OTA 110 - Ch. 9 Ther Use of Self

Question 1

RUMBA

Answer 1

A method of evaluating goal statements made for clients.

R=Relevant (reflects life situation and goals)
U=Understandable (phrased to be understood)
M=Measurable (contains criteria for success)
B=Behavioral (focus on what to DO to reach goal)
A=Achievable (likely to be able to accomplish)

Question 2

Transference vs. Countertransference

Answer 2

These are issues that arise in therapeutic relationships. Can be client-to-therapist or therapist-to-client. Can be negative or positive.

Transference= Person unconsciously relates to other as if another person of importance in their life (ie: reminds of a parent)

Countertransference= One unconsciously assumes the role transferred upon them. (Response to transference.)

Question 3

Dependence (define)

Answer 3

When patient is reliant on therapist for any reason. Can be problematic or constructive. Three types: Detrimental, Constructive, and Self-Dependence/Independence.

Question 4

Types of Dependence

Answer 4

1) Detrimental: Excessive dependence on therapist. Needs therapist to overcome challenges.
2) Constructive: Dependent on therapist only for things patient truly cannot manage. Can be helpful.
3) Self-Dependence/Independence: Can become problem if patient overestimates their ability to self-rely.

Question 5

Advocacy vs. Self-Advocacy

Answer 5

Advocacy for Others: ie calling insurance company to explain safety concerns in discharging client prematurely to extend treatment.

Self-Advocacy: ie making your own needs known; raise hand to ask question.

Teaching self-advocacy: Provide assertiveness and communication training to help clients learn to feel safe asking doctor questions, etc.

Question 6

Reflective Listening

Answer 6

Type of active listening; understanding what a person SAYS and what they FEEL, then relaying it back to them in your own words. Don’t solve, just reflect!
Ex: “So you were really feeling angry with him.” Or “Sounds like…”; “By that you mean…”

Helps to clarify, acknowledge, and validate speaker.

Question 7

Paraphrasing (Listening technique)

Answer 7

Type of active listening; repeating back what person just said in a shortened version/in your own words.

Question 8

Validation (Listening technique)

Answer 8

Type of active listening. Don’t go straight into trying to solve problem, look on bright side, or tell them you relate, etc. Respond by validating their feelings. Does NOT mean you agree, or can’t help them problem solve. It just means you start by first ACKNOWLEDGING their experience of having emotions/feelings. Ex: “That sounds really sad.”

Question 9

ALOR

Answer 9

A way to improve understanding/awareness of self and others. A way to process feedback.

A=Ask (Me: “Why did she leave the conversation?”)
L=Listen (Other: “You do sometimes cut people off.”)
O=Observe (Later see that you do cut ppl off.)
R=Reflect (Me: “I didn’t know I did that. I thought I knew what they were going to say, but I didn’t.”)