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psychosocial
psychosocial
92
Psychology
Graduate
03/16/2011

Additional Psychology Flashcards

 


 

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Term
holistic view
Definition
mind, body and spirit

prior publications the spiritual aspect of this triad was not addressed.
Term
physical and mental functioning can provide
Definition
valuable info. for understanding his/her spiritual functioning
Term
identifying patient needs
Definition
info. about patient's thought patterns, content of speech, affect, cultural orientation, social relationships and customs assist with this
Term
practitioners recognize
Definition
interdependence of
body
mind
emotion
spirit
environment

and work toward the health of those parts simultaneously
Term
OTs view health as...
Definition
the total condition
one that can't be divided into physical, mental or social health-of a biophysical being
Term
spirituality deals with...
Definition
life principles that pervade and animate a person's entire being, including emotional and volitional aspects of life.
Term
assessment should include
Definition
spirituality
Term
when integrating spirituality
Definition
assessment must be inter-faith and ecumenical
Term
3 components of spirituality
Definition
1. relationships (both intra- and interpersonal
2. a personal value system
3. a purposeful, meaningful life-also referred to as personal well-being
Term
without motivation a person...
Definition
does not seek a spiritual life and does not engage in meaningful occupation
Term
motivation depends on ...
Definition
hopefulness of the individual
Term
hope is ...
Definition
dependent on one's spiritual life.
Term
essential ingredient in patient wellness and spiritual health
Definition
motivation
Term
who developed the OT practice framework?
Definition
the commission on practice in 2002
Term
initial step in evaluation
Definition
provides an understanding of the patient's occupational history and experiences, patterns of daily living, interests values and needs.

patients's problems and concerns about performing occupations and daily life activities are identified and priorities are determined.
Term
framework describes context as
Definition
the overarching influence on the treatment process, includes the patient's spiritual locus of control and well-being, personal beliefs, level of spiritual maturity and religious tradition and values
Term
framework does not define
Definition
holism
Term
holistic is used when
Definition
the focus is on the whole person
an integration of body, mind, feelings, spirit and lifestyles as well as the physical and social environment of the individual and the interdependence of these factors in growth and change.
Term
goal of an activity
Definition
positive wellness of the person-senses of heightened well-being and fitness
Term
to be healthy
Definition
is to be whole
Term
spirituality is...
Definition
an occupation-not a performance component
Term
occupations have
Definition
personal meaning
contextual
temporal
psychological
social
symbolic
cultural
ethnic
spiritual dimensions
Term
info gathered about a person's spirituality should
Definition
describe the patient's spiritual journey and illness experience and address the here-and-now
Term
journal work aims to
Definition
assist the patient in gaining insight and understanding into his or her inner an outer worlds
can encourage holistic view of patient's motivations, perceptions of his or her world and a review of his or her life and the relevance that it has on the present situation
Term
dimensions according to AOTA considered in the delivery of health care
Definition
cognitive
physical
spiritual
emotional
contextual


book uses psychological
behavioral
learning
biological
Term
using the integrative approach the OT views assessments according to
Definition
the four dimensions
(psychological, behavioral, learning and biological)
Term
each of the four dimensions is defined
Definition
in the context of occupational therapy drawing upon theories and frames of reference
Term
psychological dimension
Definition
the ability to process info. from past events and information currently available.. to view one's self, others and one's life situation realistically

it is influenced by and derived from the emotions and feelings of the human experience
Term
object relations
Definition
Mosey coined this term

describes a person's relationship to people and occupation-the person's ego function

helps to identify patient needs and body image and to gain insight
Term
psychological dimension
Definition
the ability to process info. from past events and information currently available.. to view one's self, others and one's life situation realistically

it is influenced by and derived from the emotions and feelings of the human experience
Term
most effective way of evaluating occupational performance
Definition
with projective media such as painting, drawing, etc.

psychological dimensions can be measured this way.

although the patient is able to project his or her unconscious needs into symbolic images, it is the responsibility of the therapist to observe the manner in which the task is completed.
Term
projective assessments that have been developed
Definition
Azima
Shoemy
Fidler
BH Batteries
Goodman Battery
Carol Lerner's Collage Scoring System
Build a City

little has been done to advance the use of this type of test.
Term
care to be taken with projective testing and religion
Definition
many times projective media will facilitate the expression of religious content.

