Chapter 16 Flashcards
Assessment
aims of recovery-focused assessment
-to promote + validate the development of personal meaning
- to amplify strenghts
- to foster personal responsibility
- to support the development of a positive identity
- to develop hopefulness
4 needs for meaning
- purpuse
- goals
-fulfillments - values
- efficacy
- self worth
increase culrural competence in staff> cultural competence?
ability to work with people without emposing cultural-based filters of meaning on the interaction
recovery is a manifestation of empowerment. What does it involve?
rejecting mental illness labels + regaining sense of personal integrity
3 approaches to psychosis experience
- finding specific and concrete meaning
- understanding metaphoric/ thematic associations
- understanding the purpos + significance of one’s elaboration of their psychosis
approaches in psycohiss are relevant to 3 levels of understanding. What are they?
- understanding the meaning of madness - explore the origin/cause
- understanding the meaning in madness - either specific or metaphorical
- understanding the meaning through madness - existential considerations
coping strategies
cognitive and behavioural responses to reduce the gap between either reality (environmental outcomes) and wants (self-image), or the threat (cognitive dissonance) associated with the gap
Cognitive appraisal model: coping responses are generated by….
- appraising situation (e.g. demands, threats)
- indentifying the available resources for managing the situation
- estimating the consequences of different responses
emotion-focussed coping (reorganisation strategies)
intrapsychic change to reduce the mismatch or perceived threat
problem-focussed coping
involves changing the environment to remove obstacles blocking successful
meaning-focused coping (reappraisal coping)
re-framing the meaning of the event/situation to make it more compatible with beliefs and goals
Approach strategies
deal with a mismatch between self and environment by actively confronting the problem
avoidance strategies
either deny the mismatch or seek to escape the damaging consequences
4 different coping styles
- emotional avoidance
- re-framing
- active engagement
- integration
clinical assessment should focus on 4 dimensions
- deficiencies and undermining characteristics
- strengths and assets
- lack + destructive factors in the environment
- resource and opportunities in the environment