Physical and Emotional Factors that Affect Communication Flashcards

1
Q

What does the American Counseling Association say about avoiding burnout?

A

Avoid burnout by knowing our strengths and weaknesses and playing to them

Bring variety into our work

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2
Q

What are some other things we can do to avoid burnout?

A

Know what time of day you are freshest

Take breaks to go outside—even two minutes

Exercise—even walking is good

Colleagues to let off steam with (your family gets tired of hearing it!)

Small journal—let off steam

Take time for fun, recreation

Remember: We don’t always have to fix things or provide a solution

Sleep

Alone Time

Make your physical environment as nice as possible

If you need professional help yourself, get some—especially for short-term emergencies

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3
Q

In terms of religion, what may you encounter in your clinical practice?

A

Some groups may not believe in intervention or rehab

Some clients may seek/prefer alternative forms of healing

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4
Q

In terms of gender, what may you encounter in your clinical practice?

A

women apologize more than men; this can make women look weak

Women take up less space than men; women appear restricted, powerless, and not confident

Men take up more space than women, increases their image of power and confidence

Women smile and nod more than men

Too much smiling and nodding make women appear weak and like we are trying too hard to please—look like we need approval

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5
Q

What do women tend to use too much of when they speak?

A

use more boosters than men

Many women soften their speech with hedgers—appear uncertain—avoiding sounding too sure of ourselves

“Perhaps, somewhat, possibly, sort of, kind of

this makes us seem indecisive and depend on others’ approval

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6
Q

What’s wrong with using disclaimers?

A

Be careful of disclaimers… “I could be wrong here, but…” “This may sound silly, but…” “ I hate to be a bother, but” “I don’t know much about this, but….”

The bummer: Men who use disclaimers appear more sensitive and caring and other-oriented! Women appear weak

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7
Q

What does Dr. Deborah Tannen say about gender roles?

A

Women feel they need to give the gift of listening

Men: give the gift of information

Women see themselves as facilitators of conversation; men see themselves as information providers

Men are often willing to give information but may be reluctant to seek and accept it

Many men enjoy confrontation where there is a winner and a loser

Women tend to end utterances with upward inflections and tag questions—appear uncertain and less intelligent

Women tend to use many feeling words “I feel, I think, I believe that….”

It is more powerful to leave these out

women tend to face their conversational partners and give verbal and nonverbal feedback

Men often look around the room, don’t face their partners, and make fleeting eye contact

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8
Q

What does Owens (2016) say about gender differences in a conversation?

A

People are more likely to interrupt a woman than a man

Women relinquish conversational turns more frequently

In male-female conversations, 36% of woman-initiated topics become focus of attention

In contrast, 96% of male-introduced topics are sustained

“The communication behaviors of men and women reflect the traditional status of women within our society. As in other cultures, words associated with masculinity are judged to be better or more positive than those associated with femininity…Traditionally, the behaviors to which they are expected to conform deny women interactional control and send a devaluing message.”

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9
Q

When working with older clients, what are some things we may encounter?

A

Clients from some cultures may resist the advice of a young SLP

Use titles

Remember; many not been trained to spill their guts—hard to talk about feelings

We may need to corroborate information with a family to ensure accuracy

watch for fatigue

possible vision and hearing problems

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10
Q

What does Haynes & Pindzola (2012) about older clients?

A

older clients may have more difficulty focusing on a task

possible short term memory problems

We may need to patiently explain things in detail several times

When making appointments, keep traffic hours in mind

Older clients may feel useless and discarded by society

If they have neurological impairments, family will want to talk about what they were like before

“Since many older clients tend to feel useless and discarded in our youth-oriented culture and resentful that their bodies are betraying them, we may find it important to spend some time listening to their memories of past achievements.

Older clients should be treated with respect….the number of people over age 60 comprises a significant proportion of the population.”

