End of Sem Exam Flashcards

1
Q

Define Self Concept

A
  • A detailed set of ideas about how we perceive ourselves in relation to others and the environment
  • Often stated in relation to roles and personal attributes
  • Descriptive rather than evaluative
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2
Q

What factors influence the development of self concept

A
  • Inborn differences (temperament)- nature vs nurture
  • Environmentally shaped differences- parenting styles
  • Attributions by others- e.g. “Jim is always dropping things, falling over, he is so clumsy’’
  • Role demands- often roles define categories use to describe oneself (e.g. student, sister)
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3
Q

Define self esteem

A

= how people evaluate themselves; self-image judgment, self worth, how we appraise ourselves

  • The value an individual places on the attributes that contribute to his or her self-concept
  • “I am very tall and I hate myself” vs “I am very tall, and that is ok”
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4
Q

what is the different between self concept and self esteem

A
  • Your self-concept is what you know about yourself: I have brown hair, I am short, I am a professor
  • Your self-esteem is how you feel about each of these pieces of knowledge: I hate my brown hair, I hate being short, I like being professor
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5
Q

how can self esteem impact adults

A
  • Self-esteem impacts upon feelings of competences, ability to develop intimacy in relationships, ability to evaluate achievements positively, levels of anxiety in a given situation, motivation to achieve socially, resistance to conformity and ability to express views and opinions
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6
Q

define self efficacy

A

= a belief in one’s ability to perform a given task successfully. It predicts the likelihood that someone will attempt a give behaviour and continue working at it, despite possible difficulties in new situations

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7
Q

what are the three aspects of the self determination theory

A

autonomy, relatedness, competency

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8
Q

what is the definition and optimal condition for autonomy

A

The need to satisfy curiosity and explore interests
OC: Environments which are supportive of autonomy (rather than controlling/directive/authoritarian) – e.g., support involvement in problem solving, decision making.

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9
Q

what is the definition and optimal condition for relatedness

A

The need to feel attached and connected to others

OC: Environments which nurture trust and interdependence, and recognize an individual’s feelings and perspectives

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10
Q

what is the definition and optimal condition for competence

A

The need to experience mastery and challenge
OC: Provision of opportunities for graded acquisition of skills and mastery, offered in environments which are nurturing and supportive of autonomy.

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11
Q

what occurs when all three of the self determination aspects are met

A

^ interest, ^ excitement, ^ confidence = better wellbeing, enhanced performance, heightened creativity, increased persistence

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12
Q

what are the different types of motivation

A

amotivation, extrinsic (external, introjected, identified, integrated) and intrinsic

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13
Q

what is amotivation and what behaviour and language can occur

A

Lacking an intention to act.
o Behaviour: Lack of persistence in activities/ drops out
o Language: Why bother?, Its not worth doing (seems too hard to try), Seligman’s 3 P’s (Permanent, Pervasive, Personalised)

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14
Q

what is external regulation extrinsic motivation and what behaviour and language can occur

A

External controls influence performance; these may be tangible (e.g., physical reward) or intangible (e.g., social approval, inducements); These may also include threats, penalties, deadlines, punishments
Language: reflects external control (e.g., ‘I was made to do it’; ‘ I will be allowed to do this if I do that..”)

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15
Q

what is introjected extrinsic motivation and what behaviour and language can occur

A

Motivation for acting is dictated by a sense of obligation to others (this has become internalized); Feelings of self-esteem and ego are contingent on approval or disapproval (self or from others).

Language: “I could… I ought to… I should …. I would…”
Behaviour: Pressure self into performance; Pride/self-aggrandizement after others show approval/disapproval.

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16
Q

what is identified extrinsic motivation and what behaviour and language can occur

A

Personal choice- engage with little external pressure/regulation; Internal disposition to act; Willingness to engage
• Behaviour: Likely to be self-initiated and maintained (because seen to be important and of personal, value), Likely to persist
• Language: “How can I….? Then.. “I can…. “ and “I will….”

