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Pre-Interaction Phase
Obtain Information; examine ones feelings about working with the client TERM 2
Orientation (Introductory) Phase
DEFINITION 2 Create environment of truth, rapport; establish contract; gather info; identify pt strengths/limitations; make diagnoses/set goals/make plans/ explore feelings TERM 3
Working Phase
DEFINITION 3 Maintain trust and rapport; promote client insight and perception of reality; use problem solving model; identify client behavior/anxiety provoking topics; evaluate progress. TERM 4
Termination Phase
DEFINITION 4 Progress made to attain goals; discharge established; feelings about term explore; may both feel loss/sad TERM 5
Therapeutic Use of Self
DEFINITION 5 Ability to use ones personality consistently and to full awareness in attempt to establish relatedness/structure interventions.
Transference
Unconscious emotional reaction to a current situation tha tis actually based on previous experiences. TERM 7
Counter Transference
DEFINITION 7 Opposite of Transference TERM 8
Definition of Mental Health
DEFINITION 8 Successful adaptation to stressors from internal or external environment, evidenced by thoughts, feelings and behaviors that are age appropriate and contruent with local and cultural norms. TERM 9
Etiology of Mental Disorders
DEFINITION 9 Biological, psychological,and social and cultural factors TERM 10
Compensation
DEFINITION 10 Covering up real of perceived weakness by emphasizing a trait one considers more desirable.
Isolation
Separation of thought or memory from feelings associated with it TERM 17
Projection
DEFINITION 17 Attributing feelings or impulses unacceptable to oneself to another TERM 18
Rationalization
DEFINITION 18 makes excuses or reasons to justify unacceptable feelings or behaviors TERM 19
Reaction Formation
DEFINITION 19 A conscious behavior that is the exact opposite if an unconscious feeling TERM 20
Regression
DEFINITION 20 In response to stress, retreat to earlier stage of development
Repression
Involuntary blocking unpleasant feelings/experiences from awareness TERM 22
Sublimation
DEFINITION 22 Rechanneling of drives or impulses into constructive activities TERM 23
Undoing
DEFINITION 23 Consciously doing something to counteract or make up for a transgression or wrongdoing TERM 24
Mental Health Procedures Act
DEFINITION 24 States whether the commitment is Voluntary or Involuntary and how long the stay will be TERM 25
DEFINITION 25 Voluntary Commitment
Therapeutic Use of Self
Ability to use one's personality consistently and to full awareness in attempt to establish relatedness/structure interventions. TERM 32
Empathic Communication
DEFINITION 32 Able to see beyond outward behavior and sense accurately another persons inner experience Put yourself in someone elses shoes, dont add your own stories in though. TERM 33
Types of Questions
DEFINITION 33 Open- Ended questions Not closes "yes" and "no" questions TERM 34
Congruent Communication
DEFINITION 34 When feelings match actions TERM 35
Confidentiality
DEFINITION 35 Protected by the 4th, 5th, and 14th amendments. Only those caring for the patient should access the info.
Benefits of Group Therapy
Efficient use of resources Cost Effective It is logical, it is how we live our lives 11 Curative Factors TERM 37
11 Curative Factors
DEFINITION 37 Instillation of hope, universality, imparting information, altruis, corrective recapitulation of the family group, developent of socializing techniques, imitative behavior, interpersonal learning, catharsis, existential factors, group cohesiveness TERM 38
Instillation of Hope
DEFINITION 38 By ovserving th eprogress of others, the group member gains confidence that his problem can be resolved too TERM 39
Universality
DEFINITION 39 Client learns that he is not alone TERM 40
Imparting Information
DEFINITION 40 Formal- Information provided by the leader Informal- Information provided by members
Catharsis
Discharging or extreme emotions TERM 47
Existential Factors
DEFINITION 47 Life isn't fair The good guys dont always win No matter how much love and support we receive, we must die alone We must decide what quality of life is for us We must accept responsibility for our lives. TERM 48
Group Cohesiveness
DEFINITION 48 Sense of belonging, of being valued as a member TERM 49
Behaviors that slow group
processes
DEFINITION 49 Monopolizer Complainer Demoralizer Silent Member TERM 50
Initial Stage of group Development
DEFINITION 50 Anxiety: Do I really want to be here? How much should I say? Cliques or Subgroups Try to change the purpose, set norms Compete for the attention of the leader Nurse provides structure, encourages participation, refocuses, addresses anxiety
Middle Stage of Group Development
