title: The clients' perspective--do military uniform and rank impact on the therapeutic relationship between military mental health clients and clinicians.
abstract: OBJECTIVE
  To measure the perception of military mental health clients of the impact of wearing military uniform on the therapeutic relationship between client and clinician and to ascertain if uniform and rank is perceived as a barrier.
  
  
  METHODS
  A brief questionnaire was distributed to Departments of Community Mental Health to be disseminated to their mental health clients to measure their responses.
  
  
  RESULTS
  282 responses from mental health clients were collected over a 30 day period regarding the impact that military uniform makes to the therapeutic relationship with the clinician. 63% (n = 178) regarded uniform as negatively influencing their relationship with the clinician, 37% (n = 104) responded that it did not. 39% (n = 111) believed rank to be a barrier, whereas 61% (n = 171) did not believe it affected the relationship.
  
  
  CONCLUSIONS
  The majority of military mental health clients regard the wearing of uniform as negative to the therapeutic relationship and a significant minority have similar feelings about rank. Military mental health practitioners should consider the impact of these results on the therapeutic relationship with military patients.
authors.affiliation: Duchess of Kent Hospital, Department of Community Mental Health, Catterick, UK. 5742wilson@armynet.com
authors.forename: M M
authors.initials: MM
authors.lastname: Wilson
authors.forename: P D
authors.initials: PD
authors.lastname: McAllister
mesh_terms: D006801:Humans; D008605:Mental Health Services; D008889:Military Personnel / Q000145:classification / Q000523:psychology*; D011369:Professional-Patient Relations; D012938:Social Perception