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17
Q

what is integrated extrinsic motivation and what behaviour and language can occur

A

Integration of personal goals within the broader context (existing social values)= they become part of an overall value system (full internalization)
o Behaviour: Put in hard work to achieve goals; Goal directed behaviour is integrated with other aspects of self
o Language: Similar to identified regulation; may make comments such as ‘this is important to me; it will help me reach my long term goal of…”

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18
Q

what is intrinsic motivation and what behaviour and language can occur

A

Fully internalized, self-determined participation in activity
o Behaviour: Self initiated, self directed, high levels of spontaneity/excitement/confidence/persistence.
o Language: e.g., ‘I want to do it again and again; “I Know what I need to do next”, “

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19
Q

what are the key elements of the family system

A
  • Structure: specific membership and beliefs, values and coping strategies that make a particular family unique
  • Function: tasks that families perform to meet needs of members- reason for being together as family
  • Interactions: interrelationships
  • Life cycle
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20
Q

what are family occupations

A
  • Provide a cultural foundation enabling participation in variety of contexts
  • Shape sense of identity and emotional well being
  • Help establish routines and habits
  • Support a readiness to learn
  • Develop a readiness to assume place in community
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21
Q

what are normative events and non normative events in the family life cycle

A
  • Normative events: childbearing, children going to school, adolescence, becoming empty-nesters, old age; they also experience of range of unpredictable
  • Non-normative events: e.g. illness, disability, natural disasters
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22
Q

describe the transition between adolescent and early adulthood

A
  • Major difference between adolescence and early adulthood is the removal of pre-established life goals
    o Adolescence- many milestones, privileges and responsibilities were attained by virtue of a significant event
    o Early adulthood- prestige, privileges and opportunities become less a reflection of time and more dependent upon abilities e.g. psychomotor skills, emotional strength, social skills and the ability to apply knowledge to situations
    o In some situations, social and family connections are more important than actual skills and abilities
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23
Q

what are the health related factors of early adulthood

A

Health is related to socioeconomic factors:

  • SES status (high vs low)
  • Level of education (high vs low)
  • Gender (male vs female)
  • Marital status (married vs not married)
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24
Q

what are the suggested health habits for early adulthood

A

healthy eating, not smoking, drinking alcohol moderately or not at all, exercising moderately, sleeping regularly (7-8 hrs), safe sex

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25
Q

what is crystallised intelligence

A

o Tasks that have been specially learned & therefore more dependent on education and cultural background. That is, task-specific intelligence.
o Knowledge and skill become more specialised as you get older

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26
Q

what is fluid intelligence

A

o The process of perceiving relations, forming concepts, reasoning + abstracting
o Tested with novel problems
o Relatively free of culture and education, tends to peak in late teens and then decline from young adulthood

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27
Q

what did kohlberg propose about moral development advancement in young adulthood

A
  • Kohlberg proposed that moral development is advanced young adulthood by:
    o Encountering conflicting values away from home
    o Sustaining responsibility for welfare of other people e.g. parenting, caring for clients?
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28
Q

what erikson stage of crisis occurs in early adulthood? describe it.

A

Erikson’s Stages: Intimacy Vs Isolation

  • Key outcome: ‘intimacy’ or the ability to share with and care about another person and commit to them without fear of losing oneself in the process
  • Erikson said it involves “a fusing of identities”
  • Intimacy can occur between friends, family members and with partners
  • Learn what commitment requires
  • Relationships with family members and good friends deepen and become more solid as one learns what it means to love
  • Successful completion can lead to comfortable relationships and a sense of commitment, safety and care within a relationship

Isolation
- If people cannot form these intimate relationships, studies have demonstrated that those with a poor sense of self, and who fear relationships tend to have less committed relationships and are more likely to suffer emotional isolation, loneliness, and depression

