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60 Cards in this Set
- Front
- Back
What are the phases of the therapeutic relationship?
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Pre-orientation
Orientation Working Termination |
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Which phase of the therapeutic relationship consists of small talk before intro?
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Pre-orientation phase
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Which phase of the therapeutic relationship sets the scene for what's going to happen?
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Orientation phase
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What is discussed during the orientation phase?
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Parameters of the relationship
Contract Confidentiality Termination Begins |
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Which phase of the therapeutic relationship involves that actual work; explores pt feelings?
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Working phase
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Which phase of the therapeutic relationship summarizes goals and ends relationship?
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Termination phase
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Thoughts and feelings that a patient has toward the nurse/psychiatrist that are rooted in the pt's unconscious/repressed emotions/feelings toward people in his/her past?
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Transference
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Thoughts and feelings that a health provider has toward the patient that may be related to the pt's unconscious/repressed emotions/feelings toward people in his/her past?
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Countertransference
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PROXEMICS
0-18 in. between people usually comfortable between parents and child |
Intimate zone
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PROXEMICS
18-36 in. between people distance between family/friends talking |
Personal zone
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PROXEMICS
4-12 ft between people distance for communication in social/work/business setting |
Social Zone
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PROXEMICS
12-25 ft between people distance between speaker and audience/small groups |
Public Zone
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Functional-Professional Touch
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Used in examinations or procedures
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Social-Polite Touch
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used in greeting, handshake, or when guiding someone
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Friendship-Warmth Touch
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Involves a hug or touch in shoulder
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Love-Intimacy
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tight hugs and kissing
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Tells the person what he should think, feel, or do. Implies that the person incapable of making decisions for him/herself. May result in a "Yes, but" interaction between both parties
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Giving Advice
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Tells the pt what he should think, feel, or do
ex.: "You need to..." "You should..." |
Giving advice
Instead: "Have you considered..." |
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COMMUNICATION TECHNIQUES
Sanctions the person's ideas or behavior which implies the opposite is "bad" ex.: "I'm happy to see that you're feeling more cheerful and positive today" |
Giving approval
Instead: "You seem more cheerful today, tell me about it" |
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Indicates there is not cause for anxiety. Devalues the patients feelings.
ex.: "I wouldn't worry about that problem. It'll work itself out in time." |
Reassuring
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Opposes the pts ideas and implies the s/he is wrong.
ex.: "Your plan won't work" |
Disapproving
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Asks the pt to provide reasons for thoughts, feelings, behavior and events
ex.: "Why do you feel this way?" "How could act in such an inappropriate way?" |
Requesting and explanation
Instead: "Help me understand what went into you acting in that way." |
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Minimizes the impact of feelings. Conveys that the person's feelings are not serious, unique or important.
ex.: :I know jut how you feel" "Everyone feels that way." |
Belittling the person's feelings
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Implies that the pt has no right to express his feelings or opinions
ex.: I always listen to you. Why would you say such a thing?" "This hospital is very well equipped to handle your health care needs" |
Defending
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(Often Abruptly) directs the conversation where the nurse wants it to go
ex.: Pt. "I'm so tired of feeling this way." Nurse "Let's talk about something more positive like how you're responding to the medication" |
Changing the subject
Instead.: "You sound very defeated and tired of feeling as you do. It must be frustrating. Let's take a moment to discuss the gains you've made since beginning the new medication" |
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Demands an explanation or questions the pt's motives
ex.: "What makes you think you'll do anything different this time?" |
Challenging or Testing
Instead: "What are your thoughts about how you'll do this differently?" |
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Impose your perceptions on another
ex.: "You have unresolved issues with your father that you're continuing to act out with your abusive husband." |
Interpreting
Instead: "How do you understand that you're living with an abusive man and that you were raised be one, too?" |
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Allows the pt to take initiative in introducing the topic
ex.: "How are things going" "What would you like to talk about today?" |
Giving broad opening
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Indicated interest and encourages the pt to continue talking
ex.: "Go on" "Oh" "Then what happened" |
Offering general leads
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Encourages the pt to consider what s/he just said
ex.: pt "I'm really scared about what just happened" nurse "You're really scared?" |
Reflecting
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States observation of the pts behavior. Encourages pt to describe his/her experience.
