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R. (1987) Nursing Science: Major paradigms, theories and critiques. Philadelphia: Saunders. C. (1926) Holism and Evolution. New York: MacMillan. Wilbur, K. (1982) The Holographic Paradigm and Other Paradoxes. Boulder: Shambhala. qxd 8/7/02 2:44 PM Page 22 2 The Importance of Philosophical Congruence for Therapeutic Use of Self in Practice Roderick McKenzie When we stop inventing reality, then we see things as they really are. Okri (1997) Therapeutic use of self pertains to a particular collection of personal or human qualities consciously or deliberately employed when engaging with individuals in a therapeutic encounter, most commonly a counselling relationship but conceivably any helping or caring moment.

The Gene Pool Your wasting thin arms Can no longer support those big hands, Big hands, firm grip. So they lie, tapping a gentle rhythm On the bed sheets. White sheets folded And tucked tight across your chest, Afraid you might fly away? But you’ll stay a while yet. A faint smile lightens your grey pained face, as, Lying in your nest of pillows You watch in delight As the gene pool, plays At the foot of your bed. qxd 8/7/02 2:44 PM Page 33 Philosophical Congruence for Use of Self 33 While Dad was dying I had my moments.

Significantly, as Seedhouse (2000) observes, all nurse theorists are in favour of holism in one form or another and there appear to be no papers by nurse academics against holism, although there is debate about what constitutes holism (Freshwater & Johns, 2001). In brief, holistic nursing care approaches the patient as a whole. The individual is viewed as a biopsychosocial being having physiological, psychological, social and spiritual needs. , 1996). Holism, then, holds that treatment must involve all of these factors.

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