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29
Q

describe the ginzberg developmental theory regarding careers

A
  • Process of occupational choice follows development progression- childhood to early adulthood
    o Fantasy period (childhood)
    o Tentative period (teenage)
    o Realistic career exploration (young adulthood): exploration of careers/jobs, crystallisation-settling on a career/job
    o Optimisation of work throughout life
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30
Q

what are the main physical changes in middle adulthood

A
  • Vision: presbyopia (diminished ability of the lens to focus-harder to focus on near objects)
  • Hearing: presbycusis (difficulty hearing high frequency sounds)
  • Declines in smell + taste, touch, pain, temperature, muscle strength co-ordination, reaction time
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31
Q

what is menopause and what impact does it have on sexuality in middle adulthood

A

the cessation of menstruation
Women: decreased libido; mood swings; hot flushes; decreased concentration
? Male menopause: males also experience hormonal changes, slow decrease in testosterone levels, changes in fertility

32
Q

what is osteoporosis? its effects? its causes? and treatments?

A
  • What is it? Osteoporosis occurs when bones lose minerals, such as calcium, more quickly than the body can replace them, causing a loss of bone thickness
  • What are its effects? As osteoporosis weakens bones, painful fractures of vertebrae can result and the person may become stooped from the waist up, with a height loss of 10cm or more
  • What are its causes? Genetics, hormonal changes (usually post menopause), and/or deficiency of calcium or vitamin D
    Treatments include:
  • Hormone replacement therapy e.g. oestrogens, progestogen, testosterone
  • Dietary changes- increased consumption of Soya products and fresh foods and dairy
  • Lifestyle changes- increased exercise and weight bearing activities
33
Q

why might people in middle adulthood begin to become forgetful?

A

stress and anxiety, feeling down or depression, lack of sleep/fatigue, too much alcohol, too much to juggle, hormonal changes, medications

34
Q

what erikson stage of crisis occurs in middle adulthood? describe it.

A

Erikson’s Theory: Generativity Vs Stagnation
Generativity:
- Reaching out to others in ways that give to and guide next generation
- Commitment extends beyond self
- Typically realized through child rearing
- Other family, work mentoring relationships also generative
Stagnation:
- Place own comfort and security above challenge and sacrifice
- Self-centred, self-indulgent, self-absorbed
- Lack of involvement or concern with young people
- Little interest in work productivity, self-improvement
As generativity increases, psychological well-being increases

35
Q

what are peck’s 4 developments of middle age

A

Wisdom vs Physical Powers
- Knowledge and experience more that make up for declining physical powers and attractiveness
Socializing Vs Sexualizing
- Appreciation of people’s personalities and friendship, rather than sexual attraction. Thus, reaching a greater depth of understanding
Emotional flexibility Vs Emotional impoverishment
- People must be able to shift their emotional investments from one person to another and be able to adjust to changing physical limitations by changing activities
Mental Flexibility Vs Mental Rigidity
- Being flexible enables people to use their past experiences as provisional guides to new issues

36
Q

what is ‘the sandwich generation’?

A
  • Sandwich generation- describes the role of middle-aged adults who are ‘sandwiched’ between the older and younger cohorts in the population
37
Q

what is work role attachment

A
  • Degree to which individuals commitment to their work-role influences their desire to remain a member of the workforce
  • High degree of job involvement- value role within particular job
  • Identify with company- committed to organisation
  • High degree of professional attachment- value role in the particular profession
38
Q

what is robert atchley phases of retirement?

A
  • Phase 1: pre-retirement
  • Phase 2: retirement (honeymoon, immediate retirement routine, rest + relaxation)
  • Phase 3: disenchantment
  • Phase 4: reorientation- ‘taking stock’ and being more realistic
  • Phase 5: retirement routine
  • Phase 6: termination of retirement (when retirement role no longer relevant-possibly due to ill health/disability)
39
Q

what are the two theories of ageing? describe the,

A

Programmed Theory

  • There are limitations to cell division
  • There are genes which cause deterioration
  • (Aging is inherent, genetically programmed in the organism and not simply a result of environmental factors or disease)

Wear + Tear Theory

  • Body systems wear out through usage
  • Chemical waste products accumulate
  • Decreased cell replacement
  • Environmental and disease factors
  • (The idea that effects of aging are caused by damage done to cells and body systems over time)
40
Q

what are cataracts? symptoms? treatment?

