Theories and Models Flashcards

1
Q

4 Models and Approaches Relevant to Mental Health

A
  • Harm Reduction Model
  • Recovery-Based Model
  • Strength-Based Approach vs. Deficit-based
  • Trauma Informed Care
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2
Q

What is harm reduction

A

Refers to policies, programs and practices that aim to reduce the harms associated with the use of psychoactive drugs in people unable or unwilling to stop

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3
Q

What are the origins of harm reduction?

A

began to be discussed frequently after the threat of HIV spreading among and from injecting drug users was first recognized; early 1980s.

similar approaches have long been used in many other contexts for a wide range of drugs.

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4
Q

Harm Reduction Principles and Examples

A

based on a strong commitment to public health and human rights.

examples: smoking patches, condoms, needle exchange

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5
Q

Traditional Model of Mental Health Care

A

Focuses on diagnosis, compliance, the eradication of symptoms and illnesses, and reducing risk

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6
Q

Recovery Model of Mental Health Care

A

Focuses on the person’s lived experience, choices and self-management, on achieving hopes and dreams and on encouraging positive risk-taking.

Clinical relationship moves from one patient to one of collaborative shared decision-making,

  • Understanding that patients’ lived experiences make patients the experts in their own care
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7
Q

Recovery Approach does not mean:

A

Everyone needs to be hopeful or naively unrealistic about what is possible

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8
Q

Strength Based Approach

A

Concentrate on the inherent strengths of individuals, families, groups and organisations, deploying personal strengths to aid recovery and empowerment.

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9
Q

Deficit-based Approach

A

Focus is on the disorder, problems, signs and symptoms, high risk statistics

See Aboriginal populations as having barriers to good health as opposed to identifying strengths

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10
Q

Person Centred Approach

A

Focuses services on individuals’ strengths in terms of resources, abilities, skills, and capacities to maintain a positive perspective that encourages further positive developments.

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11
Q

Trauma Informed Care Approach

A

Can help health care providers to tailor care and establish a safe environment of understanding for Aboriginal clients who are impacted by historical violence such as residential schooling

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12
Q

Four Assumptions of Trauma Informed Care

A

Realization: of the widespread impact of trauma on individuals, groups, families, and individuals

Recognize: the signs of trauma

Respond: by integrating knowledge about trauma on all areas of functioning (e.g., policies, procedures and practices)

Resist Re-traumatization: of clients and of staff and prevent triggering painful memories

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12
Q

Florence Nightingale

A

1820-1910
Founder of Modern Nursing
Imporving Environmental Conditions

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12
Q

2 Theorists of Interpersonal Relations

A
  1. Hildegard Peplau
  2. Ida Jean Orlando
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13
Q

Hildegard Peplau

A

Interpersonal Relations

Nurse/Patient Relationship

Concepts in model
- interpersonal relations
- self system
- need
- anxiety

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14
Q

Ida Jean Orlanda

A

Interpersonal Relations

Dynamic Nurse–Patient Relationship Model (1961)

Studied the factors that enhanced or impeded the integration of mental health principles in the basic nursing curriculum

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15
Q

Existential/Humanistic Theoretic Perspectives

A

Joyce Travelbee

Rosemarie Rizzo Parse

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16
Q

Joyce Travelbee

A

Seeking Life Meaning

Provided an existential perspective on nursing

Believed that humans seek meaning in their life and experiences

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17
Q

Rosemarie Rizzo Parse

A

Human-becoming

Quality of life as perceived by a person and their family is focus of model

The individual is perceived as open and free to ascribe meaning to life and to bear responsibility for choices

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18
Q

Three Principles of Parse Human Becoming Model

A

Meaning: structuring meaning is the imaging and valuing of language

Rhythmicity: configuring rhythmical patterns of relation is the revealing-concealing and enabling-limiting and connecting-separating

Transcendence: co-transcending with possible is the powering and originating of transforming

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19
Q

Four Postulates of Parse Human Becoming Model

A

Illimitability: indivisible, unbounded knowing extending to infinity

Paradox: rhythm expressed as pattern preference

Freedom: contextually construed liberation

Mystery: the unexplainable

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20
Q

Caring Models

A

Patricia Benner

Jean Watson

Philip Parker’s Tidal Model

21
Q

Patricia Benner

A

Caring Model

Developed a particular notion of nursing as a caring relationship

Nursing practice is based upon “the lived experience of health and illness

Novice to expert model

22
Q

Philip Barker

A

Caring Model - Tidal Model

Emphasizes the centrality of the lived experience and is based on assumption that people are their life stories and generate meaning through such stories

Change (i.e., becoming different) is a core element in this model; hence the metaphor of the tide

