Reading Change

Jan 15 Readings: Chapter 6 (not chapter 7)

Review Cognitive Distortions

Overgeneralization “All or nothing” Mind-reading or fortune-telling Personalizing “Awfulizing” Acting on “should” or “ought to”

Review Cognitive Distortions

1. Tom failed his English test on the first day of college. Now he thinks that he will never be able to pass any tests.

2. Tom was sick and he failed his math test. He thinks that he is stupid.

3. Tom thinks that he shouldn’t be angry with his friend, although his friend lied to him.

4. Tom believes that had he gone to a better university, he would have had a better career and a happier family.

5. Give an example for each distortion

Self-Esteem Do you expect people to value you, instead of being critical of you? Are you an active self-agent? Do you have positive perceptions of your skills, appearance,

sexuality, and behaviors? Do you perform equally well when being observed as when not? Are you nondefensive and assertive in response to criticism? Can you accept compliments easily? Can you evaluate your performance realistically? Are you relatively comfortable relating to authority figures? Are you generally satisfied with life? Do you have a strong social support system? Do you have primarily have an internal locus on control?

See textbook, p. 86.

Self-Esteem

Value judgment of self-concept Changeable

What kinds of behavior indicate that people have low self-esteem?

Self -Esteem in Health Care

Provide therapeutic relationships Modeling Asking positively-framed questions

Becoming centered

Help clients to develop their self-concept in developing to the best of their potential.

Therapeutic Relationship

Ch. 5

Therapeutic Relationship

A professional alliance in which the care provider and recipient join together for a defined period of time to achieve health-related goals.

Client-Centered Relationship

Care provider is the expert on healthcare, client is the expert on his/her life

Principle of Autonomy and self-determination Client chooses the personal goals and the

courses of action Encourage client’s and family member’s

involvement

Questions for Reflection

Carl Rogers, p. 93 Which criterion do you find it difficult to

live up to?

Role of the Care Provider

Self-Awareness gaining knowledge of one’s self-concept 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.)

Role of the Care Provider

Professional Boundaries Defining the time, purpose, maintain

confidentiality

Level of Involvement Over-involvement or disengagement What are the signs of these?

***transference

Role of the Care Provider

Healing Presence Empathy: to fully understand the

feelings of others without losing oneself (See Box. 5-2, p.98)

Questions about Empathy

See Box 5-2, p. 98 Point 1: Why failure to listen actively and

carefully can inhibit empathy? Point 3: Why self-checks for stereotypes

can promote empathy? Point 5: Why is it important be tentative in

your response?

Role of the Care Provider

Self-Disclosure Deering (1999)

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.

Peplau’s 4 phases of the Relationship

Orientation Phase Engagement & Assessment

Active Intervention Phase Identification & exploitation

Termination Phase Evaluation phase