A
  • Cloudy or opaque in lens of the eye, caused by changes in the protein in the lens of the eye.
  • Symptoms include blurred vision, faded color difficulty with bright light and night vision
  • Contact lenses or cataract glasses can improve vision
  • Surgery: Removal of cataract and lens implant
41
Q

what is glaucoma?

A
  • Leading cause of blindness in 35+ age group.
  • Blindness is preventable with early detection and treatment
  • Damage to optic nerve by intraocular pressure
42
Q

what is macular degeneration?

A
  • Loss of central vision
  • Unable to complete activities requiring straight ahead vision
  • No pain
  • More serious as less treatable
43
Q

what is presbycusis

A
  • Age induced hearing loss most common form. Large genetic component
  • Slow, bilateral, progressive high frequency hearing loss
  • The incidence of hearing loss is 50 - 60% in persons 71 -80 years of age
44
Q

What other changes in sensory function might older adults experience, in addition to vision and hearing losses?

A
  • Decreased vestibular sense (poor balance) common, major cuase of falls and fractures
  • Decrease tate and smell, also decreased saliva, poor nutrition
  • Decrease touch and movement perception, 30-70% decrease in reaching speed, decrease in large motor control
  • No change in pain, heat and cold sensation
45
Q

what are some intrinsic factors that can cause a fall?

A

Increased age, history of falls, multiple medications and specific types, impaired balance/mobility, reduced muscle strength, sensory problems, dizziness, impaired cognition, incontinence, low levels of physical activity, slow reaction time, fear of falling

46
Q

what are some extrinsic factors that can cause a fall?

A

inappropriate footwear, inappropriate spectales

47
Q

describe the changes in cognitive development in late adulthood

A
  • Decline in Fluid Intelligence

- maintain or increase in Crystallized Intelligence

48
Q

describe the changes in memory in late adulthood

A
  • Short term memory (20 seconds) is maintained in old age
  • Long term memory (long term storage):
    o Newly learned (declines)
    o Distant past (maintained)
49
Q

what are the factors affecting memory in late adulthood, not attributed to dementia

A

Registration:
- Impact of sensory loss with hearing and vision
Encoding + Storage:
- Loss of efficiency: extra time needed to perceive and actively rehearse the information + relate it to past knowledge + complete information storage
Retrieval:
- Extra time needed for process of locating and producing the encoded information for use

50
Q

what are the early symptoms of dementia?

A

Progressive and frequent memory loss, confusion, personality changes, apathy and withdrawal, loss of ability to perform everyday tasks

51
Q

what are the advanced symptoms of dementia?

A

Hallucinations, delusions, suspicious- loses/hides/accuses, demanding, apathetic, withdrawn, aggression, disinhibited, incontinence, mobility compromised, can lose verbal communication, gradual progression, ends in death

52
Q

What are some ways in which OTs can help people with dementia living in the community?

A
  1. Modify environment- safety, simplify/moderate the amount of stimulation
  2. Adapting/simplifying daily activities
  3. Help establish routines
  4. Activity engagement tailored to their capabilities and interests
  5. Simple stress reduction approaches e.g. music, hand massage
53
Q

what stage of crisis occurs in late adulthood? describe it.