23
Systems Models
McGill Model of Nursing Imogene N King Betty Neuman Dorothea Oren Callista Roy Martha Rogers
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McGill Model of Nursing
Systems Model Strength-based perspective Four major concepts: health, family/person, collaboration, learning
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Imogene M King
Systems Model Goal Attainment
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Betty Neuman
Systems Model Systems and Stress Guide the actions of the professional caregiver through the assessment and intervention processed by focusing on two major components > Relationship between nurse and patient > Relationship between patient and patient response to stressors
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Dorothea Orem
Systems Theory Self Care
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Callista Roy
Systems Theory Adaptation Describes humans as living adaptive systems with two coping mechanisms: the regulator and the cognator
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Martha Rogers
Systems Theory Main Concept: energy fields as open systems
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Biologic Theories
Important in understanding the manifestations of mental disorders and caring for people with these illnesses. Importance is growing, as knowledge of the brain grows.
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4 Psychodynamic Theories and Definition
Explain human development processes especially in early childhood, and their effects on thought and behaviour 1. Psychoanalytic 2. Jung 3. Adler 4. Horney
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Main Concepts of Psychoanalytic Theory
- Study of the unconscious: awareness of events - Personality and its development: id (unconscious), ego (logic), and superego (moral) - Object relations and identification: the psychological attachment to persons/objects - Anxiety and defence mechanisms: a specific state of unpleasantness accompanied by motor discharge along definite pathways - Sexuality: libido; resides in the id - Psychoanalysis: therapeutic process of assessing the unconscious and with the mature adult mind resolving the conflicts that originated in childhood. - Transference and countertransference
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Adler
Neofreudian Model Focused on social aspects of human existence Motivating force in human life is striving for superiority Avoiding inferiority complex
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Jung
Neofreudian Model Humans were not only influenced not only by their past but also by their hopes and futures Two psychological types  Extrovert: finds meaning in the world  Introvert: finds meaning within
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Horney
Neofreudian Model Primary concept was that of basic anxiety
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Humanistic Theories
1. Rogers 2. Gestalt 3. Maslow's Hierarchy of Needs
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Roger's
Humanistic client-centred theory Empathy; unconditional positive regard
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Gestalt
Humanistic modern civilization inevitably produces neurotic anxiety because it forces people to repress natural desires Exercises aimed to enhance a person’s awareness of emotions, physical state, and repressed needs as well as physical and psychological stimuli in the here-and-now environment
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Maslow
Humanistic  Physiological and survival  Safety and security  Love and belonging  Esteem  Self-actualization
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Behavioural Theories
2 Types 1. Early Stimulus-Response - Pavlov - Watson 2. Reinforcement - Thorndike - Skinner
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Pavlov
Early Stimulus Response Behavioural Theory unconditioned stimulus (not dependent on previous training) that elicits an unconditioned (i.e., specific) response Classical conditioning: if the conditioned stimulus was repeatedly presented before the meat, eventually salivation was elicited by the conditioned stimulus
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Watson
Early Stimulus Response Behavioural Theory  Frequency: the more often a given response is made to a given stimulus, the more likely the response to that stimulus will be repeated  Recency: the more recently a given response to a particular stimulus is made, the more likely it will be repeated
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Thorndike
Reinforcement Behavioural Theory o Tried to determine whether animals solved problems by reasoning or instinct o Stamping-in: gradually learning correct response via stimulus-response connection o Believed in the importance of the effects that followed the response or the reinforcement of the behaviour
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Skinner
Reinforcement Behavioural Theory classical conditioning vs. operant conditioning Respondent behaviour: end result of classical conditioning; elicited by specific stimulus  Given the stimulus the response occurs automatically Operant behaviour: distinctive characteristic is the consequence of a particular behavioural response not a specific stimulus  Example: child learns to clean up his toys in his play area because he gets a reward, like a piece of candy, from his parents. The reward reinforces the child's behavior and makes it more likely that he will clean up the toys in the future, thus, creating positive behavior.
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Cognitive Theories
Bandura Aaron Beck
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Bandura
Social cognitive theory o modelling: pervasive imitation o self-efficacy: person’s sense of their ability to deal effectively with the environment which he develops in his work o elicitation: no desire present, but when one person starts an activity, others want to do the same
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Aaron Beck
Cognitive Theory Thinking and feeling o Depressed people had faulty information-processing systems that led to biased cognitions causing errors in judgement that become habitual errors in thinking
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Developmental Theories
1. erikson: psychosocial 2. piaget: learning 3. gilligan: gender differentiation
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Cultural Theories
Madeleine Leininger: Transcultural Health Care Applicability of Sociocultural Theories to PMH Nursing o Used concepts from anthropology and nursing (from such theorists as Henderson [1966], Rogers [1970], and Watson [1979]) to depict universal and diverse dimensions of human caring o Directed toward holistic, congruent, and beneficent care.
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Spiritual Theories
1. Frankl's Logotherapy 2. Yalom's Existential
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Frankl
Spiritual Theory Logotherapy o Focused on helping a person find meaning in life o based on the assumptions of freedom of will, will to meaning, and meaning of life
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Yalom
Spiritual Theory Existential Psychotherapy o Considers central life concerns as death, freedom, isolation, and meaninglessness