Careful with mentally ill patients to determine between a mystical and religious delusions

mystics describe their experience as ecstatic and joyful. (serenity, wholeness, transendence and love are words used)

both mystics and psychotics experience a break from reality. mystics will return to normal but psychotic will be taken into deeper distress over a religious delusion.

mystics are often respected individuals in the community
Term
psychotics vs. mystics
Definition
psychotics interpret religious experience with grandiosity and inflated egotistical importance-may have a message from god or have some spiritual powers

mystics experience a state of calm, loss of pride and emptying of the self
Term
behavioral methods
Definition
reinforcement
modeling
token economies
desensitization
biofeedback
stress management

works in OT from
Reilly
Mosey
Fidler
Kielhofner
Term
behavioral dimension
Definition
draws on theories of cognitive, behavioral, social and learning sciences

therapist is concerned with the role the environment plays in the acquisition of behavior for occupational performance. Behavior in context
Term
dimension in which environment is most closely examined
Definition
behavioral

the patient's lifestyle and life space can influence the acquisition of behavior
Term
socialization looked at in the behavioral dimension
Definition
socialization IS NOT a skill but an occupation that an individual acquires through interaction with the environment. communication and group interaction are attributes evaluated in this dimension.
Term
behavioral assessment
Definition
environmental barriers examined

generally done through history taking with interviewing techniques and checklists

The patient's spirituality are included in this dimension-religious attendance, volunteering, engaging in activities that have deep spiritual meaning are expressions of a patients spirituality
Term
two diffs between behavioral and learning dimension
Definition
method of administration
method of assessment

behavioral assessments are administered by interview or by interview and task performance
Learning assessments are administered by task only

learning assessments use scales or some form of measurement to compare scores
behavioral assessments generally do not.
Term
two factors to be concerned with when using a learning assessment
Definition
patients cognitive function
patient's level of skill development
Term
cognitive functions
Definition
have a direct bearing on a patient's performance-the ability to learn

is a biological dimension, not a skill function

therapist is interested in performance of a skill not how the patient acquired the skill
Term
assessments that measure skill do not
Definition
measure cognitive functions
Term
assessments of learning
Definition
involve a task that simulates a life skill

functions that are assessed in the learning dimension are work skills, ADLs, leisure and social skills
Term
what distinguishes a learning assessment from all other occupational therapy assessments
Definition
assessment involves a task that simulates a life skill
Term
examples of learning assessments
Definition
milwaukee evaluation of daily living skills
work capacity evaluation
paracheck
the kohlman evaluation of living skills
the performance assessment of self-care skills
the comprehensive occupational therapy evaluation
community adaptive planning assessment
Term
four dimensions of assessment
Definition
psychological
behavioral
learning
biological
Term
biological dimension
Definition
received most amount of research

concepts can easily be observed and measured
also referred to as the biomedical model

asserts that abnormality is an illness of the body

ACL is one example-lacing
Term
brain vs. mind
Definition
brain-collection of physical structures that gather and process sensory

the mind is the phenomenon of thoughts, memories and emotions that arise from the perceptual processes of the brain

the brain makes the mind

all that is meaningful in human experience and spirituality happes in the mind

limbic system is integral to religious and spiritual experience
Term
association areas in the brain
Definition
cerebral cortes
visual-orientation-attention-verbal

they relate to each other and can have an effect on the patient's sense of self, emotional response to the activity and the ability to express religious beliefs.

if area is affected by trauma, stroke, depression, alcoholism or drugs the therapist needs to know the relationship to the patient's faith tradition