A

Crisis 8: “Ego Integrity versus Despair”
Ego Integrity implies:
o an acceptance of oneself
o ones parents
o one’s life (some despair is inevitable)
- Older individuals must develop an acceptance of their lives and impending death.
- If not they may be overwhelmed by the lack of time to start anew and unable to accept death - Despair

54
Q

what are the 3 psychological developments critical to successful old age

A
  • Ego-differentiation versus Work Role Preoccupation:
    o Redefinition of worth beyond work role, maintain vitality and sense of self
  • Body Transcendence versus Body Preoccupation:
    o Accept that they are no longer as physically able, and concentrate on what still functions well
  • Ego Transcendence versus Ego Preoccupation:
    o Elderly need to deal with the reality of eventual death, and recognise that their contributions through life will is meaningful even after they have died
55
Q

what are the two socio-emotion development theories

A
  1. Disengagement Theory
    - Aging is characterized by ‘mutual withdraw’
    - The older person voluntarily reduces activities and commitments
    - Society encourages segregation
  2. Activity Theory
    - The more active older people remain, the more successfully they will age
    - Greater loss of roles leads to decrease in life satisfaction
56
Q

what are some possible causes of depression in the elderly?

A

Loneliness and isolation, reduced sense of purpose, health problems, medications, fears, recent bereavement

57
Q

what is ageism?

A

prejudice or discrimination on the grounds of a person’s age.

58
Q

what are some things to consider about hospitalization

A
  • Reasons
  • Duration of stay
  • Pathway
  • Decrease in reserve capacity
    o Decreased muscle bulk and strength
  • Co-morbidity
    o Iatrogenic disease and bed rest
  • Varied understanding health and disease
  • Appropriate information for decision making
  • Previous experience
  • Care and support
59
Q

what are the impacts of hospitalisation on adults

A
  • Reduced occupational performance
  • Reduced quality of life
    o Falling
    o Dependency in ADL and IADL
    –> Standard bed rest protocols
    o Bladder and bowel incontinence
    –> Secondary complications/infections
    o Confusion
    –> Hospital environment disorienting and threatening
60
Q

what are some negative outcomes of hospitalisation?

A
  • Delirium: acute medical condition that results on adverse impact on your cognitive ability
  • Deconditioning
  • Significant decline in ADLs
  • Requiring higher level of care at discharge
    o 1/3 of people decline in ability to perform ADLs and ½ of these fail to regain pre-admission level of function in 3 months
  • Readmission to hospital within 28 days
61
Q

what are factors that contribute to reduced occupational performance and poorer discharge outcomes

A
  • Deconditioning secondary to bed rest and inactivity
  • Characteristics of acute hospitals:
    o That result in occupational disruption – lack of choice, control over activity
     Impact on health and well-being
    o That influence individual’s ability to change, cope with or exert control over environment
62
Q

what is elder abuse? types?

A

Any act occurring within a relationship where there is an implication of trust, which results in harm to an older person.
Types: physical, emotional, psychological, sexual, exploitation, financial, abandonment, neglect

63
Q

what are the physical effects of elder abuse?

A
  • Welts, wounds and injuries (e.g. bruises, lacerations, dental problems, head injuries, broken bones, pressure sores);
  • Persistent physical pain and soreness
  • Nutrition and hydration issues
  • Sleep disturbances
  • Increased susceptibility to new illnesses (including sexually transmitted diseases)
  • Exacerbation of pre-existing health conditions; and
  • Increased risk of premature death
64
Q

what are the psychological effects of elder abuse?

A
  • Established psychological effects of elder maltreatment include higher levels of distress and depression
  • Other potential psychological consequences that need further scientific study are:
    o Increased risk for developing fear/anxiety reactions
    o Learned helplessness, and
  • Post traumatic stress syndrome
65
Q

what are the 3 strategies for successful ageing

A
  • Selection: People identify goals, prioritise them and determine their degree of commitment
  • Optimisation: Maximise performance to facilitate success. May involve learning new skills
  • Compensation: Adapting to limitations that interfere with goals. May use assistive technologies, or adapt way in which task is done
66
Q

what is the benefits of successful ageing?

