Term
What does it mean to cope? |
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Definition
An adaptation to new circumstances, awareness, knowledge, and growth |
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The thoughts and behaviors used to manage the internal and external demands of situations that are appraised as stressful |
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Name 3 parts of the coping process |
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Primary appraisal Secondary appraisal Tertiary appraisal |
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What is the primary appraisal? |
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Intellectual Whent he person tries to evaluate the stress |
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What is the secondary appraisal? |
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Thinking When person begins to contemplate how to cope and what to do |
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What is tertiary appraisal? |
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Acting When the person puts the coping strategy into action |
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Name 3 strategies for coping |
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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 |
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-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 |
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-Becomes a maladaptive behavior when it continually replaces reality -"i wish" "what if" -Only abnormal if the pt gets stuck here |
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-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 |
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What is the difference between repression and suppression? |
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Repression in subconscious Suppression in conscious |
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Using faulty logic; Pt may think they do not need to walk when they really want to |
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-Blaming others for what happened -Could also be where they have a prejudice against people with disabilities like they are not one also |
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-Changing your reaction to a more socially acceptable one -The public sees you as a calm individual where internally they are extremly angry |
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-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 |
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-Channeling inappropriate emotions, thoughts into positive actions or thoughts -Taking bad thoughts and turning them into positive ones |
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-Protection against hurt, pain, etc the person may become increasingly isolated from others -OK if temporary but can lead to depression |
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-Red Flag for depression -The individual withdraws from people or events that trigger reminders for painful events |
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-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 |
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Asking for forgiveness to nullify a wrong doing or inappropriate behavior |
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-Using won't last long if pt is cognitive -Radical physical behavior rather than expressing feelings -hostile; aggressively involved in rehab |
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-Returning to a place where the individual felt safe during a difficult situation -Adult becoming child-like -Dependency |
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-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 |
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-Identifying with someone you admire to bolter your own self esteem -Looking up to someone |
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-Adopting someone elses values, beliefs in order to help cope -Finding a role model |
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-A person may think there are more than one self in their body as a way to disengage with a painful event |
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-Coping with painful events separately -Cannot deal with multiple things all at once |
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Efforts to do something active to alleviate stressful circumstances |
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Definition
Problem-Solving Coping Strategies |
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-Efforts to regulate the emotional consequences of stressful or potentially stressful events |
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Definition
Emotion-Focused Coping Strategies |
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Term
Nae 5 ways in which coping strategies are chosen |
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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 |
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Name some positive coping skills |
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Definition
Meditate Stretch Listen to music TV aerobic exercise Reading Fishing/Hunting Recreational activities Time with friends |
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Name some negative coping skills |
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Act violently Overeat Stop eating Excessive alcohol Smoking Driving fast Drugs Hit or kick things |
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Name 4 mature coping strategies |
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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 |
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Name some implications for PT |
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- 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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