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25 Cards in this Set

  • Front
  • Back
IBM
1. map for healing 2. dev at FNU at UC 1982-2007 3. advanced clinical prac model 4. uncovers/expands therapeutic possibilities for helping and healing families
IBM goal
soften/heal emotional, spiritual, and or physical suffering
Wright and Bell
1. beliefs are at heart of healing 2. constraining beliefs incr suffering 3. facilitating beliefs decr ilnness
belief
1. truth of a particular reality that influences bio-psycho-spiritual strux and funx 2. truth = belief
understanding beliefs
beliefs are the blueprint from which we construct our lives and intermingle with the lives of others
beliefs arise out of the life one is living
1. family/friends context 2. social/work context 3. religious/cultural context
why imp for nursing
1. maturama 2. obj in parenthesis 3. perspective and beliefs 4. fit of intervention
objectivity in parenthesis
1. open, curious, accepting 2. multiple realities 3. not right/wrong
fit of intervention
1. related with beliefs 2. can't force them so not collaborative
two kinds of beliefs
1. constraining beliefs 2. facilitating beliefs
constraining beliefs
1. limits solutions 2. incr suffer 3. not open to alternative care
facilitating beliefs
1. incr options 2. incr prob solving 3. soften suffering
families constraining beliefs about illness
1. this illness is my/his ilness, not our ilness 2. we are overwhelmed with this illness 3. we are experiencing this illness 4. we feel supported by our family and HCP
core beliefs
1. the uniqueness of who we are 2. believing the truth a particular reality that are laden with affective and physiological responses
intersection of beliefs
all - beliefs of society and culture, intersectors - beliefs of pt, beliefs of fam members, beliefs of hcp
5 beliefs about illness
1. health/illness are subjective - judgements made by observers 2. illness beliefs and families are linked in a recip relationship 3. illness narratives need to be told 4. incr poss for managing illness incr healing 5. illness arise and influ by interference with emo dynamics
illness beliefs
how fams exp illness depends more on beliefs they embrace then what disease has been diagnosed
beliefs about families
1. group of indiv bound by strong emotional ties 2. sense of belonging 3. passion for being involved in life
chronic illness
1. fam/couple infl the experience and ment 2. protective family process 3. fam closeness/caregive/coping skills/clear family org
chronic illness risk factor
1. intrafamilial conflict 2. criticism and blame 3. external stress 4. lack of an extra familial support sys
protective family processes
what families do to manage chronic illness 1. close 2. caregive 3. coping skills 4. clear family org 5. comm
beliefs about families
1. indiv are struxlly determined 2. each indiv unique biosocphysch strux 3. genetics and history of iactions 4. problems reside not in idiv but between persons in lang/belief 5. all fam have str often unrealized – provide mirror
beliefs about clinicians
1. offer love and compassion in therapeutic relationship 2. listen 3. in momment 4. faciliate change not change agent 5. has relational/nonhierarchical stance 6. coevolve with family in conversation 7. not invested in particular outcome 8. willing to change own beliefs
social conversations
regular daily life conv
therapeutic conversations
1. purposeful 2. time-limited 3. medium for change and challenge belifs