PHIL BARKER Flashcards
(37 cards)
2 BASIC ASSUMPTIONS:
1. Change is the only constant. Nothing lasts.
2. People are their stories. They are no more and no less than the complex story of their lived experience.
The Tidal Model of Mental Health Recovery
The person’s story is the beginning and endpoint of the whole helping encounter, embracing not only the account of the person’s distress, but also the hope for its resolution.
Value the voice
“emphasizes the central importance of developing understanding of the person’s needs through collaborative working, developing a therapeutic relationship through discrete methods of active empowerment,
The tidal model
The language of the story—complete with its unusual grammar and personal metaphors—is the ideal medium for illuminating the way to recovery. We encourage people to speak their own words in their distinctive voice.
Respect the language
Express genuine interest in the story so that they can better understand the storyteller and the story.
Develop genuine curiosity
The person is the world expert on the life story. Become apprenticeminded. We need to learn from the person what needs to be done,
rather than leading.
Become the apprentice
The story contains examples of “what has worked” or beliefs about “what might work” for this person in the future.
Use the available toolkit
The professional helper and the person work together to construct an appreciation of what needs to be done “now.”
Craft the step beyond
Any time spent in constructive interpersonal communication is a gift—for both parties.
Give the gift of time
A key task for the professional is to help the person reveal and come to value that wisdom,
Reveal personal wisdom
The Theoretical Basis of the Tidal Model (4 SIMPLE POINTS)
Community
Change
Empowerment
United
— is a constant, ongoing process.
— help people develop awareness of the small changes that will have a big effect on their lives.
Change
If the professional and the person are to become a team, then each must put down their “weapons.
. Be transparent
Although change is inevitable, growth is optional. The tasks of the professional helper are to develop awareness of how change is
happening and to support the person in making decisions.
Know that change is constant
— primary therapeutic focus in mental health care.
— person’s natural life = “ocean of experience”
— psychiatric crisis = “drown” them
Community
— lies at the heart of the caring process.
— people have their own “power.”
— nurses need to help people “power up” so they can use their own personal power
Empowerment
— nurse and the person (like dancers in a dance).
— eective nursing = “How do we tell the dancer from the dance?”
— genuine caring is “caring with” the person, not just “caring about” the person
United
— the self domain with other people in the person’s social world.
— when people talk to others about their private thoughts, feelings, beliefs, or other experiences
— focus of eorts: to understand the person and the person’s problems of living (Holistic Assessment & One-on-one sessions)
WORLD domain
The Three Domains: A Model of the Person
SELF domain
WORLD domain
OTHERS domain
—private place (thoughts, feelings, beliefs, values, and ideas that are known only to the person), private world = secret.
— distress called “mental illness” is 1st experienced.
— focus: help the person feel safe and secure, develop a meaningful personal security plan
SELF domain
— everyday life with other people, such as family, friends, neighbors, work colleagues, and professionals.
— delivery of professional care and other forms of support
— key focus: dedicated forms of group work—discovery, information sharing, and solution finding.
OTHERS domain
— the unpredictability of human experience through the core metaphor of water.
Water
(overwhelming distress) or (acute psychiatric unit).
drowning
shipwreck
The person may need to be guided to a safe haven
(psychiatric rescue)
