Chap 4 Self Concept Dec 18
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Chap 4 Self Concept Dec 18

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Chap 4 Self Concept Dec 18 Chap 4 Self Concept Dec 18 Presentation Transcript

  • Self-concept in the Relationship Between Dental Hygienists and Clients
  • Self-concept
    • An organized network of ideas and feelings we have about ourselves
    • Come from experiences and interactions with other people
    • Dynamic
    • Generalizations
  • Development of Self
    • Peplau’s four steps of development
    • First step
    • Appraisals are made by significant others about the self
      • Evaluative statements
      • Based on the evaluator’s expectation
      • “ Good Baby!” or “Bad!”
  • Second Step
    • Appraisals are repeated, become a pattern, and become incorporated into the self
  • Third step
    • Behavior emerges to match the appraisals
    • “John good!” “I ate it all up!”
  • Forth Step
    • The Self continues to develop, and is open for reappraisal
    • Reappraisal
  • Functions of Self-Concept
    • Help to explain behavior
    • Provide a decision making framework
    • Shape expectations for future (possible selves)
    • Provide bridges for a person to become one’s own unique self
  • Application: Characteristics of a Healthy Self-Concept
    • Satisfaction with Body Image
    • Distinct Sense of Identity
    • Emotion al Stability; Realistic Life Goals,
    • High Self-Esteem ; Congruence between Real and Ideal Self
    • Spiritual Well-Being
    • Satisfaction with role performance
  • Functions of Body Image
    • Senses
    • An instrument for action
    • Expressive instrument
    • Mental picture of the body
  • Strategies for communicating with clients with alterations in body image
    • Provide information and opportunities for the client to ask questions
    • Modeling acceptance
    • Introducing adaptive functioning
    • Encourage the client to share experience with others
    • Enhance social support
  • Applications
    • Can you illustrate how to use some of the above strategies to communicate with the following patients?
        • A 65 year old woman who suffered a stroke and half of her body became paralyzed
        • a 14 year old girl who just got braces
        • a veteran who lost his leg during the war
        • a man who has a serious burn and half of the body has contracted
  • Personal Identity
    • It includes all our psychological beliefs and attitudes:
      • Perception
      • Cognition
      • Emotion
      • Spirituality
  • Perception
      • Transformation of sensory data into personal image of reality
      • A bottom-up and top-down process
  • Perceptual Illusion
  • Perceptual Illusion
  • Perceptual Illusion
  • Perceptual biases & Self-Concept
    • Selective Attention
    • Self-fulfilling Prophecy
  • Communicating with Clients with Perceptual Biases
    • Perceptual checks
      • Describe precisely the behavior of concern
      • Offer two alternative explanations for problems
      • Request feedback
  • Case Example
    • Client: I see that you didn’t eat today. (clarify the problem) Nurse: Why? Is it because you don’t feel well, or is it because you don’t like the food? Client: I want to eat some solid food, I’m sick of having slop everyday. (alternative explanation) Nurse: oh, so that’s the problem you have. Can you tell me more about your what you like to eat? (request feedback)
  • Perceptual Checks Roleplay
    • Illustrate the 3-step process of perceptual checks.
      • A client has lots of cavities and doesn’t like to use floss.
      • A client just got his braces off. He is supposed to wear a mouthguard at night, but he doesn’t.
  • Cognition
    • The mind processes perceptual information and incorporates with other information in the mind to form a coherent whole
    • logic, stored in long-term or short-term memory
  • Cognitive Distortions
    • “ All or nothing”
    • Overgeneralization
    • Mind-reading or fortune-telling
    • Personalizing
    • Acting on “should” or “ought to”
    • “ Awfulizing”
  • Self-Talk
    • A thought process that leads to a feeling or judgment, which subsequently attaches to one’s concept of self.
    • Example of negative self-talk
      • “ I stuttered in the interview”
      • “ I had a terrible interview”
      • “ I probably won’t get the job”
      • “ I will probably never be able to get a job”
      • “ I’m no good”
  • Communicating with Clients with Cognitive Distortions
    • Develop awareness of self-talk
    • Challenging the client’s distortions
    • Social support
  • Recognizing Cognitive Distortions
    • I shouldn’t feel anxious about giving this presentation in class.
    • I’m boring and people don’t like to talk to me.
    • I shouldn’t get upset when people don’t approve of me.
    • If I hadn’t been raised in a dysfunctional family, I would be a different person.
    • If I don’t get high grades, my family will think less of me.
    • I can’t experience true satisfaction unless I do things perfectly.
    • How would you challenge the above distortions?
    • Can you give me an examples for the distortions we discussed above?
    • What are some of your cognitive distortions and how do they affect your behavior?