Question | Answer |
levels of consciousness | concious-aware of feelings ie:happines,
preconcious-not on top of mind but can recall ie:childhood memories,
unconcious- repressed traumatic memories that motivate behavior |
dream analysis | primary psychoanalytic tool |
free association | say 1st thing that comes to mind after a word is said |
ego defense mechanisms | freudian-operate under unconcious level |
libido | freud believed is the drving force of human behavior |
transference | unconcious-when pt displaces onto Dr the attitudes & feelings the pt origonally experienced in other relationships |
countertransference | when dr displaces onto pt attitudes or feelings from his/her past. |
interpretation of behavior | 3rd aspect of psychoanalysis |
client-centered therapy | focuses on client's self exploration & cure via supportive/nurturing pt-therapist relationship |
unconditional positive regard | nonjudgemental attitude |
genuiness | congruency b/t what RN says & what they feel toward the client |
empathy | communicated understanding |
define crisis | turning point in one's life that produces an overwhelming emotional response |
1st stage of crisis | stressor ->anxiety -> coping attempt |
2nd stage of crisis | inc. anxiety c/o ineffective usual coping |
3rd stage of crisis | tries to deal w/stressor + new coping methods |
4th stage | coping fails & pt has disequilibrium & significant distress |
types of crisis:maturational | (developmental)-predictable
ie:empty nest, marriage, new career |
types of crisis: situational | unanticipated & threatens one's integrity
ie: death of loved one, job loss, illness |
type of crisis: adventitious | social-natural disasters, rape, murder |
3 factors influencing crisis | -perception of event,
-availability of emotional support,
-adequate coping mechanisms |
timeline for crisis | self-limiting; lasts usually 4-6 weeks |
resolution of crisis: | 1-returns to pre-crisis functioning
2-functions at higher level than pre-crisis
3-regresses to lower functioning than pre-crisis. (1&2 are positive) |
crisis intervention: | -directive:assess pt helth staus & promote prob. solving
-supportive: empathetic understanding
(need balance of both when teaching) |
pregroup stage | members selected, purpose defined, structure addressed |
begining stage (groups) | starts when group meets, leader chosen |
working stage (groups) | focuses on task, may happen quickly or 2-3 sessions to build trust,group cohesiveness seen, they say "we". |
termination stage (groups) | review of accomplishments of group. Difficult to asses if members go in/out ie:AA |
growth producing group roles: | info seeker/giver, opinion seeker, energizer, coordinator, harmonizer, encourager, elaborator |
growth inhibiting group roles: | monopolizer, aggressor, dominator, critic, recognition seeker, passive follower |
psychotherapy group: formal | behavior changes & learns to intteract w/group |
rules for group | establish rules: privacy, punctuality, interaction outside of group |
open groups: | ongoing & run indefinately, members go in/out
ie:AA,MADD |
closed group: | structured, same members in group, specified # of sessions |
support groups | encouraged to socialize outside of group |
self-help groups | not structured, veryprivate (AA,NA) |
completementary therapy | therapy + medication |
alternative therapy | therapy in PLACE OF conventional Tx |
integrative therapy | combonation of conventional & CAM therapies |