosocial relationships which the therapist develops with the patient. Reduction of patient anxiety and motivation by the physical therapist are crucial dimensions in the recovery or rehabilitation of the patient. Frequency of contact and perception of the physical therapist by the patient as a giving accepting authority figure enable the therapist to develop a relationship with the patient which is psychotherapeutic in nature. Thus, the therapist is able to counsel effectively with the patient in a number of areas in the patient’s life which are closely related to his handicap. Techniques involving suggestion, reassurance, and clarification are important in the treatment armamentarium. Because of the counseling aspect of the physical therapist’s role, the therapist should receive training in dynamic psychology and develop a high level of self-awareness relative to his attitudes and psychosocial functioning.