When working with patients, clients, or individuals seeking support, we must remember that trust is not something any professional is automatically entitled to - trust is earned.
Trust in any therapeutic relationship takes time, it is co-created within the therapeutic dyad, and is demonstrated through consistent action. Being in a position of authority does not automatically inspire trust; for many, it may actually inspire suspicion.
This is especially relevant for those who have experienced medical trauma or exist in the context of the historical harms that have been perpetuated through institutions, modern psychiatry, and western medicine (e.g. persons of colour.)
Trust is fragile; it takes time to nurture, but it is vital to many aspects of recovery. Ask yourself regularly, how are you truly demonstrating trustworthiness in your treatment setting and/or therapeutic interactions (as felt by the recipient)?
We may think ourselves trustworthy due to our level of expertise, and demonstrate aspects of that, but if trust is not experienced by the person we are working with, there is work to do (much of which will involve listening and fostering collaboration.)
Our intentions are worth something, but it is the impact as felt by the patient/client that is most relevant.
- S.
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