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