Building the skilled inner voice

Question 1

emotions in clinical practice

Answer 1

emotions shown to impact on patent safety
clinicians are required to actively manage their own and others emotions
emotions influence practice

Question 2

what is emotional labour comprised of

Answer 2

empathy with patients
suppressing own thinking/feeling
executive thinking

Question 3

creating our mind

Answer 3

the more open we are to our significant feelings the more likely we are to be rational

Question 4

super-conscious

Answer 4

learn clinical skills and help others much more effectively by harnessing psychological felxbiltiy

Question 5

3 conversations in any helping relationship

Answer 5

public conversation
patient/peer conversation
self-talk

Question 6

self talk

Answer 6

verbal thinking
some is preconscious or automatic
some is helpful and some isn’t
if we create negative self-statements we weaken ourselves internally through unskillful thinking

Answer 7

instantaneous sequence of hormonal changes and physiological responses to ready body for action
the hypothalamus activates the sympathetic nervous system by sending signals through autonomic nervous system to adrenal glands to produce adrenaline
then if HPA axis is activated to keep body on high alert through release of cortisol
threat passes and cortisol drops parasympathetic nervous system is activated

Question 8

what is the amygdala

Answer 8

area of the brain that contributes to emotional processing

Question 9

function of the amygdala

Answer 9

receives sensory infromation
decides if event is emotionally relevant or not
instantly sends distress signal to hypothalamus
blocks messages to and from the prefrontal cortex to maximise efficiency

Question 10

function of the hippocampus

Answer 10

coordinates memory
retrieves salient memories to reinforce the stress response

Question 11

stress: the body, mind and emotional process

Answer 11

amygdala hijacks the brain by cutting off prefrontal thinking to prepare for emergency action
creates panic
emotional alarm triggers an automatic behavioural response of fight, flight, freeze and appease

Question 12

self-compassion as self-acceptance

Answer 12

1. tendency to treat oneself kindly in the face of perceived inadequacy by engaging in self-soothing and positive self-talk
2. recognising discomfort is an unavoidable part of human experience, promotes sense connection to others in the face of feelings of isolation and disappointment
3. individuals able to face own painful thoughts without avoiding or exaggerating them, managing disappointment and frustration by quelling self-pity and melodrama

Question 13

self compassion vs high self esteem

Answer 13

not dependent on evidence of superior achievements
self esteem is situational dependent and can be variable dependent on sense of achieving or succeeding
self compassion is constant quality that is independent to how well we’re doing
bypasses self critic

Question 14

useful questions for reflecting on our skilled inner voice

Answer 14

how does it make me feel
how much do I know it makes those were interacting with feel
what are inner voices in life of others that might impact you as a clinician