This question aligns with Domain I: Interpersonal Competencies, which emphasizes building therapeutic, person-centered relationships based on trust and collaboration. The CPRP Exam Blueprint specifies that “the use of coercion undermines the therapeutic relationship and contradicts recovery-oriented principles, indicating a failure in the practitioner-individual relationship.” A strong relationship fosters mutual respect and empowerment, while coercion signals a breakdown in trust.

Option B: The use of coercion (e.g., pressuring or forcing the individual to comply) is a clear indication of failure in the therapeutic relationship, as it violates the principles of autonomy and collaboration central to psychiatric rehabilitation. It erodes trust and disempowers the individual.

Option A: Referring for peer support services is a positive, recovery-oriented strategy, not a sign of failure, as it enhances support and engagement.

Option C: An increase in symptomatology may occur due to clinical factors and does not necessarily reflect a failure in the relationship.

Option D: Lack of compliance (better termed as non-adherence) may indicate various issues (e.g., mismatched goals), but it is not as direct an indicator of relationship failure as coercion, which actively harms trust.

Extract from CPRP Exam Blueprint (Domain I: Interpersonal Competencies):

“Tasks include: 1. Establishing and maintaining a therapeutic relationship based on trust and collaboration. 2. Avoiding coercive practices that undermine autonomy and recovery.”