Groups move toward cohesion, Members offer feedback, reframing alternative solutions, members reinforce group norms, members take emotional risks, members talk a lot leader talks less, members can tolerate anxiety, constructive feedback, members identify one another's strenghths and weaknesses TERM 52
Termination Stage of Group Development
DEFINITION 52 Explore the way members characteristically deal with loss and separation. Review wha tthe group has accomplished and how members have changed. Clarify issues members still have to work on. Discuss resources to enhance coping after termination or discharge. Ask members to evaluate the group experience. TERM 53
Community
Meeting
DEFINITION 53 Clients participate in a daily community meeting. Goals: Review unit rules, set goals, gain or lose privelages, recieve feedback Peer pressure is used TERM 54
Activity Groups
DEFINITION 54 Provide diversion and or tension release as a part of a plan of care for a hospitalized client. Rekindle interest in life for the withdrawn and regressed Facilitate social interaction, reduce social isolation, and enhance self-esteem TERM 55
Behavioral Change Group
DEFINITION 55 Help client to cope more effectively with a problem behavior or condition. Both clients and leader offer suggestions for behavioral change. Typically includes an emphasis on teaching
Cognitive Therapy Group
Identify and express core beliefs about self, others, and the world. Identify, discuss, and reframe cognitive distortions Decrease frequency of distorted thoughts Increase reality based thinking TERM 62
Trust vs. Mistrust
DEFINITION 62 0-18 months To develop basic trust in mothering figure and generalize to others. TERM 63
Autonomy vs. Shame and Doubt
DEFINITION 63 10 months to 3 years To gain some self control, independence within the environmment TERM 64
Initiative vs. Guilt
DEFINITION 64 3-6 years To develop a sense of purpose and ability to initiate/direct own activities TERM 65
Industry vs. Inferiority
DEFINITION 65 6-12 years To achieve a sense of confidence by learning, competing, performing, successfully receiving recognition from significant others, peers, acquaintances
Identity vs. Role Confusion
12-20 years To integrate tasks mastered of previous stages into secure sense of self TERM 67
Intamacy vs. Isolation
DEFINITION 67 To form an intense, lasting, relationship/commitment to another person, cause, institution, or creative effort TERM 68
Generativity vs. Stagnation
DEFINITION 68 To achieve ones goals and consider welfare of future generations TERM 69
Integrity vs.
Despair
DEFINITION 69 To review ones life, derive meaning, self-worth TERM 70
Interpersonal Theory
DEFINITION 70 Personality and experiences and resulting anxiety. Self systems are developed to protect the individual from anxiety. "Good me" develops from positive feedback and approval. "Bad me" Develops from negative feedback and mild disapproval. "Not me" Develops from extreme disapproval and excessive punishment
Ego
"the reality principle" Seeks to bring influences of external world to bear upon the Id. Is the mediator among id and superego and external world TERM 77
Superego
DEFINITION 77 "the perfection principle" Develops between ages 3 and 6 years. Internalized values and morals of primary caregivers. derived from system of rewards and punishments TERM 78
Ego-Ideal
DEFINITION 78 When child is consistently rewarded for "good" behavior, self- esteem is increased and behavior becomes part of ego-ideal or internalized value system TERM 79
Conscience
DEFINITION 79 Children distinguish between right and wrong by being punished for "bad" behavior consistently TERM 80
Oral Stage
DEFINITION 80 0-18 months Behavior directed by the Id. Goal is immediate gratification of needs. Focus of energy on mouth Infant feels sense of attachment to mother but at 4-6 months starts to view self as separate
Anal Stage
18 months to 3 years Major task is gaining independence and control with particular focus on excretory function Toilet training. TERM 82
Phallic Stage
DEFINITION 82 3-6 years Discovery of differences between genders results in heightened interest in sexuality of self and others Development of Oedipus Complex (childs wish to eliminate parent of same sex, and possess parent of opposite sex) TERM 83
Latency
DEFINITION 83 6-12 years Focus changes from egocentrism to focus on group activity, learning, socialization wiht same sex peers, sexuality is repressed TERM 84
Genital
DEFINITION 84 13-20 years Reawakened labidinal drive with maturing of genital organs. relationships with opposite sex focus on relationship not self. TERM 85
Cognitive Therapy
DEFINITION 85 Client focuses on the connections between throughts, mood, and behavior Explores whether thoughts are distorted or automatic Addists the client to challenge distorted thinking and substitute reality-based thoughts