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11
Q

don’t know how to word this…

Older women especially have not been socialized to be assertive, they often relied on husbands for things like finances, driving; men have made decisions

A

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12
Q

T/F

Older clients are less religious than older ones

A

FALSE

they are more religious

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13
Q

Describe the Dark et.al. study in australia (about older people)

A

Interviewed 20 Australian older adults with cerebral palsy and complex communication needs (e.g., AAC users)

In old age, multiple, gradual, and cumulative losses occur so frequently that there may be insufficient time to grieve each one

Many older people have: 
•Limited support systems
•Poor health
•Decreased mobility
•Isolation
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14
Q

Dark et. al., study: What do older people with lifelong disabilities experience?

A

changing caregivers

loss of physical functioning

loss of role fulfillment (e.g., being a spouse, parent, valued member of society)

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15
Q

Dark et.al. study: What helped with older people who have lifelong disabilities?

A

Communicating with an empathetic listener

Time and opportunity to discuss loss and to be involved in socially acceptable rituals of grieving

Having access to an appropriate means of communication (e.g., AAC)

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16
Q

What should we keep in mind in terms of time?

A

Remember that time is culturally relative

If you are late, it is upsetting. Apologize, briefly give a reason, and move on.

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17
Q

How can we keep in mind social justice issues for CLD clients?

A

if we are counseling CLD students and their families in school, we must be sure that all programs (e.g., GATE) are accessible

Be aware of older CLD clients’ issues like not speaking English or lacking money or transportation

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18
Q

What are some things to keep in mind about about working with CLD clients and them showing their emotions..?

A

Many CLD clients do not expect to show emotion in front of you

They want SPECIFIC STRATEGIES not hand-held and encouraged to show emotion

Some CLD adults will have experienced racism and/or social injustice; a cultural mediator can be helpful

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19
Q

What did Haynes & Pindzola say about working with CLD clients and interviewing?

A

When interviewing–much info clients are being asked for is highly personal

Many cultures find it difficult to reveal this info

We may need to conduct multiple interviews and establish a strong relationship with clients

20
Q

How can we project a professional image?

A

personal appearance and habits

firm handshake

look nice! Good-looking people are credited with traits like intelligence and talent

Clothes are important

21
Q

What are some things to be aware of in terms of our personal appearance and habits?

A

fidgeting—makes you look nervous and not credible

When thinking, try to LOOK UP

22
Q

What does some research show about attractiveness with men vs. women

A

Attractive men thought of as more capable than unattractive men

However, attractive women seen as less capable than unattractive women

In one study, attractive women thought to be less likely to be loyal wives and mothers

23
Q

What kind of clothes are most appropriate for projecting a professional image?

A

Suits, jackets, dark colors like black and navy are more authoritative

Long sleeves—most formal

Briefcases make a good impression

Women: watch dangly earrings, bracelets, high heels

24
Q

What are some ways to influence clients?

A

Give people a reason for things. Studies show that use of “because” is a real influence on people

Use evidence and past successes

“Research shows that…” (be prepared to back this up!)

Call for evolution, not revolution

Use the foot in the door technique. If you get the person to agree to a small commitment, it is much easier to get them to agree to carry out a larger request later.

Begin with a point of agreement →“We are all here because we want what is best for Maurice”

Get the other person saying ‘yes’ right away

Avoid having the other person say “no” or disagree with you.

After people commit to a position, even in some trivial way, they are more likely to behave in ways that are consistent with that position.

Find out what other people want

Show them how to get it

Let other people feel that ideas are theirs

Make other people feel important

25
Q

What are some things we can say if someone is about to say no or disagree?

A

“Take your time to think about this, and let’s come back to it later. Don’t feel like you have to decide right now.”

Remember: even if people change their minds and agree with what you want, they may be too proud to admit it

26
Q

What are some ways we can use social validation?

A

People often decide what to do based on what others think/are doing

“many of the parents I have worked with in the past have found the Hanen program to be successful”

People don’t want to miss out on something good that other people already have

27
Q

How can we use social validation?

A

People often decide what to do based on what others think/are doing

“many of the parents I have worked with in the past have found the Hanen program to be successful”

People don’t want to miss out on something good that other people already have

28
Q

How can we emphasize our similarities to the client?

A

People like those who are like them in personality, background, lifestyle

Do your best to relate to your clients

29
Q

Describe the principle of scarcity and how we could use it to our advantage

A

Opportunities seem more valuable when supply is limited

“My caseload is full, but if you are interested, I will do my best to find a slot for Jason.”

