Jan 8 Chap 5 Structuring The Relationship


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  • Jan 8 Chap 5 Structuring The Relationship

    1. 1. Reading Change <ul><li>Jan 15 </li></ul><ul><ul><li>Readings: Chapter 6 (not chapter 7) </li></ul></ul>
    2. 2. Review Cognitive Distortions <ul><li>Overgeneralization </li></ul><ul><li>“ All or nothing” </li></ul><ul><li>Mind-reading or fortune-telling </li></ul><ul><li>Personalizing </li></ul><ul><li>“ Awfulizing” </li></ul><ul><li>Acting on “should” or “ought to” </li></ul>
    3. 3. Review Cognitive Distortions <ul><li>Tom failed his English test on the first day of college. Now he thinks that he will never be able to pass any tests. </li></ul><ul><li>Tom was sick and he failed his math test. He thinks that he is stupid. </li></ul><ul><li>Tom thinks that he shouldn’t be angry with his friend, although his friend lied to him. </li></ul><ul><li>Tom believes that had he gone to a better university, he would have had a better career and a happier family. </li></ul><ul><li>Give an example for each distortion </li></ul>
    4. 4. Self-Esteem <ul><li>Do you expect people to value you, instead of being critical of you? </li></ul><ul><li>Are you an active self-agent? </li></ul><ul><li>Do you have positive perceptions of your skills, appearance, sexuality, and behaviors? </li></ul><ul><li>Do you perform equally well when being observed as when not? </li></ul><ul><li>Are you nondefensive and assertive in response to criticism? </li></ul><ul><li>Can you accept compliments easily? </li></ul><ul><li>Can you evaluate your performance realistically? </li></ul><ul><li>Are you relatively comfortable relating to authority figures? </li></ul><ul><li>Are you generally satisfied with life? </li></ul><ul><li>Do you have a strong social support system? </li></ul><ul><li>Do you have primarily have an internal locus on control? </li></ul><ul><ul><li>See textbook, p. 86. </li></ul></ul>
    5. 5. Self-Esteem <ul><li>Value judgment of self-concept </li></ul><ul><li>Changeable </li></ul><ul><ul><li>What kinds of behavior indicate that people have low self-esteem? </li></ul></ul>
    6. 6. Self -Esteem in Health Care <ul><li>Provide therapeutic relationships </li></ul><ul><li>Modeling </li></ul><ul><li>Asking positively-framed questions </li></ul>
    7. 7. Becoming centered <ul><li>Help clients to develop their self-concept in developing to the best of their potential. </li></ul>
    8. 8. Therapeutic Relationship Ch. 5
    9. 9. Therapeutic Relationship <ul><li>A professional alliance in which the care provider and recipient join together for a defined period of time to achieve health-related goals . </li></ul>
    10. 10. Client-Centered Relationship <ul><li>Care provider is the expert on healthcare, client is the expert on his/her life </li></ul><ul><li>Principle of Autonomy and self-determination </li></ul><ul><ul><li>Client chooses the personal goals and the courses of action </li></ul></ul><ul><ul><li>Encourage client’s and family member’s involvement </li></ul></ul>
    11. 11. Questions for Reflection <ul><li>Carl Rogers, p. 93 </li></ul><ul><ul><li>Which criterion do you find it difficult to live up to? </li></ul></ul>
    12. 12. Role of the Care Provider <ul><li>Self-Awareness </li></ul><ul><ul><li>gaining knowledge of one’s self-concept </li></ul></ul><ul><ul><li>Critically evaluating what’s going on in the relationship in order to create a safe, trustworthy, and caring relationship structure (cognitive, perceptual biases, transference and countertransference.) </li></ul></ul>
    13. 13. Role of the Care Provider <ul><li>Professional Boundaries </li></ul><ul><ul><li>Defining the time, purpose, maintain confidentiality </li></ul></ul><ul><li>Level of Involvement </li></ul><ul><ul><li>Over-involvement or disengagement </li></ul></ul><ul><ul><li>What are the signs of these? </li></ul></ul><ul><ul><li>***transference </li></ul></ul>
    14. 14. Role of the Care Provider <ul><li>Healing Presence </li></ul><ul><li>Empathy: to fully understand the feelings of others without losing oneself (See Box. 5-2, p.98) </li></ul>
    15. 15. Questions about Empathy <ul><li>See Box 5-2, p. 98 </li></ul><ul><ul><li>Point 1: Why failure to listen actively and carefully can inhibit empathy? </li></ul></ul><ul><ul><li>Point 3: Why self-checks for stereotypes can promote empathy? </li></ul></ul><ul><ul><li>Point 5: Why is it important be tentative in your response? </li></ul></ul>
    16. 16. Role of the Care Provider <ul><li>Self-Disclosure </li></ul><ul><ul><li>Deering (1999) </li></ul></ul><ul><ul><li>a) use self-disclosure to help clients open up to you, not meet your own needs, b) keep your disclosure brief, c) don’t imply that your experience is exactly the same as the client’s. </li></ul></ul>
    17. 17. Peplau’s 4 phases of the Relationship <ul><li>Orientation Phase </li></ul><ul><ul><li>Engagement & Assessment </li></ul></ul><ul><li>Active Intervention Phase </li></ul><ul><ul><li>Identification & exploitation </li></ul></ul><ul><li>Termination Phase </li></ul><ul><ul><li>Evaluation phase </li></ul></ul>