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OTA 220 chapter 10
Occupational therapy
26
Other
Undergraduate 2
04/21/2012

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Term
Therapeutic use of self
Definition
Being aware of oneself and of the patient and being able to control what one communicates
Relationship btw patient and health care worker is not equal one
Purpose is to help the patient identify their problems and, set goals, and work toward their problems, and work towards goals.
Term
Therapeutic relationship
Definition
Trusting connection and rapport established btw therapist and client through collaboration, communication, therapist empathy mad mutual respect.
Term
Therapeutic qualities
Definition
1. Empathy
2. Sensitivity
3. Respect
4. Warmth
5. Genuineness
6. Self-disclosure
7. Specificity
8. Immediacy
Term
Empathy.
Definition
To understand how the person feels, see the world from the patients perspective. Requires a kind of bonding. Patient believes the therapist truly understands
For empathy to be effective, it must be genuine
Term
Sensitivity
Definition
Alertness to the patients needs nd awareness of your effect on him or her.
Tuned in to patients facial expression and nonverbal behavior
"zen of therapy"
Term
Respect
Definition
Patient requires Respect and recognition as a unique individual with personal interest and values that maybe different from those of OTA
Different culture hav different expectation
Term
Warmth
Definition
Sense of friendliness, interest, and enthusiasm the therapist conveys. Ex smiling eye contact, leaning forward, touching, tone of voice. the therapist must show warmth differently in vary with situation
Term
Genuineness
Definition
Ability to be oneself openly. Therapist must first be aware of themselves and be comfortable with who they are.
Not afraid to make mistakes or not knowing the answer to every question and r willing to admit it.........
Term
Self-disclosure
Definition
Practice of revealing things about oneself. Private facts and feelings. Even the score and allow patients to know more about OTA. Reveal only revalent information. Timing is important,
What not to disclose personal identification, or burden the patient
Term
Specificity
Definition
Art of stating things simply, directly, and concretely, focusing only on what is relevant.
Ex therapist says when u walk away from me when I am talking, I get the feeling u don't want to listen to me......vs u r hostle......direction should be concrete.
Term
Immediacy
Definition
Practice of Giving feedback right after the event to which it relates
Term
ALOR
Definition
Acronym for processing feedback
Ask
Listen
Observe
Reflect
Peer supervision from an equal is easier to hear than from a supervisor
Term
Techniques for relating to patients
Definition
1.make initial contact brief
2. Chooses words carefully
3. Be comfortable with silence
4. Encourage by minimal response
5. Listen and observe
6. Summarize and focus
7. Ask for clarification
8. Follow through on promises
Term
Transference
Definition
Occurs when one person, usually the patient, unconsciously relates to the other, usually the therapist, as if the person was someone else, usually an nip portent person in ttheir life.
Ex patient may begin to act as if the therapist were her older brother who always took care of her and mediated her conflicts with friends
Term
Countertransference
Definition
Occurs when the other person, usually the therapist, unconsciously falls into that role
Ex therapist do special favors for the patient and step into her quarrels with peers.
Term
Issues that arise in therapeutic relationships
Definition
1. Transference and Countertransference
2. Dependence
3. Stigma
4. Helplessness, anger, and depression
5.sexual feelings
6. Fear and revulsion
Term
Dependence
Definition
Depend on staff members, whom they perceive as having more knowledge 3 types of independence, 1. detrimental 2. Constructive 3. Self
Term
Detrimental dependence
Definition
Excessive dependence by the patient
Term
Constructive dependence
Definition
Is more productive, patient relies on health professional to provide something that the patient cannot manage
Term
Self dependence
Definition
Ability to depend on oneself,to identify and solve ones own problems synonymous with independence
Term
Stigma
Definition
Social disapproval. Associated with mental disorders, because of the unusual behaviors associated with these disorders.
People who look and act differently poor risk for mate.
Gasp when u see someone with a disfigurement .
OTA work with patients who may be stigmatized by society
Term
Helplessness, anger, depression
Definition
"save the world fantasy" therapist realize that some patients are severely disabled and no amount of therapy will fix them. Therapist can join a support group to help cope.
Term
Sexual feeling
Definition
Common for patients to develop sexual feelings towards therapist. Confused about therapist warmth and understanding therapeutic relationship with a sexual one.
Term
Fear and revulsion
Definition
Contact with psychiactric patient can bring up extremely difficult feelings of fear and revulsion or contempt.
Contagion from patien AIDS, disease
Repulsed by patient who committed an act of violence against another
Term
Ethics
Definition
Set of principles that guide the practice of a profession
Rules and guidelines
The patient is the person to whom the professional has the greatest obligation, based on trust,
Term
7 Guilding principles of OT code of ethics
Definition
1. OT personnel demonstrate concern for safety and well being of the recipients of their services
2.OT shall take measures to ensure a recipient safety and avoid imposing or inflicting harm(nonmalefience)
3. OT shall respect recipients to assure their rights confidentiality( autonomy of confidentiality)
4. OT shall achieve and continually maintain high standards of competence( duty)
5. OT shall comply with laws and association policy guiding the profession of OT (procedural justice)
6. OT shall provide accurate information about OT services(veracity)
7. OT shall treat colleagues and other professionals with fairness, discretion, and integrity(fidelity)
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