Shared Flashcard Set

Details

Treatment Modalities
Mental Health Nursing, Lecture 4
26
Nursing
Undergraduate 2
05/24/2013

Additional Nursing Flashcards

 


 

Cards

Term
Group Psychotherapy
Definition
Psychotherapy based on the examination of group interaction with a view toward understanding and eventually changing the ways in which patients interact with others
Term
Stages of group development:
Initial Phase
Definition
Develop Trust
Patients introduce themselves, say what brought them to the group
Term
Stages of group development:
Working Phase
Definition
Resolve Conflict
Resolving conflict between group members, or working with unresolved conflict from their family of origin
Term
Stages of group development:
Mature Phase
Definition
Work on Goals
THis phase used to be easier due to the extended length of time spent with patients (years versus days/hours). Today there is more rapid progression due to the less time spent with patients.
Term
Stages of group development:
Termination
Definition
Separation
Starts from the beginning, due to patients potentially having the tendency to struggle with ending relationships
Term
Yalom's Therapeutic Factors
Definition
Universality, installation of hope, imparting of information, altruism, corrective repeat of the family of origin, development of social skills, imitative behavior, interpersonal learning, group cohesiveness, catharsis, and learning to accept painful aspects of life
Term
Catharsis
Definition
purification or purgation of the emotions (as pity and fear) primarily through art; one of Yalom's therapeutic factors
Term
Leadership styles: Laissez-faire
Definition
the therapist takes a backseat role, is not interactive, and allows the group to develop on their own; often very frustrating for patients, due to the leader's lack of guidance
Term
Leadership styles: Democratic
Definition
the governance is shared, each person has a chance to talk; the therapist facilitates discussion among members
Term
Leadership styles: Authoritative
Definition
"group leader that directs direction in the group" -Pounds
Term
Therapy Group
Definition
A specialized therapy led by a medical professional
Term
Psychoeducational group
Definition
Groups set up to increase knowledge or skills about a certain somatic or psychological subject and allows members to communicate emotional concerns. These groups may be time limited or may be supportive for long-term treatment
Term
Community meetings
Definition
May be held daily or once a week; at these meetings, new patients are greeted, and departing patients are given farewells; ideas for unit activities are discussed; community problems or successes are considered; and other business of the therapeutic community is conducted.
Term
Reminiscence Group
Definition
Share memories of the past, increase self-esteem, increase socialization, increase awareness of the uniqueness of each patient.
Desired outcomes: alleviates depression, achieve a new sense of identity, and achieve a positive self-concept
Term
Symptom Management Groups
Definition
For patients with a common symptom resulting from a disorder such as anger or anxiety; the focus is on sharing positive and negative experiences so that members learn coping skills from each other
Desired outcomes: increase self-control or prevent relapse by helping patients develop a plan of action at the first appearance of symptoms
Term
DBT
Definition
an evidenced-based therapy developed by Dr. Marsha Linehan to successfully treat chronically suicidal persons with borderline personality disorder. DBT combines cognitive and behavioral techniques with an emphasis on mindfulness
Desired outcomes: increase ability to manage stress, improve interpersonal effectiveness skills, and enhance the therapist's effectiveness in working with this population.
Term
Difficult behaviors in group therapy:
Monopolizing Member
Definition
strategies for dealing with an overly talkative group member: address entire group with a remind that in group work everyone should have ana equal chance to contribute and that members should consider whether or not they are dominating the group's time; request a response from group members that have not had a chance to talk about today's topic.
Behavior continues: speak to member in private
Term
Difficult behaviors in group therapy:
Complaining member that rejects help
Definition
Leader should acknowledge the patient's pessimism but maintain a neutral affect (any notice from the leader temporarily increases the patient's self-esteem, but the patient has a pervasive mistrust of all authority figures)
Term
Difficult behaviors in group therapy:
Silent member
Definition
Patients who are silent in a group may be observing intently until they decide it is safe for them, or they may believe they are not as competent as other, more assertive group members. Silence does not mean that the member is not involved, but it should be addressed for several reasons
Term
Difficult members in group therapy:
Demoralizing member
Definition
refuse to take any personal responsibility and can challenge the group leader and negatively affect the group process.
Speak to the member in private, establishing a greater connection; empathize in a matter-of-fact manner (you seem angry that the group wants to support you in putting sobriety ahead of your dental needs)
Term
Family Therapy
Definition
a treatment modality that focuses on the relationships of the family system
Term
Family Functions as Divided five categories of tools
Definition
Management
Boundaries
Communication
Emotional Support
Socialization
Term
Boundaries:
Definition
maintain a distinction between individuals in the family
Term
Clear Boundaries:
Definition
are well understood but all members of the family and give family members a sense of "I-ness" and also a sense of "we-ness." They help define the role of members within a family and allows members to function without unnecessary interference from other members
Term
Diffuse or enmeshed boundaries:
Definition
blending together of the roles, thoughts, and feelings of individual family members so that clear distinction fail to emerge. More prone to psychological and psychosomatic symptoms
Term
Rigid or Disengaged boundaries:
Definition
those in which the rules and roles are consistently adhered to no matter what
Supporting users have an ad free experience!