OT-Qiest Assessment is in this dimension
Term
two steps of evaluative process
Definition
occupational profile
analysis of occupational performances
Term
resources that therapists use for data gathering
Definition
medical sources
interviews
standardized and unstandardized tests
patient
family
cultural, spiritual and medical through assessments
Term
in order to get a holistic profile a therapist may...
Definition
need to work from different frames of reference and use multiple assessments.
Term
guidelines used during assessment process
Definition
the framework
Term
Ira Progoff
Definition
psychologist who specialized in development of therapeutic writing applications

emphasized importance of daily logs, meditations, life dimensions, spirituality , dreams and reflections.
Term
current research on therapeutic applications of writing are largeley focused within
Definition
psychology and counseling and are based on the use of various writing techniques in both individual and group therapy
Term
reflective writing is used mostly
Definition
in academics to promote critical-thinking skills
Term
Wright and Chung defined writing therapy
Definition
as client expressive and reflective writing whether self-generated or suggested by a therapist/researcher
Term
Pennbaker study
Definition
undergraduates wrote about traumatic events and had improved physiological responses.
Term
Brady and Sky study
Definition
a qualitative study of 15 older learners found that journal writing facilitated improved personal coping skills with daily life.
Term
Hall and Hawley
Definition
conducted study on the use of interactive process notes (IPN) which involved peer sharing of personal writing within a group setting. Might facilitate increased patient insight, yet drawbacks include questions of confidentiality among the patient, peers and the group facilitator.
Term
Wright reviewed research on outcomes of therapeutic writing and found...
Definition
benefits including
1. greater patient control within the therapeutic relationship
2. the provision for an outlet of emotional expression and
3. increased patient participation in the healing process
Term
examples of applications of therapeutic writing
Definition
poetry
bibliotherapy
expressive forms of writing
structured workbooks
Term
research and writing on the use of meaningful occupations within the context of therapeutic relationship
Definition
very little is written on this
Term
Models of theory that stress the importance of meaningful occupational engagement within the therapeutic context
Definition
Person-Environment-Occupational Performance (PEOP)
Ecology of Human Performance Process Model
Model of Human Occupation (MOHO)

through use of a journal patient is afforded opportunities to express personal thoughts, feelings and ideas in a context that may feel safer than direct self-report.
Term
Haiman, Lambert and Rodrigues
Definition
wrote of the benefits of using various expressive techniques such as poetry and journal writing in ADOLESCENT mental health occupational therapy and suggested that writing encourages emotional expression and personal exploration
Term
assessments
Definition
reflection of patient function in a particular context and time.
Term
L'Abate presented four types of writing assignments often used in therapy
Definition
1.open-ended writing
2. focused writing
3. guided writing
4. programmed writing
Term
journal used within the psychodynamic approach
Definition
therapist serves as a guide within this approach-not an analyst

a collaborative relationship with the patient to mutually assume responsibility for assessment, ID of intervention goals and development of an intervention plan and work together during the process.
Term
stream of consciousness
Definition
comes out of psychodynamic principles of Freud

flow writing-write whatever is on your mind
expressive writing and dream exploration

encourages creative spontaneous expression including drawing
"map of consciousness"

idea introduced and patient is encouraged to write or draw whatever comes to mind.
Term
flow or free writing
Definition
used to denote writing techniques within the journal that encourage the free expression of thought over a period of time. pt. may be given specific topic or alloted time.

access the unconscious
Term
expressive writing
Definition
writing of stories, poetry and narratives

exploration through use of writing and drawing expercises

Dr. Lucia Cappachoine has written about writing with the nondominant hand

may tap into some unconscious creative areas that are not often used. Should explore personal expression regarding topics of meaning, areas of difficulty and plans for future goals.
Term
psychodynamic approach warnings to journaling
Definition
therapist must uphold the importance of developing patient insight

expressive entries must be considered in the context of the environment, patient factors and personal meaning

collaborative relationship, identifying themes that may be of importance with relationship to life history, current experience and therapeutic goals.

if used in assessment therapist should assure that the writing does not bring up issues or questions that compromise the patient's ability to cope
Term
cognitive behavioral journaling
Definition
assumes that:
1. thinking influences behavior
2.thinking can be self-regulated
3. desired behavioral change may occur through structured learning and acquired skills

structured homework assignments
daily personal tracking
teaching of coping skills (meditation)

the development of personal insight and skills in order to maximize function and quality of life through the development of oping skills and meaningful healthy occupational patterns
Term
purpose of journal homework
Definition
part of an ongoing assessment and intervention process within individual or group therapy.
Term
purpose of lists
Definition
self expression (10 things I am stressed about)
problem solving
development of insight

