The work of mental health nurse is interactive in nature, the priority
of which is the effective development and maintenance of a therapeuti
c relationship with clients. This field of nursing bases its practice
on theories from many schools of thought in order to provide clients w
ith the highest quality of care. One such theory is that of Carl Roger
s whose practice as a psychotherapist was based on his Theory of Self-
Concept. This paper examines the development of the Theory of Self-Con
cept from the works of Cooley, Mead, Allport and Rogers and relates to
the therapeutic alliance between a primary nurse and a client who has
been medically diagnosed as being 'depressed'. The implications for p
ractice are considered and some of the difficulties of utilizing Roger
s' theory on an in-patient unit are explored. The paper emphasizes the
need for nurses to be aware of the use of such theories in order to e
nrich the care that clients receive. It also highlights the need for n
urses to be aware of their own 'self' when working with clients, a sta
te that can only be achieved if the nurses themselves have adequate cl
inical supervision and an environment which is supportive of such work
.