final exam Flashcards
Breakdown of biopsychosocial approach
bio=body
psycho=mind
social=relationship
What is the biopsychosocial approach
an ‘ecological’ approach
Internal & external factors matter
Reciprocal relationship between person & environment
Bio
Includes all physiological processes
Sensory, motor, respiratory, endocrine, circulatory
Assess nutrition, exercise, eating, sleeping, use of drugs
Psycho
Includes mental processes
Emotion, memory, perception, problem-solving, language
Social
Includes interactions with other humans
Social roles, social support, family, culture, leadership style, communication, politics, discrimination
Strength Perspective
Despite life’s problems everyone has strengths that can be used to improve their quality of life
Client is motivated by focus on strengths
Client and professional have to cooperate to discover strengths
Takes the focus away from blaming client
The strengths perspective: HOW TO FIND CLIENTS’ STRENGTHS…
Exception-finding Questions
help to find times when situation, client’s decisions, client’s behaviour were different from the problematic way
Scaling Questions
Measure improvement, and impact of strengths
Coping Questions
Help find ways client has coped with difficult circumstances
AGATE model
Assessment Goal Setting Action Termination Examination of process
discussion map
.
*Bias Barriers
Bias gets in the way of us seeing the complete picture of other people, and appreciating their full value
How? – ethnocentricity, stereotypes, prejudice
Where does it come from?
How did bias get in the way of us seeing the full complexity of Patrick and the Pakistani women?
*Bias Definition:
a tendency to favour something despite the evidence
*Bias busters
-Break the simple answers bias gives us
-Embrace complexity
(appreciate diversity)
-Become other-oriented
Empathy
Interest – show interest in people & they will talk to you, and tell you about themselves, & you will get…
Information
Leads to inclusion
*Equality Rights:
no discrimination on grounds of race, national or ethnic origin, religion, sex, sexual orientation, age, or mental or physical disability
Taking an active stance(4)
- Freely ask questions
- Seek feedback (in class and in placement)
- Participate in class discussion and activities
- Stay open to understanding yourself
Staying Active Through Effective Communication
- Listens carefully to what client says and how it is said
- Avoids interrupting
- Uses silence to encourage client to talk
- Uses reflection to clarify client’s meaning
- Asks questions to get important details
- Help client to systematically explore ideas
- Point out similarities and discrepancies between client’s thoughts, feelings, actions
- Get feedback from client to make sure you are understanding them correctly
Barriers to active listening (6)
- Judgmental
- Having biases
- Pigeonholing clients
- Attending only to facts
- Sympathizing
- Interrupting
NONVERBAL LANGUAGE (stats)
- Only get 7% of communication from what people say
- 38% of communication from vocal aspects (tone, volume, pitch, etc.)
- 55% of communication from body language
NONVERBAL LANGUAGE
Movements & gestures Eye contact Facial expressions Voice-related behaviours Silence (what’s good about it?) Autonomic physiological responses (fast breath, blushing, paleness, perspiring) Use of space (see next slide) Touch
Staying Active Through Appreciation of Multicultural & Gender Issues
Eye-contact
In North America direct eye-contact is norm
In Canadian indigenous, some Asian cultures direct eye-contact is disrespectful
Body language (Russia, nodding head might mean “no”)
Space
Northern Europeans (Britain) need space, Southern Europeans (Italy) need intimacy
Silence (New Yorkers vs Tibetans)
Touch
Submission to Authority
Gender differences
Conflict involves:
you and someone
Conflict Management Styles(5)
- Avoidance (lose/lose)
- Accommodation/Harmonizing (lose/win)
- Competition (win/lose)
- Compromise (win/lose, win/lose)
- Collaboration (win/win)
Shark
- Sharks use a forcing or competing conflict management style.
- Sharks are highly goal-oriented
- Relationships less important
- Sharks do not hesitate to use aggressive behaviour to resolve conflicts
- Sharks can be authoritative, uncooperative, threatening and intimidating
- Sharks have need to win; therefore others must lose, creating win-lose situations
Shark advantages vs disadvantages
Advantage: If the shark’s decision is correct, a better decision without compromise can result
Disadvantage: May breed hostility and resentment toward the person using it
Appropriate times to use shark style (4)
- when building a relationship isn’t important
- when others are likely to take advantage of weak behaviour
- when conflict resolution is urgent; in a crisis
- when unpopular decisions need to be made
Turtle (avoidance)
- Turtles use an avoiding or withdrawing conflict management style
- Turtles would rather hide and ignore conflict than resolve it; this makes them uncooperative and unassertive
- Turtles tend to give up personal goals and show passive behaviour, creating lose-lose situations
Turtle advantages vs disadvantages
Advantage: may help to maintain relationships that would be hurt by conflict resolution
Disadvantage: Conflicts remain unresolved, overuse of the style leads to others walking over them