A
  • Individuals 65-74 report less sadness compared to 20-24 year olds
  • Increased ability to regulate emotions
  • Acceptance of life
  • Experience of pride and contentment
  • More able to recognise and draw on strengths
67
Q

define loss

A

Loss is being separated/parted from someone something that a person values

68
Q

define grief

A

Grief is the physical, emotional, somatic, cognitive and spiritual response to actual or threatened loss of a person, thing or place to which we are emotionally attached

69
Q

what are the stages of grief

A
  1. Denial- ‘this can’t be happening’
  2. Anger- denial gives way to anger, resentment, rage and envy. Why me- its not fair?
  3. Bargaining- asking/hoping that some other option could be offered ‘ill do anything if’
  4. Depression- ‘I’m so sad, why bother with anything?’
  5. Acceptance- sense of peace, acceptance of one’s fate, ‘it’s going to be okay’
  6. Finding meaning- that can transform grief into a more peaceful and hopeful experience
70
Q

what is the difference between grief and depression

A

Grief: variability of moods and feelings, capable of external expression, wants solitude but responds to warmth, sporadic pleasure, retain sense of humour, experienced in waves, diminishes in intensity over time, health self-image

Depression: moods and feelings are low, more static, absence of externally directed anger- internally directed, fear being alone or are unresponsive to others, no pleasure, sense of humour, consistent sate of depletion, sense of worthlessness and disturbed self-image

71
Q

what are the four tasks of mourning

A
  1. Acceptance of reality of the loss
  2. Work through the pain
  3. Adjust to the environment when someone or something is no longer there
  4. Reinvesting in other relationships/attachments
72
Q

what are the views of deaths for young, middle and late adulthood

A

Views on Death: Young Adulthood

  • Often experience death of someone or the 1st time- e.g. parents/grandparents
  • Increasing understanding of own mortality
  • May lead to reviewing life/taking stock
  • More likely to become involved in caring for bereaved
  • Focus of concern: family well-being and self

Views on Death: Middle Adulthood

  • Increased awareness of mortality
  • Vulnerability
  • Focus of concern: family well-being and self

Views on Death: Late Adulthood

  • More experience of other’s having died (sometimes too much)
  • Potentially more acceptance of mortality/less fear??
  • Ego integrity/despair
73
Q

what are the determinants of intensity and duration of grief response

A
  • Who the person was/nature of the attachment
  • Mode of death
  • Historical antecedents
  • Personality of the bereaved
  • Ethnic and religious background
74
Q

what are the types of grief

A
  • Anticipatory grief (before death)
  • Normal grief (following death): shock/disbelief, re-adjustment
  • Morbid grief- emotional disturbance shown
  • Complicated grief
    1. Disenfranchised grief
    2. Psycho-social losses: loss of self and chronic sorrow
    3. Grief related to violent death
75
Q

what are the 3 mechanisms for reconstructing meaning for the bereaved

A
  1. Making sense of death, 2. Finding benefit in the experience, and 3. Undergoing identity change

Sense Making

  • This usually involves seeing the loss as predictable, as part of a natural order
  • It often involves finding reasons for what happened- does an illness/accident make sense?
  • This often leads us to consider the meaning of life- why did this occur? Why did this happen to me?
  • The most difficult losses are those that fail to make sense

Benefit Finding

  • Involves finding benefits, positive value, or significance to the loss
  • The capacity to find benefits strengthens adjustment to the loss over time

Identity Change

  • Amidst the pain and anguish of loss we can also experience positive changes
  • We reconstruct meaning in our lives, resulting in a reconstruction of ourselves
  • Changes might include becoming more resilient, more independent, or more confident, learning new skills, taking on new roles, developing a new appreciation for life and those still living, experiencing spiritual growth and increased empathy for others
76
Q

what are some approaches to intervention for people experiencing loss or grief

A
  • Establish a relationship with the person experiencing loss
  • Be comfortable with their expression of grief
  • Listen
  • Normalise grief reactions
  • Understand that strong emotions can bring growth
  • Companion them to rebuilding their life
77
Q

what are some specific interventions for people dealing with loss or grief

A

Grief counselling, cognitive behaviour therapy, re-engagement in life roles/goals, stress management/relaxation, acceptance and commitment therapy, life review and reminiscing