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How are the inter-connections in a family strengthened and give a sense of belonging?

Family inter-connections are forged through learning to manage life challenges that having a disability can bring


For trans-tibial clients, what relationships are important and directly contributing to the well-being of the client?

Supportive Family and Friends


What is empathy?

Ability to put ourselves in another’s place


What are the four attributes of empathy?

• Perspective-taking
• Staying out of judgment
• Recognizing emotions
• Communication our understanding of emotions


What does empathy make possible relationally?



How does Empathy work as expressed in the acronym H.E.A.R

• H = Here….as in be here now
• E = Experience your experience & theirs
• A = Acknowledge your experience by naming it
• R = Respect…as in be respectful of their experience
• R = Reflect back what you are hearing with questions


What is gratitude?

The quality of being thankful, readiness to show appreciation for and to return kindness


What is sexuality?

• Integral aspect of humanity
Quality of life
Unique to each individual

• Encompasses
Sex, identity, roles, intimacy, sexual orientation, values, & relationships

• Influential factors
Biological, psychological, social cultural, & spiritual


What is Sensuality?

• 5 senses
• A feeling, a sensation, an interpretation, an impression made
• A way of feeling and being


What is Intimacy?

• A close, familiar, and usually affectionate or loving personal relationship with another person or group
• An amorously familiar act
• Sexual intercourse


What is good practice for a clinician around sexuality?

• Be direct about topics like sexuality and intimacy
• Be open and honest
• Be clear and use correct terminology
• Know your disabilities and think outside of the box
• Know where clients could go to for resources


How is resiliency defined by Walsh in 2006? (Slide 1 of ‘Resiliency and the Family’)

The capacity to rebound from adversity


How does resilience differ from desperately hanging on to some moral strength and tenacious fortitude?

Resilience is the ability to bounce back after accepting something negative and being brought down. Hanging onto moral strength and fortitude could mean denial and never accepting being brought down, thus there is no bouncing back.


Individuals with Down syndrome experience the same sequence of physical and hormonal changes associated with puberty as other people of their age. However, there is often a lag in the development of the following areas:?

• Development of social maturity
• Emotional self-control
• Social communication
• Abstract thinking
• Problem solving abilities


“Self-Esteem describes how individuals feel about themselves….A person with strong self-esteem is more likely to feel how after an injury???

• "...feel in control of his or her life and be more motivated to be an active participant in health care...”
• Shame


Which is not a way to engage family members in treatment when the child need’s a helmet for Plagiocephaly???

• Tips to engage family

o Parents can hold child when being casted or scanned
o Letting family pick out helmet design and strap colors
o Engage family in distraction of baby while casting or scanning
o Following up with parents on possible concerns


According to one survivor, what positive valuation of or insight into relationships can develop?

Relationship can become strengthened?


What organ in a burn survivor can be most challenging for a burn survivor when having intercourse and why?

Reproductive organs, because they may have compromised vascular flow


Which of the following is not a reason why family is important when someone has a transfemoral amputation?

• Importance of Family

o Fears of rejection
o A positive approach matters
o The role of valued relationships in recovery


What is the number one challenge a person with cerebral palsy experiences when having sex?



Which one of the five issues affecting sexuality after a stroke does not belong?

• Fear of another stroke
• Decreased libido
• Immobility
• Depression
• Damage to sex areas in the brain


What are three effects of shame on a person’s wellbeing and relationships?

• Fear
• Blame
• Disconnection


What is not a factor of Shame resilience?

• Skills to support being resilient to shame:

o Recognizing shame and personal triggers
o Practicing critical awareness
o Reaching out
o Speaking shame


What helps someone move from shame to empathy?

• Vulnerability
• Courage, compassion, connection


What does the concept of individuation mean in the life of an adolescent?

Moving from being largely dependent on others to being largely dependent on oneself (autonomy)


What are the challenges of an adolescent with a disability?

• Higher rates of unemployment
• Greater social isolation
• Reduced quality of life
• More likely to live with family


What is not a change in lifestyle for a burn victim relationally?

• Limitations in physical ability
• Loss of independence
• Separation from family and friends while in the hospital
• Difficulty in returning to work or school


Which of the following is not a good idea relationally when working with burn victims as a clinician?

• Professional
• Easy to talk to/make patients comfortable
• Know what you will be doing and why
• Encouragement to lift self esteem


What percentage of people with Cerebral Palsy have physical problems with sex, want information about the impact of CP on sexuality and reproduction?



The age gap where it is essential to discuss human sexual development with people whether to not they have a disability is ________?

12 – 25 years old


What might not be a good question to ask of your clients when trying to evoke their resilience?

• Questions that are not positive and working towards recovery. Questions that focus on the negative aspects of the incident.
• Good questions to ask:
• What kinds of events have been most stressful for me?
• How have those events typically affected me?
• Have I found it helpful to think of important people in my life when I am distressed?
• To whom have I reached out for support in working through a traumatic or stressful experience?
• What have I learned about myself and my interactions with others during difficult times?
• Has it been helpful for me to assist someone else going through a similar experience?
• Have I been able to overcome obstacles, and if so, how?
• What has helped make me feel more hopeful about the future?


What aspect of identity orientation base their identity on group membership as well as value interdependence and the group over themselves…”?

Higher collectivistic orientation individuals


Who are the biggest advocates for children with disabilities typically?



What is it that the person post-amputation and as a prosthesis user desired from friends and family that is of psychological importance in developing their self-worth and sense of normalcy?

Allowing the person independence and treating them as if they did not have an amputation as well as assisting and helping in relearning how to do tasks


What do people who have had transtibial amputations share that they wish they could have more than anything in their relationships?

Bonds, Support Systems, Psychological Support


When caregivers share their confidence that the amputee will be able to overcome the challenges he or she faces, as opposed to treating the person as a helpless victim, the patient will have likely have ___________than an individual that does not have a robust and affirming support system?

A more positive attitude


“When you define sex only in terms of ___________________, then you’re unlikely to discover the wide-ranging power of subtlety. The more I learned to relax, to put my attention fully on my body – to feel – then even the most delicate sensations became extremely powerful. What’s not possible suddenly didn’t matter so much.” – Gary Karp, paraplegic

Intense sensation


Why did Stacy Dukes say that sometimes it is important to turn down help as a disabled person?

By always accepting someone’s help, you will not develop a sense of independence because you will always rely on other people and not learn how to do things yourself.


What did Eric’s Mother say that family members usually feel when they act upset?



What is not advisable to do when working with children?

To take too long of a time


What did both of the Polio Survivor women’s husbands stress to you as CPO’s?

Listen to them


What did Natalie’s Dad express as one of the more challenging aspects of him and his wife dealing with their daughter’s condition?

They thought she was going to die. Thought she wasn't going to live a full life.


Why did Jamie fire her first CPO?

He didn’t listen to her


What did the two adopted children love to talk about more than anything?

• Cars
• Languages


The World Health Organization (WHO) defines health as________?

A complete state of physical, mental and social well-being and not merely the absence of disease or infirmity


Which contemporary disablement framework views disability as a combination of biological, psychological and social factors?

Biopsychosocial model


Which is not a question that you have learned as a class from your guest speakers and clients this quarter when it comes to assessing relational strengths with children and their families?



Which is not a question that you have learned as a class from your guest speakers and clients this quarter when it comes to assessing relational strengths with adults and couples?



What’s percentage of disability in the US?



What percentage of households with a person 65+ years of age have a disability?



How many times greater (ie 1x, 2x, 3x, etc) are families with multiple disabilities likely to be living in poverty than their counterparts with no disabilities?

(week 2 lecture)