“It looks like Friday afternoon is pretty booked, but I could meet with you from 3:30-3:50.”

Hint: Scheduling at odd times make your time seem more valuable.

30
Q

What should the appearance of our work setting look like?

A

New paint best

Green paint: People don’t think they have been there as long as they have (good for classrooms and churches)

Yellow and orange paint: make people want to hurry up

It’s really nice:
To have a few personal/family pictures—people feel like they can relate to you better

They see you as a human being with a life

Plants are good too

Avoid clutter and messiness

Looks disorganized; people may not trust you

Greater distance=more formality and less intimacy; reverse is true too.

31
Q

When someone responds, what kind of “basis” do they respond with first?

A

Remember that when people respond to things, they respond first on an emotional basis

After this, they then respond to content

32
Q

What are some reasons why people get angry?

A

Fear

They perceive that they are being treated unfairly—there is a sense of injustice

People’s sense of fairness and justice is often violated by the impact of a profound loss

“I am a good person and do all the right things. Why has this happened to me? Why me, God?”

People have a sense of entitlement: If they work hard and are good people, all will be well. All their needs will be met.

33
Q

Often times what does a communication disorder in a family member result in?

A

a loss of personal freedom for another family member

usually mother or wife–sometimes older sister

With older patients: Spouse often has to severely curtail activities if other has a neurological impairment

Also, anger can result from seeing a loved one hurting and having no power to change things

They are angry that they cannot make the situation better

34
Q

What 3 reactions does David Burns say we can react when our clients are angry?

A

we can get mad, sad, or glad

if we get mad, we get defensive and argue with people, this is very human, we try to justify ourselves

if we get sad, we conclude that the person is right–we must have done something wrong, we may get depressed and withdraw and try to avoid the situation

If we are glad, acknowledge there might be a grain of truth, become investigative, ask questions

35
Q

ESSAY QUESTION ON EXAM:

What is the 4 pronged technique for disarming an angry person

A

CDEF

  1. compliment person on something they did right
  2. Disarm them by finding something to agree with
  3. Encourage people to talk to openly about why they are angry
  4. Feedback and Negotiation
36
Q

How may parents manifest their guilt over their children having a communication disorder?

A

I’ve done something I shouldn’t have

People may feel that things are their fault

“If you had had more information, you would have done things differently.”

I’ve failed to do something I should have (personalization—people inappropriately assume responsibility for something they did not cause)

“I should have….”

Therefore, I am a bad person

37
Q

Why may parents/loved ones feel anxiety?

A

From uncertainty

People feel confused, vulnerable

we need to Present things to read**

we need to Repeat information

38
Q

Describe “disillusionment”–and how this impacts our clients

A

we expect the best–that life will go well

there is a problem when people channel their dreams into their child and their child has a disability

also–older people with life plans–things don’t go as expected

39
Q

What is especially prevalent upon the initial diagnosis of communication disorders

A

shock and disbelief

family/client might think: “no that’s not possible”

often will seek out multiple opinions

40
Q

What are the different types of defense mechanisms?

A
  1. rationalization
  2. displacement
  3. projections
  4. reaction formation
  5. suppression
  6. repression
41
Q

What are the different types of emotions people may feel after a diagnosis of a s/l disorder?

A

anger

guilt

anxiety

disillusionment

shock and disbelief

42
Q

Describe rationalization

A

Logical but untrue explanation of an attitude or behavior that allows an individual to explain why an expectation has not occurred

43
Q

Describe displacement

A

Person transfers hostile feelings from the person or problem that caused the hostile feelings onto a “safe” person or object

44
Q

Describe projection

A

Person shifts responsibility to someone else; feelings or motives that belong to them are attributed to another person

45
Q

Describe reaction formation

A

People experience emotions that are so shocking or contrary to their previous thoughts that the new feelings are considered unacceptable. Individuals develop positive attitudes that are opposed to their new, shocking feelings about a subject

46
Q

Describe suppression

A

People consciously keep thoughts and feelings under control and out of view of others

47
Q

Describe repression

A

Like suppression, but person is not conscious of emotions or feelings