Psych Ch 9

Front 1

introspection

Back 1

self-examination

Front 2

self awareness

Back 2

process of understanding one's own beliefs, thoughts, motivation, biases and limitations and recognize how they affect others

Front 3

verbal communication

Back 3

spoken words, including underlying emotion, context, and connotation

Front 4

nonverbal communication

Back 4

gestures, expressions, body language

Front 5

emphathic linkages

Back 5

direct communication of feelings

Front 6

therapeutic communication

Back 6

ongoing process of interaction through which meaning emerges
-patient is primary focus

Front 7

principles of therapeutic communication

Back 7

-patient is primary focus
-professional attitude sets the tone of relationship
-use self-disclosure cautiously
-avoid social relationships
-maintaine confidentiality
-assess patient's intellectual competence
-implement interventions from a therapeutic base
-stay nonjudgement
-avoid giving advice
-guide reinterpretationa of experiences rationally
-track verbal interaction with clarifying statements

Front 8

communication process

Back 8

receivers decodes message with emotions, patient resends feedback, nurse receives message, decodes and interpretes feelings

Front 9

two effective communication techniques

Back 9

silence and listening

Front 10

passive listening

Back 10

not therapeutic and often communicates boredom, indifference, hostility

Front 11

active listening

Back 11

asking open-ending quesions

Front 12

techniques that inhibit communication

Back 12

-advice
-agreement
-challenges
-reassurance
-disapproval

Front 13

techniques that promote communication

Back 13

-acceptance
-confrontation
-doubt
-interpretation
-observation
-open-ended statements
-reflection
-restatement
-silence
-validation

Front 14

rapport

Back 14

interpersonal harmony characterized by understanding and respect
-patient feeling comfortable and self-disclosure easier

Front 15

how is rapport established?

Back 15

interpersonal warmth, nonjudgment, understanding

Front 16

validation

Back 16

explicitly checking out one's own thoughts or feeling with another person

Front 17

empathy

Back 17

ability to experience a situation, in the present, as another did at some time in the past
-putting oneself in another person's shoes

Front 18

boundaries

Back 18

defining limits of individuals, objects, or relationships
-dynamic

Front 19

defense mechanisms

Back 19

automatic psychological processes protecting the individual against anxiety and awareness of internal or external dangers or stressors

Front 20

acting out

Back 20

defense mechanism
-using actions rather than reflections of feelings during periods of emotional conflict

Front 21

affiliation

Back 21

defense mechanism
-turning to others for help or support

Front 22

altruism

Back 22

defense mechanism
-dedicating life to meeting the needs of others

Front 23

anticipation

Back 23

defense mechanism
-experiencing emotional reactions in advance

Front 24

autistic fantasy

Back 24

defense mechanism
-excessive daydreaming as a substitute for human relationships, problem solving, or more effective action

Front 25

denial

Back 25

defense mechanism
-refusing to acknowledge some painful aspect of external reality or subjective experience that is apparent to others

Front 26

devaluation

Back 26

defense mechanism
-attributing exaggerated negative qualities to self or others

Front 27

displacement

Back 27

defense mechanism
-transferring a feeling about or a response to one object onto another

Front 28

dissociation

Back 28

defense mechanism
-breakdown in integrated functions of consciousness, memory, perception of self or the environment or sensory and motor behavior

Front 29

help-rejecting complaining

Back 29

defense mechanism
-complaining or making repetitios requestions that help disguise feelings of hostility, then rejecting suggestions, advice, or help that others offer

Front 30

humor

Back 30

defense mechanism
-emphasizing the amusing or ironic aspects of the conflict or stessor

Front 31

idealization

Back 31

defense mechanism
-attributing exaggerated postive qualities to others

Front 32

intellectualization

Back 32

defense mechanism
-excessive abstract thinking or making generalizations to minimize feelings

Front 33

isolation of affect

Back 33

defense mechanism
-separation of ideas from the feelings originally associated with them

Front 34

omnipotence

Back 34

defense mechanism
-feeling or acting as if one possesses special powers or abilities and is superior to others

Front 35

passive aggression

Back 35

defense mechanism
-indirectly and unassertively expressing aggression towards others

Front 36

projection

Back 36

defense mechanism
-falsely attributing to another one's own unacceptable feelings, impulses or thoughts

Front 37

projective identification

Back 37

defense mechanism
-falsely atrributing to another one's own unacceptable feelings, impulses or thoughts. Individual induces feeling in others that were first mistakenly believed to be there

Front 38

rationalization

Back 38

defense mechanism
-concealing the true motivation for one's own thoughts, actions or feelings thru the elaboration of reassuring or self-serving but incorrect explanation

Front 39

reaction formation

Back 39

defense mechanism
-substituting behavior, thoughts, or feelings that are opposed to one's own unacceptable thoughts or feelings

Front 40

repression

Back 40

defense mechanism
-expelling disturbing wishes, thoughts or experiences from conscious awareness

Front 41

self-assertion

Back 41

defense mechanism
-expressing thoughts and feelings directly in a way that is not coercive or manipulative

Front 42

self-observation

Back 42

defense mechanism
-reflecting feelings, thoughts, motivation and behavior and responding to them appropriately

Front 43

splitting

Back 43

defense mechanism
-compartmentalizing opposite affect states and failing to integrate the positive and negative qualities of the self or others into cohesive images

Front 44

sublimation

Back 44

defense meachism
-channeling potentially maladaptive feelings or impulses into socially acceptable behavior

Front 45

suppresion

Back 45

defense mechanism
-intentionally avoiding thinking about disturbing problems, wishes, feelings, or experiences

Front 46

undoing

Back 46

defense mechanism
-works or behavior designed to negate or to make amends symbolically for unacceptable thoughts, feelings or actions

Front 47

process recordings

Back 47

writing a verbatim transcript of the interaction
-immediately after communication

Front 48

symbolism

Back 48

use of a word or phrase to represent an object, event or feeling

Front 49

content themes

Back 49

feelings and concerns are repeated in common themes

Front 50

communication blocks

Back 50

topic changes
-usually uncomfortable by subject

Front 51

three phases of evolving nurse-patient relationship:

Back 51

1. orientation phase-getting to know each other, develop a sense of trust
2. working phase-patient uses relationship to examine specific problems and learning new ways of approaching them
3. resolution phase-termination of relationship
*relationship is dynamic

Front 52

orientation phase

Back 52

meeting the patient to when patient begins to identify problems to examine
-nurse discusses patient expectation, explains purpose of relationship/boundaries, and facilitates relationship
-develop trust/security
-shows emphathy/listen
-testing of relationship

Front 53

working phase

Back 53

-patient has ID problem and is exploring solutions
-transference and countertransference is common

Front 54

resolution phase

Back 54

-problems are solved and relationship ends
-referrals

Front 55

phases of untherapeutic relationships

Back 55

grappling, struggling, mutual withdrawal