Reorientation

Question 1

DEFINITIONS

Answer 1

**broadening of possibilities and providing new options for patient to choose from

**creating a new view creates new options

**context of taking the same situational variables and placing them within a new psychological context

** you present new ideas and new understandings and you relate them in some indisputable way to the future

**gain an external view of the behavior

**new ways of looking at a situation to reduce the perception of subjective distress

Question 2

When to use

Answer 2

learned helplessness, stuck, overwhelmed, great when there is high chance of relapse

Question 3

Insight

Answer 3

=forgotten event that has yet to be processed from an adult perspective, or an event in future that has yet to occur

E strove to communicate the goodness or resourcefulness of the mind, the innocence of childhood, or miraculous construction of the body–> reorienting pt’s toward capacity for resiliency

insight to the cure, not the problem, or insight into the nature of his/her capacity to enjoy life

**something must be noticed in order to be realized

how to facilitate insight?
1. orient person to a point in the future when problem would be resolved, ask how this recovery was achieved ~ MQ

EX: woman who smoked four packs a day: helped the woman gain insight into her emotional response of her father’s death; decision she had made about herself as a child was preventing her from developing a healthy identity; after this reorientation she no longer viewed herself as a murderer or a failure, but as a scared and loving child

used concept of unconscious bx as means to find explanations for undesirable bxs; “why are you trying to kill yourself”= alarming and a cue to find new explanations to pt’s behavior–> she realized she could not keep doing what she was doing and that she had no need for the bx; “and shouldn’t a little girl be able to have a little girl’s understanding?”= reorientation, implied she could use an adult understanding of the situation

Question 4

Reframing

Answer 4

= reinterpretation of events
=altering perceptions of problem, solutions, or resources as a way to reinforce therapeutic interventions
=negative interpretation that has become paired w a situation–>avoidance or resistance; allows new associations to be established as old problematic thoughts are linked to new reference points

EX: overwhelmed by beauty: E reframing the situation broke off feelings of failure and created opp for groom to physiologically acknowledge wife’s beauty (now, if H was not able to get hard, W could be beautifully sympathetic, and W knew that she was hotter than any other woman he had ever encountered–as he had been sexually active prior)

EX: bedwetting in military example: orientation shifted so that bed wetting was no longer the issue, training became the issue; stopped viewing selves as “bedwetters” and started viewing selves as capable men; **shift in meaning: bedwetters–> toughest

EX: Short leg and head trauma “god still has angels protecting you, he must be saving you for something very special in life”–> future threats to survival became further evidence that life was endowed with meaning and purpose

Question 5

Normalization

Answer 5

communicates there is hope that something can be done; taking an alarming stimulus–>assigning a new positive meaning

Question 6

Reorientation of failure

Answer 6

o Good strategy when creating a positive future orientation and when subject will most likely experience relapse (recognizes learning is not a straight line, nor is progress)

**idea of moving backward to get a forward fresh start–> communicates failure can be a necessary component of improvement; weakness transformed into evidence of progress

Question 7

Externalization

Answer 7

give the pt an external view of his or her problematic behavior (most people feel justified in their behavior until they see it in someone else, from that POV behavior seems unreasonable)

pt looked at self from position outside of his own seductive belief system, and did not like what he saw

all that is required is an avenue for self-observation

EX: Big Louise
EX: Harvey

Question 8

Reorientation in time

Answer 8

time puts a new perspective on events of the past and events that have yet to happen

=age regression, forward progression, or time distortion==reorientations in time that promote new intellectual and emotional understanding d

EX: woman who had her dolly smashed: use of age regression–helped her access emotional states that were troublesome for her and the situations to which they belonged