Review Flashcards

1
Q

Group Process

A
  • Expressing how they feel about the experience, the leader, and each other
  • Not the content
  • Does not include past or recent history of members
  • Concerns the interpersonal relationships of participants
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Group Dynamics

A

Forces that influence the interrelationships of members and ultimately affect group outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Tuckman’s stages of group development:

A
  • Forming
  • Storming
  • Norming
  • Performing
  • Adjourning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Forming (Tuckman’s stages of group development)

A
  • Orientation, Testing, Guidance
  • Members are positive and polite; some can be anxious as they may not understand the role of the group and perhaps their role in the group; some may be excited about the task. Leader you play a dominant role, while the member’s roles and responsibilities are less clear.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Storming (Tuckman’s stages of group development)

A
  • Conflict amongst members
  • Members are jockeying for positions and role clarifications; definition of work is established; members may be overwhelmed or uncomfortable with the task or approach; members may question or resist; the stage when many groups fail due to a sense of being on a roller coaster as there are no relationships established among members. A leader should maintain authority and establish structure and direction.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Norming (Tuckman’s stages of group development)

A

Harmony, acceptance, trust
Hierarchy is established; members develop respect for the leader, while other members demonstrate leadership in specific areas; socialization begins; members ask for help from each other and provide constructive criticism; a stronger commitment to the goal develops; progress is observed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Performing (Tuckman’s stages of group development)

A

Works together in supportive environment
Hard work leads to progress toward a shared vision or goal. members may leave or join the group without disrupting the functional nature of the group or the culture. The leader is able to delegate work and concentrates on the development of team members. Members’ fine membership in the group is easy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Adjourning (Tuckman’s stages of group development)

A

The time when the group is disbanded can be stressful. It is important to make sure the group goals have been met and that group members are ‘prepared’ for the disbandment to occur. The leader should set the stage for the group sessions near the end, as the members have established roles and routines associated with participation and relationships have been established.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Leadership styles

A
  • Autocratic/Directive
  • Democratic/Facilitative
  • Laissez-Fair/Advisor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Autocratic/Directive (Leadership Styles)

A
  • Complete control by a leader with no input from members. Results in high productivity. Defines the group, the activities, selects the members, and structures everything.
  • Is necessary with low-functioning clients who cannot make decisions or problem solve. May create resentment and hostility as members view their dependence on the leader. May also feel infantilized, it can stunt growth or development of group by not accepting challenges of leadership.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Democratic/Facilitative

A
  • Allows members to make choices and guides towards goals. Results in high moral and group cohesiveness. Acts as a resource person and educator.
  • Group members must have a certain level of knowledge and skill. Style that most likely will lead to group cohesion. Most useful in motivating clients and getting active involvement. Not good for low functioning or people who lack cognitive skills or self-awareness skills
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Laissez-Fair/Advisor

A
  • Takes on little responsibilities and lets people do as they please. Most passive leadership style. Lack of accomplishment towards goals falls into a repetitive and routine, stagnate group process.
  • Highest functioning member population and group goals such as wellness, problem solving. Independent people who would require guidance on certain specific issues.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Coles 7 steps

A
  • Introduction
  • Activity
  • Sharing
  • Processing
  • Generalization
  • Application
  • Summary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

INTRODUCTION (Coles 7 steps)

A
  • Can make or break a group
  • Intro of the therapist, title and name of the group
  • Intro of members to each other to help acknowledge their membership
  • Warm-up: Exercise that captures the groups attention relaces them and prepares for the experience
  • Setting the mood: Environment, facial expression, and media
  • Expectations: Therapists’ manner and expression should generally reflect the expectation
  • Explaining Purpose
  • A brief outline of session
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ACTIVITY (Coles 7 steps)

A
  • Timing: Keep it simple and short
  • Therapeutic Goals
  • Physical and Mental Capacities
  • Knowledge and skills of leader
  • Adaptation of Activity
  • Activity Analysis: Break down of an activity into component parts and match each part with human functioning
  • Activity Synthesis: Modifications made in an activity to suit clients’ ability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

SHARING (Coles 7 steps)

A

Acknowledge each member’s contribution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

PROCESSING (Coles 7 steps)

A
  • Member express how they feel about the experience, the leader, each other
  • Help identify issues that encourage or discourage “engagement in occupation” or emotions that facilitate or present barriers to participation
  • Discussion of nonverbal aspects of group, underlying issues
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

GENERALIZATION (Coles 7 steps)

A
  • Cognitive learning of aspects of group
  • What are conflicting areas of the group?
  • Group energy?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

APPLICATION (Coles 7 steps)

