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Being aware of oneself and of the patient and being able to control what one communicates Relationship btw patient and health care worker is not equal one Purpose is to help the patient identify their problems and, set goals, and work toward their problems, and work towards goals. |
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Trusting connection and rapport established btw therapist and client through collaboration, communication, therapist empathy mad mutual respect. |
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1. Empathy 2. Sensitivity 3. Respect 4. Warmth 5. Genuineness 6. Self-disclosure 7. Specificity 8. Immediacy |
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To understand how the person feels, see the world from the patients perspective. Requires a kind of bonding. Patient believes the therapist truly understands For empathy to be effective, it must be genuine |
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Alertness to the patients needs nd awareness of your effect on him or her. Tuned in to patients facial expression and nonverbal behavior "zen of therapy" |
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Patient requires Respect and recognition as a unique individual with personal interest and values that maybe different from those of OTA Different culture hav different expectation |
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Sense of friendliness, interest, and enthusiasm the therapist conveys. Ex smiling eye contact, leaning forward, touching, tone of voice. the therapist must show warmth differently in vary with situation |
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Ability to be oneself openly. Therapist must first be aware of themselves and be comfortable with who they are. Not afraid to make mistakes or not knowing the answer to every question and r willing to admit it......... |
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Practice of revealing things about oneself. Private facts and feelings. Even the score and allow patients to know more about OTA. Reveal only revalent information. Timing is important, What not to disclose personal identification, or burden the patient |
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Art of stating things simply, directly, and concretely, focusing only on what is relevant. Ex therapist says when u walk away from me when I am talking, I get the feeling u don't want to listen to me......vs u r hostle......direction should be concrete. |
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Practice of Giving feedback right after the event to which it relates |
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Acronym for processing feedback Ask Listen Observe Reflect Peer supervision from an equal is easier to hear than from a supervisor |
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Techniques for relating to patients |
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1.make initial contact brief 2. Chooses words carefully 3. Be comfortable with silence 4. Encourage by minimal response 5. Listen and observe 6. Summarize and focus 7. Ask for clarification 8. Follow through on promises |
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Occurs when one person, usually the patient, unconsciously relates to the other, usually the therapist, as if the person was someone else, usually an nip portent person in ttheir life. Ex patient may begin to act as if the therapist were her older brother who always took care of her and mediated her conflicts with friends |
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Occurs when the other person, usually the therapist, unconsciously falls into that role Ex therapist do special favors for the patient and step into her quarrels with peers. |
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Issues that arise in therapeutic relationships |
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1. Transference and Countertransference 2. Dependence 3. Stigma 4. Helplessness, anger, and depression 5.sexual feelings 6. Fear and revulsion |
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Depend on staff members, whom they perceive as having more knowledge 3 types of independence, 1. detrimental 2. Constructive 3. Self |
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Excessive dependence by the patient |
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Is more productive, patient relies on health professional to provide something that the patient cannot manage |
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Ability to depend on oneself,to identify and solve ones own problems synonymous with independence |
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Social disapproval. Associated with mental disorders, because of the unusual behaviors associated with these disorders. People who look and act differently poor risk for mate. Gasp when u see someone with a disfigurement . OTA work with patients who may be stigmatized by society |
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Helplessness, anger, depression |
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"save the world fantasy" therapist realize that some patients are severely disabled and no amount of therapy will fix them. Therapist can join a support group to help cope. |
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Common for patients to develop sexual feelings towards therapist. Confused about therapist warmth and understanding therapeutic relationship with a sexual one. |
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Contact with psychiactric patient can bring up extremely difficult feelings of fear and revulsion or contempt. Contagion from patien AIDS, disease Repulsed by patient who committed an act of violence against another |
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Set of principles that guide the practice of a profession Rules and guidelines The patient is the person to whom the professional has the greatest obligation, based on trust, |
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7 Guilding principles of OT code of ethics |
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1. OT personnel demonstrate concern for safety and well being of the recipients of their services 2.OT shall take measures to ensure a recipient safety and avoid imposing or inflicting harm(nonmalefience) 3. OT shall respect recipients to assure their rights confidentiality( autonomy of confidentiality) 4. OT shall achieve and continually maintain high standards of competence( duty) 5. OT shall comply with laws and association policy guiding the profession of OT (procedural justice) 6. OT shall provide accurate information about OT services(veracity) 7. OT shall treat colleagues and other professionals with fairness, discretion, and integrity(fidelity) |
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