Random questions for Exam 1 Flashcards
(87 cards)
consensus trance
“the sleep of everyday life” - induced into state of trance by the environment to which we have become accustomed
guiding values for fruitful conversation
commit to quality care, trustworthy and timely communication, heart centered listening and truth telling, a lack of denial, proactive and ongoing decision making
empathy
the capacity to think and feel yourself into the inner life of another person (a recognition of self in another)
YOU HAVE TO WELL GROUNDED TO BE EMPATHETIC
Dave Myers
Research on “Happiness” - 5 factors leading to happiness - work/leisure leading to flow, finding meaning in religion, supportive relationships, physical health, and helping others
Patients are more likely to cooperate when….
perceive high severity of illness and consequences, feel highly susceptible to the disease, are capable of performing risk reducing behavior, and are confident the treatment will reduce risk
You should view noncompliance as a _____
symptom requiring exploration into cause
Patients are most receptive to information and education about conditions and treatment in the _______
preparation and action stages
change is a _____ not an ______
process; event
_____ change processes help people move through the early stages of change
cognitive
______ change processes help people move through the later stages of change
behavioral
in the preparation stage, you should ask the patient about setting a specific ______ for change
date
the goal of relapse is that the patient will…
communicate HONESTLY with the physician
common interviewing errors
inadvertantly shaming or embarrassing patient, blaming the patient, drawing premature conclusions, assuming common understanding, spending too much common chit chat time
when you should start to engage the patient?
IMMEDIATELY (based on mutual trust and respect)
evocative questions
calls forth something in the patient, these are typically open ended questions, helps clinician gather self motivational statements
types of reflection
repeating (simplest form, diffuses resistance), rephrasing (alter words to lift up/draw attention to meaning behind words), empathic reflection (hard to imagine being in your dilemma), reframing (giving a different point of emphasis), double sided reflection (acknowledging both sides of ambivalence)
Core interviewing skills - OARS
open ended questions, affirming by other and self, reframing, summarizing
principles for motivational interviewing
express empathy, develop discrepancy (difference between current behavior and future goals), avoid argumentation, roll with resistance, and support self efficacy
freud’s topograthic model
conscious mind, preconscious mind, unconscious mind
most of what drives human behavior is…
unconscious and irrational
Freud’s structure of the mind
Id (instinctual drives of sexual and aggression) , ego (mediator, find socially acceptable way to gratify Id), and superego (conscience)
psychological and behavioral symptoms often reflect…
compromises made by ego, harsh injunctions imposed by superego, unrecognized or unmet instinctual drives of Id
Freud’s psychosexual development
oral (0-1), anal (1-3), phaelic-oadipic (3-5, penis focus of attention, child also noticed parents have exclusive relationship [this bothers them]), latency (school age, not a formal stage), and genital (early adolescence through adulthood)
Margaret Mahler
Normal symbiosis (1-5 months, recognition of mom, together we are one), Separation-Individuation (hatching [5-10, recognition of facial features, see world, stranger anxiety], practicing [10-16, start to walk and explore, separation anxiety], rapprochement [16-24, time of great ambivalence for child and frustration for mom - child wants to be close to mom and separate at the same time]), Object constancy (24-36 months, able to focus on whole object not just parts, differentiation is complete and splitting is less predominant)