"steppingstones" Progoff - journal writers are encouraged to list significant events that have occurred in their lives. List of steppingstones is akin to looking at personal marker in one's life, a practice that fits well not on ly into the cognitive behavioral frame of reference but also into developmental theories and frames of reference.
Term
lists unfold into 3 parts (Adams)
Definition
1. things held in the conscious mind (generally the first third of the list)
2. repetition and themes that arise in the list and
3. Things that arise from the subconscious

extensive lists may be used within the journal in order to assess for themes, info. , insights, and consideration for future goal planning.
Term
clustering
Definition
writing technique that may be used to organize thoughts and feelings around a particular topic

use of cognitive mapping strategies and involves the connection of words and topics to similar words and topics
highly structured and limits free expression of thought-good tool for organizing thoughts and beginning exploration of a particular topic.
Term
dialogue in a journal
Definition
used in order to explore relationships with other persons, with the self, or with inanimate objects.

used to help finish unfinished business, a significant event, or some area that needs more insight

Progoff-dialogue with persons (relationships)
works (significant activities in life), the body, society and events

Adams- emotions, objects, subpersonalities/symbols and areas of resistance-need to be in right state, meditation, gentle on self in the process

questions to follow with therapist
Term
unsent letters
Definition
similar to dialogue
a letter to someone (one-way communication)
good tools for the three Cs
catharsis
completion
clarity

helps bring closure

can be used for unsending or for a pre-sending type of letter
Term
something to be avoided with unsent letters
Definition
overuse

because they may encourage a preoccupation with the journal and avoidance of actual expression of feelings to those in the communication
Term
reflective writing
Definition
progoff-importance of revisiting the journal in order to develop new insights and add new entries based on reflections of previous writing.

EX: double entry utilizes half a pagefor the actual writing and leaves half the page blank for future reflections and insights.
Term
dialectical behavioral therapy
Definition
DBT a broad cognitive behvioral strategy originally designed to treat patients with borderline personality disorder,has been applied to other populations.

Linehan developed the method based on the premise that individuals who have lived in invalidating environments often develop maladaptive skills for coping and emotional regulation.

involves weekly psychotherapy as well as intensive group session designed to teach adaptive coping skills, emaotional regulation, interpersonal effectiveness and assertiveness training.

Use diary card to track incidents, events and reactions and in retrospect often evaluate their performance in the situation.
Term
additional considerations within the cognitive behavioral frame of reference
Definition
homework designed to
1. bring about awareness
2practice adaptive skills
3. develop an internal locus of control designed to follow through with the skills throughout life.
Term
factors necessary for individual capacity and willingness to reflect including
Definition
1.developmental level
2. perceived trustworthiness of the teacher (therapist)
3. the clarity of expectations
4. the quality of the feedback process
Term
section of the framework that acknowledges the spiritual dimensions of our lives
Definition
the contexts section
Term
stages of therapeutic change:
Definition
1. the reflection stage
2. the cognitive reconstruction stage
3. creative construction stage
Term
patients should
Definition
be encouraged to partake in self-assessment
Term
therapist needs to
Definition
provide clear expectations and feedback regarding the purpose of the journal
the means by which it will be used
the expectations ad
the depth of reflection expected

collaborative and clear expectations are critical to maximize journal use
Term
journal as assessment-intervention should
Definition
have meaning to client
consider the process and product of the journal within the Framework
be linked to evaluation and intervention goals aimed at improving occupational performance, life satisfaction and quality of life
Term
journal as assessment-intervention should
Definition
have meaning to client
consider the process and product of the journal within the Framework
be linked to evaluation and intervention goals aimed at improving occupational performance, life satisfaction and quality of life
Term
considerations when journaling with a group
Definition
confidentiality codes
freedom to determine how much will be personally shared
provision for a structured group process, conversation and conflict management should an uncomfortable topic emerge
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