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Ch 3 psyc
| 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 |
Created by:
1225581002
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