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Coping
Final Exam
34
Medical
Graduate
07/31/2012

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Cards

Term
What does it mean to cope?
Definition
An adaptation to new circumstances, awareness, knowledge, and growth
Term
The thoughts and behaviors used to manage the internal and external demands of situations that are appraised as stressful
Definition
Coping
Term
Name 3 parts of the coping process
Definition
Primary appraisal
Secondary appraisal
Tertiary appraisal
Term
What is the primary appraisal?
Definition
Intellectual
Whent he person tries to evaluate the stress
Term
What is the secondary appraisal?
Definition
Thinking
When person begins to contemplate how to cope and what to do
Term
What is tertiary appraisal?
Definition
Acting
When the person puts the coping strategy into action
Term
Name 3 strategies for coping
Definition
1. Appraisal Focused Coping - thought process; looks at the stress and what caused it
2. Problem-Focused Coping: action; what they can do to change the situation
3. Emotion-Focused Coping: assess feelings and try to reduce the emotional stress
Term
-Protects the individual from facing unpleasant topics, situations or thoughts
-Begins immediately
-People will do or pay anytihng for a cure at this point
-Can happen to pt or family
Definition
Denial of reality
Term
-Becomes a maladaptive behavior when it continually replaces reality
-"i wish" "what if"
-Only abnormal if the pt gets stuck here
Definition
Fantasy
Term
-Subconscious, In repression - unpleasant experiences, thoughts, feelings are rejected from an individuals awareness
-Suppression - is consciously obstructing a thought or memory; trying not to remember the situation
Definition
Repression/Suppression
Term
What is the difference between repression and suppression?
Definition
Repression in subconscious
Suppression in conscious
Term
Using faulty logic; Pt may think they do not need to walk when they really want to
Definition
Rationalization
Term
-Blaming others for what happened
-Could also be where they have a prejudice against people with disabilities like they are not one also
Definition
Projection
Term
-Changing your reaction to a more socially acceptable one
-The public sees you as a calm individual where internally they are extremly angry
Definition
Reaction Formation
Term
-Anger and hostility are displaced to others unconsiously
-Pt is angry to hostile to others
-Often takes out on family
-Pt may not even be aware of how bad they are being
Definition
Displacement
Term
-Channeling inappropriate emotions, thoughts into positive actions or thoughts
-Taking bad thoughts and turning them into positive ones
Definition
Sublimation
Term
-Protection against hurt, pain, etc the person may become increasingly isolated from others
-OK if temporary but can lead to depression
Definition
Emotional Insulation
Term
-Red Flag for depression
-The individual withdraws from people or events that trigger reminders for painful events
Definition
Withdrawal
Term
-Using intellectual reasoning to remove the emotional aspect of the situation
-Using your intellect to make a hard decision; remove emotions from the situation
-Common with end of life decisions
Definition
Intellectualization
Term
Asking for forgiveness to nullify a wrong doing or inappropriate behavior
Definition
Undoing (atonement)
Term
-Using won't last long if pt is cognitive
-Radical physical behavior rather than expressing feelings
-hostile; aggressively involved in rehab
Definition
Acting out
Term
-Returning to a place where the individual felt safe during a difficult situation
-Adult becoming child-like
-Dependency
Definition
Regression
Term
-Emphasizing a strength to overcome areas that are weaker
-Help individual find a strength to overcome weaker areas
-Focus on something they can be good at
Definition
Compensation
Term
-Identifying with someone you admire to bolter your own self esteem
-Looking up to someone
Definition
Identification
Term
-Adopting someone elses values, beliefs in order to help cope
-Finding a role model
Definition
Introjection
Term
-A person may think there are more than one self in their body as a way to disengage with a painful event
Definition
Dissociation
Term
-Coping with painful events separately
-Cannot deal with multiple things all at once
Definition
Compartmentalization
Term
Efforts to do something active to alleviate stressful circumstances
Definition
Problem-Solving Coping Strategies
Term
-Efforts to regulate the emotional consequences of stressful or potentially stressful events
Definition
Emotion-Focused Coping Strategies
Term
Nae 5 ways in which coping strategies are chosen
Definition
1. The predominance of one type of strategy over another is determined, in part, by: personal style or type of stressful event
2. People typically use problem-focused coping to deal with potential controllable problems such as work-related problems and family-related problems
3. Stressors perceived as less controllable, such as certain kinds of physical health problems, prompt more emotion-focused coping
4. Active coping strategies, whether behavioral or emotional, are thought to be better ways to deal with stressful events
5. Avoidant coping strategies appear to be a psychological risk factor or market for adverse responses to stressful life events
Term
Name some positive coping skills
Definition
Meditate
Stretch
Listen to music
TV
aerobic exercise
Reading
Fishing/Hunting
Recreational activities
Time with friends
Term
Name some negative coping skills
Definition
Act violently
Overeat
Stop eating
Excessive alcohol
Smoking
Driving fast
Drugs
Hit or kick things
Term
Name 4 mature coping strategies
Definition
1. Healthy and conscious relationship with reality
2. Reality is accepted even when it's not appreciated
3. People decide and choose to cope
4. Not spontaneous
Term
Name some implications for PT
Definition
- We must understand the defense mechanisms in coping
- Understand that when we see our pts they are often at their emotional and physical worst
- We should understand that "hope" plays an important role in healing
- We can nurture/encourage them throught he process and give them reality based information
- We must practice empathetic communication
- We must provide the individual with the equipment to face their challenges
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