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Ch 3 psyc

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