Comm. Strategies Training & Counseling, Psychosocial Support 3/11 Flashcards

1
Q

During training, what will we learn how to do?

A
  • Minimize difficulties
  • Use facilitative strategies
  • Use repair strategies
  • Implement assertive vs. nonassertive behaviors
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2
Q

What does self-efficacy include?

A
  • Belief that one can overcome difficulties and attain goal
  • Affects person’s willingness to participate
  • Helps overcome communication difficulties
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3
Q

What are the 4 types of experiences?

A
  1. Mastery Experience
  2. Vicarious Experience
  3. Verbal Persuasion
  4. Emotional arousal
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4
Q

What is Mastery experience?

A

Continue practice of repair strategy

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5
Q

What is Vicarious experience?

A

Observation of other’s success leads to own success

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6
Q

What is Verbal persuasion?

A

Counseling by clinician on management

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7
Q

What is Emotional arousal?

A

Incorporation of activities to enhance self-efficacy

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8
Q

T/F: Group training may be most efficient?

A

True

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9
Q

What are some things to consider during training?

A
  • Length of sessions
  • Total # of session
  • Establish ground rules
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10
Q

What are the types of instruction?

A
  • Formal
  • Guided learning
  • Modeling
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11
Q

What takes place in formal training?

A
  • Providing strategies to the group

- Group discusses possible strategies

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12
Q

Within guided learning, where do we want to use our strategies?

A

Within a structure setting

i.e: role-playing, modeling, videotape analysis

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13
Q

What does modeling consist of?

A
  • Learning through observation
  • Strategies being modeled
  • Client can see “what happens if…”
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14
Q

What are the methods to present instruction?

A
  • Continuous discourse tracking
  • Videotape analysis
  • Real-world practice
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15
Q

What is Continuous discourse tracking?

A
  • Clinician sends and patient receives
  • Patient attempts verbatim repetition
  • Patient practices use of strategies
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16
Q

What is Videotape analysis?

A

Scenarios discussed by the group

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17
Q

What is Real-world practice?

A

Practice skill in everyday situation

18
Q

What are some short-term trainings?

A
  • Materials approach

- Short tutorial programs

19
Q

What is materials approach?

A

Providing the client with strategies to print (library)

20
Q

What are the short tutorial programs?

A
  • WATCH

- SPEECH

21
Q

What does WATCH stand for & what is it used for?

A

W – Watch the talker’s mouth not their eyes

A – Ask Specific Questions

T – Talk about your hearing loss

C – Change the situation

H – Acquire healthcare knowledge

  • Quick communication strategies program
22
Q

What does SPEECH stand for & what is it used for?

A

S – Spotlight your face

P – Pause

E – Empathize

E – Ease their listening –
Get listener’s attention

C – Control circumstance

H – Have a plan

  • For frequent communication partners
23
Q

Regarding Frequent Communication partners, what must they learn?

A

Appropriate strategies to use

Appropriate speaking behaviors

Empathy for communication breakdowns

Message organization

Understanding verification

Effective repair strategies vs. verbatim repetition

24
Q

What are some strategies for children?

A

Upper-elementary to high school

Guided learning

Real-world practice activities

Expressive repair strategies

Progress to more difficult situations

25
Q

What are the benefits of training?

A

Good participation

High attendance rate

Change in use of communication strategies –> Used repair strategies taught that worked for self

Change in perceived hearing-related disability

26
Q

Counseling, Psychosocial Support, and Assertiveness Training

What are the types of training?

A
  • Counseling
  • Psychosocial support
  • Assertiveness training
27
Q

Counseling, Psychosocial Support, and Assertiveness Training

What is counseling?

A
  • Understanding one own’s hearing loss
  • Understanding of hearing loss and effects
  • Acceptance of hearing loss
  • Management of communication difficulties
  • Decreased stress-related issues
  • Increased satisfaction with AR progress
  • Increased self-motivation
  • Continuation w/ AR plan & HA use
28
Q

Counseling, Psychosocial Support, and Assertiveness Training

What is psychosocial support?

A

Learn psychological and social difficulties resulting from hearing loss

29
Q

Counseling, Psychosocial Support, and Assertiveness Training

What is assertiveness training?

A

Learn to state negative and positive feelings

30
Q

Counseling, Psychosocial Support, and Assertiveness Training

What is informational counseling?

A
  • Inform patient about hearing loss
  • Present informally as a dialogue: Use easy-to-understand language
  • Use explicit categorization: Categorize pertinent information to discuss
31
Q

Counseling, Psychosocial Support, and Assertiveness Training

What is personal Adjustment counseling?

A
  • Focus on adjustment and acceptance
  • Cognitive approach: Modify thought process
  • Behavioral approach: Modify behavior
  • Affective approach: Modify emotions
32
Q

Counseling, Psychosocial Support, and Assertiveness Training

What must we implement & identify within the Cognitive approach?

A
  • Rational Emotive Behavior Therapy (REBT)
  • Activating event or adversity
  • Evaluate event
  • Identify consequences of event: E.g., does not want to wear HAs
  • Dispute negative feelings
  • Create effective action
33
Q

Counseling, Psychosocial Support, and Assertiveness Training

Describe the behavioral approach.

A
  • Behavior can be unlearned
  • Desensitization: Reduce negative reaction through repeated exposure
  • Identify physical systems of stress
  • Introduce relaxation techniques
34
Q

Counseling, Psychosocial Support, and Assertiveness
Training

Describe Affective approach

A
  • Focus on feelings
  • Find congruence with self: Use honest, person-centered approach
  • Use unconditional, positive regard: Client knows self best and can overcome feelings
  • Employ empathetic understanding
  • Use reflection and clarification point-of-view
35
Q

Counseling, Psychosocial Support, and Assertiveness Training

What are the psychosocial support benefits?

A
  • Alleviates hearing-related stress, including:
    1. Stress in understanding speech
    2. Adjusting to being person with hearing loss
    3. Adjusting to society’s reaction to self
    4. Feeling inadequate
    5. Feeling isolated
    6. Having negative self-image
    7. Children have difficulty expressing feelings
36
Q

Counseling, Psychosocial Support, and Assertiveness Training

What are the consequences for frequent partners?

A
  • Feelings of frustration regarding communication difficulties
  • Reduced talking and joking
  • Spouses initiating AR
  • Spouses reporting increased volume levels, repetition, and serving as interpreter
  • Family accommodations
37
Q

Counseling, Psychosocial Support, and Assertiveness Training

What does the support paradigm consist of?

A
  • Learn how hearing loss impacts life
  • Recognize negative perceptions of hearing loss
  • Change self-perceptions to gain self-confidence
  • Treatment conducted in small groups
38
Q

Counseling, Psychosocial Support, and Assertiveness Training

What must we do within the problem solving model?

A
  • Identify problem - Verbalize difficulties for person and/or partner
  • Develop objectives to rectify problem
  • Work in groups to explore possibilities
  • Have group address methods of adjusting communication situation
  • Explore through creating scenarios - Effective in leading discussion regarding own scenario
  • Explore through creating self-profiles - Person describes self to group
39
Q

Counseling, Psychosocial Support, and Assertiveness Training

What will be included in the resolution of the problem?

A
  • Define desired outcome of objective
  • Identify possible solutions to problem
  • Select solution
  • Try using solution
  • Evaluate solution
  • Modify as needed
40
Q

Counseling, Psychosocial Support, and Assertiveness Training

What is Assertiveness training?

A
  • Enhance communication between person and communication partner
  • Identify hearing loss to others
  • Request modification to environment
  • Communication partner facilitates understanding of message
  • Positively reinforce communication partner