ex.: "You're trembling" "You seem upset" |
Sharing observation/perceptions
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Attempts to voice the feelings that are being addressed, only indirectly
ex.: "Sounds like you're being really demoralized about that encounter" |
Attempting to translate into feelings
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Encourages verbal communication, permits time for thought and conveys respect
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Silence
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Provides facts/information the pt may benefit from.
ex.: "If you wish to leave before your doctor discharges you, you'll need to sign a 72 hr release." |
Giving information
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Voices what the pt has hinted or suggested.
ex.: pt "It's a waste of time for me to attend activities on the unit." nurse "You don't feel like these activities are helpful?" |
Verbalizing the implied
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Seeks to make clear that which is not understandable.
ex.: "I'm not sure I understand how you think that not taking your medicine ultimately benefits you?" |
Clarifying
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Attempt to clarify the relationship of events in chronological order and to time
ex: "Was this before or after?" When did this happen?" |
Placing the event in time or sequence
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Organizes and sums up what has been discussed
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Summarizing
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Concentrates on a single point or issue
ex: "Let's talk about how you really feel about having to take medication." |
Focusing
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Expresses uncertainty as to the reality of the pt's perception
ex: "Well, I'm not sure that i understand that..." "That's a very uncommon occurrence but tell me more..." |
Voicing doubt
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Delves further and deeper into a particular subject or idea
ex: "Tell me more about your experience at the clinic" |
Exploring
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Repeats the main idea communicated and prevents misunderstandings
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Restating
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The unconscious exclusion of a painful thought, feeling, memory or impulse from awareness?
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repression
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Conscious, deliberate forcing of unpleasant,anxiety-producing experiences from consciousness
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suppression
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An attempt to explain and/or justify one's idea, actions and feelings into a plausible, believable light. May sound like excuses; form of self-deception.
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rationalization
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Discharge of pent up feelings onto something or someone else in the environment that is less threatening than the original source of the feelnig
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displacement
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Separation and detachment of emotional significance and affect from an idea or situation
ex: Rape victim describes her rape experience with a bland, flat affect. |
dissociation
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Painful or anxiety producing experiences or realities are blocked from consciousness.
ex: Man reacts to son's death "No, this couldn't be so. The Dr. said he was fine." |
Denial
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Unconscious substitution of constructive and socially acceptable activity for unacceptable strong impulses. These impulses are often sexual or aggressive in nature.
ex: Hostility is displayed in sports or debate" "A women with strong sexual impulse becomes a sculptor." |
Sublimation
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Attributing one's own unacceptable motives or characteristics to another person, group, objects or situations. Often sounds like blaming.
ex: Man is attracted to other women and blames wife of being flirtatious. |
Projection
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Returning to a previous level of adaptation
ex: A stressed adolescent curls up in bed with a teddy bear and wants to be nurtured by his mother |
Regression
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Unacceptable desires are kept from awareness by adopting the opposite behaviors in an exaggerated way.
ex: An individual shows extreme concern for someone he does not like |
reaction formation
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Overuse of abstract thinking, excessive details or generalization to control or minimize painful feelings.
ex: A man facing a divorce engages in a lengthy and lofty disclosure about divorce statistics and without mentioning feelings. |
Intellectulization
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Atonement for or attempt to dissipate unacceptable acts or wishes.
ex: A women has an affair and then buys her husband an expensive watch. |
Undoing
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Incorporation of the image of an emulated person, then acting, thinking and feeling like that person (unconscious mental mimicry)
ex: Gang members dress like their leader and steal like the leader does. |
Identidication
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Counterbalances for deficiencies in one area be excelling in another.
ex: Man fails in sports but studies hard and excels academically |
Compensation
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Deal with emotional conflicts or stressors by focusing on amusing aspects or ironic aspects with humor
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Humor
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Results in a polarized image of self/others as either all good or all bad
ex: Patient tells Nurse A she is the best, prettiest, etc and tells Nurse B she's the worst, meanest, etc |
Splitting
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Devotion of self to serving others as a way to manage stressors; gratifying but not self-sacrificing.
ex: Nuns/priests serve others for unselfish reasons |
Altruism
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Transforming anxiety on an unconscious level to a physical symptom that has no organic cause
ex: A doctoral student develops laryngitis on the day he is scheduled to defend his dissertation |
Somatization
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