Traumatic Stress Institute Blog

Healing Relationships - Respect Between Clients and Caregivers

Written by Patricia D. Wilcox, LCSW | November 4, 2025

As part of celebrating the 25th Anniversary of the Risking Connection® (RC) training program, we are sharing short RC Sampler Sessions this fall, covering some of its most essential concepts.  One central concept in the Risking Connection Change Model is that the path to healing is through the acronym "R.I.C.H. relationships" – those that embody Respect, Information, Connection and Hope. Over time in our work with client agencies, we have collected many inspiring examples of how staff demonstrate R.I.C.H. with their clients and with each other – but it isn’t easy. Let's explore what is hard about R.I.C.H. in this series of posts.

These are the areas where we struggle, stumble, and sometimes become less than helpful to our clients and each other. Let’s look at each part of R.I.C.H. and discover what is hard about it and how we can overcome the challenges.

Respect for Our Clients

To me Respect carries some aspect of admire. So if we truly respect our clients, we actually deeply honor the way that they have survived all the pain life has handed them. We look up to them and we are in awe of them for having come through alive and kicking. We actually let ourselves feel how profound the pain was, how deep the losses, how scary the world. And we respect what these clients had to do to survive.

Of course anyone who is caring for someone with difficult behaviors – whether it be a client or your aging parent – knows that it is easier to maintain these lofty attitudes when you are away from the person and their demands. When some kid is yelling at you, or trying to hit you, or refusing to comply with a simplest request, it is hard to see their behavior as an admirable attempt to survive. That is why we all need down time; a moment to step back and think about the work, often with the help of a supervisor. We can then let ourselves remember the painful truths of our clients’ histories and respect the creativity of their adaptive behaviors.

Clients Feeling Disrespected

Here's one example of how a client might feel disrespected:

Martha, a therapist in a special ed school, says that when she asked Tyquan what led up to his throwing several chairs and then leaving the classroom, Tyquan told her that his teacher, Miss Mitchell, was disrespecting him. Miss Mitchell reports that she just asked Tyquan to end his conversation with his friend Marvin and take out his math book. Martha tells me that feeling disrespected is a common complaint of the youth in the school. While it's possible, of course, that some staff may at times speak in a sarcastic or belittling way to the kids, Martha's experience of Miss Mitchell's approach is that she is relational and respectful. Let’s assume this is how Miss Mitchell interacted with Tyquan this time. What went wrong here?

Here are some maybe's to consider:

  • Maybe Marvin is the best friend Tyquan has had in years, and having a friend is finally making him feel a little safer.
  • Maybe he is just tired of adults telling him what to do and putting their needs before his.
  • School work is often associated with humiliation for kids in therapeutic/special education schools. Tyquan can’t do math; it makes no sense to him.
  • Maybe the fact that when most kids were learning math he was trying to protect his mom, his sister, and himself from his stepfather’s angry rages has something to do with it.
  • It could be that his brain hasn’t developed the ability to think sequentially or use logical problem solving, because no one has ever modeled such a process for him.
  • Whatever the source of the distress, he knows he is in for another period of feeling stupid and hopeless, and that maybe the other kids will see how dumb he is.
  • Maybe Tyquan thinks, "Marvin’s pretty smart in math – he will probably give up on me as a friend when he sees how lame I am."
  • Maybe acting out feels like a more powerful option than the possibility of being "found out".

So when Miss Mitchell says, “Tyquan, time to end your conversation with Marvin and take out your math book,” what Tyquan may hear is, “Tyquan, time to stop doing something pleasant that you enjoy and to do something you can’t do – although everyone else can – and to show the world how stupid you are.” This feels deliberate and personal to Tyquan; he may think she is trying to humiliate him, so naturally he'd feel disrespected.

Does that make sense to you? If anything like that is going on, what does Tyquan need? How can he AND Miss Mitchell feel respected in this situation?

One thing we do know is that the more fragile a person’s sense of self is, the more frantically they protect their image from external threat. If you feel fine and happy about yourself, and someone teases you, it’s relatively easy to let it go. If you are already feeling pretty lousy and fairly sure you are doing everything wrong, the teasing arouses such panicky feelings in you that you attack with all the ammunition you can find. And then others say you are “over-reacting”.

Flipping the Lens: Treaters/Teachers/Caregivers Feeling Disrespected

Let's change the focus now to the concept of “respect” as what staff/caregivers feel they need from clients or kids.

  • Mr. Hoover says: “I told Luis to stop talking and he went right on talking. He does not respect me!”
  • A crisis worker named Jennifer says: “If I am not very strict with the kids, they will lose all respect for me.”
  • A therapist, Darren, says, “I just will not tolerate the kids swearing at me. It is a sign of disrespect.”
  • Merva, a foster mother, tells her case worker: “We told Natalie to go to bed and she keeps coming out of her room. We can’t read her stories or any of that nonsense; that’s just catering to her. She just has to respect us and do what we say.”
  • Laura, a childcare worker says, “I told him he had to go through the front door. He insisted he had to go through the back door. I know it’s trivial, but I will not back down. They need to respect what I tell them to do.”

The first thing that comes across in all this is that the staff/caregivers seem to be focused on their own needs. What the clients/kids are doing is not primarily about the staff/caregiver. Of course, how a given client or kid feels about a certain staff/caregiver does affect their actions – there's nothing more powerful than relationships to influence behavior – but a lot of times, other factors are driving behavior.

Some possibilities in these scenarios, from the client/kid perspective:

  • They are dysregulated and no longer even see the staff for who they are
  • They are caught up in old feelings of mistrust
  • They are testing the staff/caregiver, e.g. "Will you stay with me even when I show you how bad I am?"
  • They are desperate for some control in an entirely out-of-control life

How can we support our staff in feeling grounded and confident in themselves, so they don’t rely on clients or kids behaving a certain way in order to feel respected?