Treatment Choices for Slip Disc at Gokuldas Hospital
Encouraging Optimism Based on Positive Expectations
1. Encouraging Optimism
Based on Positive
Expectations
Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC
Executive Director, AllCEUs.com
Podcast Host: Counselor Toolbox Podcast
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2. Objectives
Define hope and optimism
Explore the connection between positive
expectations and optimism
Identify blocks to optimism
Identify steps to optimism
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3. Research on Optimism
Patient coping and expectations about recovery predict the development of
chronic post-surgical pain after traumatic tibial fracture repair. Br J Anaesth.
2016 Sep; 117(3): 365–370.
Patients who are optimistic about recovery following an injury will actually
recover and return to work faster than patients who are less optimistic. At
Work, Issue 65, Summer 2011: Institute for Work & Health, Toronto
Positive patient expectations associated with positive patient-reported
outcomes in Surgery: A Systematic Review Surgery. 2014 May; 155(5): 799–
808.
Optimism was found to have a positive effect on personal recovery and
mental health after a tornado outbreak. Psychol Health. 2017 May;32(5):530-
548
Optimism has been shown to significantly influence the course of some
diseases (cancer, HIV, coronary heart disease) J Health Psychol. 2016
Aug;21(8):1758-67
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4. Health Effects of Optimism
Reduced cortisol
Improved sleep
Reduced blood pressure
https://www.health.harvard.edu/heart-health/optimism-and-your-
health
Improved health-related behaviors
Faster healing Carver, C. S., Scheier, M. F., & Segerstrom, S. C.
(2010). Optimism. Clinical psychology review, 30(7), 879-89.
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5. Hope and Optimism
Hope is a passive emotion unrelated to the likeliness of the
outcome. (winning the lottery)
Hope is based on the anticipation of positive future
developments.
Optimism is confidence in attainment of the goal through a
belief that the person will find a path to achieve the
desired goal and will be motivated to walk this path.
How could you be optimistic about winning the lottery? Grad school?
You are hopeful before a job interview and optimistic after it.
The more control people perceive they have the more
optimistic (and hopeful) they can be, because the outcome
is now attainable
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6. Optimism
To any challenge, an optimist reacts with faith in
reaching desirable results and continually taking part in
the activity even if the process is long and difficult
An optimistic explanatory style can be characterized by
the attribution of external, unstable and specific causes
to failures and negative events. (tripping)
When you think about your challenge
What parts are in your control or due to internal factors
What parts are out of your control or due to external factors
What parts of this situation are true all the time
What parts are true only in this instance or setting
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Eggs
• Life transitions
• Social anxiety
• Academic challenges
• Trauma
• Addictions
• Divorce
• Cancer/Chronic
illness (alz, park)
• Perfectionism
• Addiction
• Depression
• Chaotic
classroom/poorly
behaved children
7. Optimism
People using an optimistic strategy do not think too much
about possible risks and imagine themselves in a situation
where they are coping successfully.
When you think of asking someone out on a date
When you think of a job interview
When you are waiting on test results
When you find out your spouse filed for divorce
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Eggs
• Life transitions
• Social anxiety
• Academic challenges
• Trauma
• Addictions
• Divorce
• Cancer/Chronic
illness (alz, park)
• Perfectionism
• Addiction
• Depression
• Chaotic
classroom/poorly
behaved children
8. Hope and Optimism
Hope and optimism consists of three basic
components –
Goals
Will/determination/motivation
Pathways to the goals
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9. Hope and Optimism
When you are negative and hopeless you tend to
notice the things that are not going the way you want
When you are positive, you seize on the good things.
(pan for gold)
If optimism is hope combined with perceived control
and ability to achieve goals then….
Positive expectations can help people become more
optimistic.
Note: This only works for things people have some degree of
control over.
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10. Step One
Create Positivity
Start looking at events in terms of what you want
instead of what you lost or do not have.
What is it that I want (my goal)?
What parts of this can I control?
What resources and capabilities do I have that I can use?
How have I, or someone I know, gotten through similar
situations?
What is the likelihood that this will go well?
Why is it worth the effort (motivation)?
Activities: Write a story, make a plan, collage, timeline
Daily positivity journaling
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• Breakup/Make a friend
• Conflictual
relationship/getting
along
• Layoff/Get a job
• After a
hurricane/restore
normalcy
• To not be depressed/to
be happy
• Chaotic classroom/well
behaved kids
• Relapse/continued
recovery
11. Step 2
Create a self-fulfilling prophesy
Create a POSITIVE self fulfilling prophesy
Reframe the situation using specific, changeable attributions
Set SMART goals
Avoid rigid expectations (for other peoples behaviors, for the way
things are going to turn out, for something extraordinary)
Shore up resources
Envision the positive—repeatedly
Act as if…
Attribute failures and setbacks to external, unstable and specific
causes
Use the rule of expectations (people rise to the occasion)
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• Breakup/Make a friend
• Conflictual
relationship/getting
along
• Layoff/Get a job
• After a
hurricane/restore
normalcy
• To not be depressed/to
be happy
• Chaotic
classroom/well
behaved kids
• Relapse/continued
recovery
12. Step 3
Eliminate the negative self-fulfilling prophesy
Moderate unrealistic or negative expectations (facts and
probability)
Examine thoughts and expectations based on prior learning.
Learn from the past. It doesn’t have to repeat itself. “If you
do what you have always done, you will get what you have
always gotten.”
Relationships
Jobs
Sporting events
Coping ability
Recovery
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• Breakup/Make a friend
• Conflictual
relationship/getting
along
• Layoff/Get a job
• After a
hurricane/restore
normalcy
• To not be depressed/to
be happy
• Chaotic classroom/well
behaved kids
• Relapse/continued
recovery
13. Step 4
Get Support
Other people are more adept at helping you find the
hidden nuggets
Other people are great cheerleaders
Other people can help you identify unrealistic or
pessimistic thoughts (CBT Thought diary app)
Support yourself by being mindful and intentionally
focusing on the positive.
How can you involve other people in your process?
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14. Summary
Positive expectations inspire optimism
Hope is a feeling that things will work out
Optimism is a cognitive belief that the path has been
set and if you follow that path, things will work out
Helping people develop positive expectations means
Addressing negative expectations
Envisioning positive outcomes
Creating a realistic plan
Getting support
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