A
  • Understand how the principles learned can be a-applied to everyday life
  • Verbalize the meaning or significance of the experience
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

SUMMARY (Coles 7 steps)

A

-The purpose is to verbally emphasize the important aspects of the group
-Review goals, content, and process
ALWAYS end on time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Curative aspects of groups

A
  • Installation of Hope
  • Universality
  • Group Cohesiveness
  • Interpersonal Learning
  • Altruism
  • Existential Factors
  • Family Re-Enactment
  • Self Understanding
  • Catharsis
  • Imitative Behavior
  • Imparting Information
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

INSTALLATION OF HOPE (Curative aspects of groups)

A

When members share with people who are in the process of changing, their hopes of changing are reinforced. Members are usually at different stages in the health continuum, seeing people getting better, gives them hope.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

UNIVERSALITY (Curative aspects of groups)

A

People often feel they are alone in their misery. In groups, they learn that others have the same concerns, worries, fears, and experiences. This is reassuring, to know that they are not truly different from others despite how painful their experiences might be.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

GROUP COHESIVENESS (Curative aspects of groups)

A
  • Sense of belonging between group members. The sharing of experiences and feelings can augment the therapeutic aspects of treatment.
  • The level of attraction a group has for its members and members have for each other (motivation).
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

INTERPERSONAL LEARNING (input and output) (Curative aspects of groups)

A
  • Therapy group is a microcosm of society, through the process of reality testing in the here and now, their behaviors in the group, one can develop an understanding of their behavior outside the group in the real world.
  • Input: feedback given from the group and participation within the group. Can compare information in relationship to their self-concept.
  • Output: Better express their feeling, practice resolving differences, and build skills in getting along better with others. Build social skills.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

ALTRUISM (Curative aspects of groups)

A

The opportunity in group to help others through group participation. Members gain feelings of self-worth when they are able to make a difference in someone’s life. People need to feel that they are needed and they can help others, it brings feelings of goodness, which in turn helps their immune system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

EXISTENTIAL FACTORS (Curative aspects of groups)

A

Personal concerns about isolation, death, and helplessness may be discussed and shared. Often by facing these issues people can live more honestly and openly. The group can provide the support needed to face such traumatic issues.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

FAMILY RE-ENACTMENT (Curative aspects of groups)

A

(correct emotional experiences):

  • May operate on an unconscious level. Clients with problematic issues with family backgrounds often express their distortions through the roles they choose to play in the group, as well as their response to the group leader.
  • The therapy group may become a primary group closely resembling the family group. The leader is often perceived as a parental figure. Families socialize individuals for group/societal interactions. The group can make members aware of and correct maladaptive behaviors.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

SELF UNDERSTANDING (Curative aspects of groups)

A
  • Intellectual component denoting “insight”, and self-understanding clarifies the continuity of past and present in one’s own life.
  • Self-discovery can be both positive and negative, important to accept negative things we have done in our past as part of our “imperfect self”. Discovery of new strengths and abilities can enrich one’s life.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

CATHARSIS (Curative aspects of groups)

A

Expression and release of feelings are an important part of the healing process. Members learn to express feelings openly, and that this may not be as disastrous as they had feared. Often many people are surprised that negative and positive emotions may exist at the same time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

IMITATIVE BEHAVIOR (Curative aspects of groups)

A

People can learn and model new behaviors just from watching others. Members can also learn vicariously through the experience of other members.

32
Q

IMPARTING INFORMATION (Curative aspects of groups)

A

Members learn a great deal about themselves, about other members, about the group process itself, and about didactic information being discussed in the group.

33
Q

Doing groups, looking at the environment and how we need to set that up, we are…

A

Agents of change and environment, how we are direct group and how we want it to run

34
Q

Positive factors of adaptation

A

Coping

  • Locus of Control
  • Social Support
35
Q

Coping (Positive factors of adaptation)

A

Factors in an individual’s coping skills include his or her locus of control, perception of social support, ability to acquire knowledge and communicate about the disability, and generativity.

36
Q

Internal Locus of Control (Positive factors of adaptation)

A
  • Problem Focused: Managing the feelings provoked by the crisis) does not attempt to change the situation but rather focuses on changing the way the situation is attended to or altering the subjective appraisal of the situation (e.g., positive reappraisal or acceptance of circumstances) and use of calming strategies for aspects of the situation that cannot be controlled.
  • Emotional Focused: (i.e., managing the feelings provoked by the crisis) does not attempt to change the situation but rather focuses on changing the way the situation is attended to or altering the subjective appraisal of the situation (e.g., positive reappraisal or acceptance of circumstances) and use of calming strategies for aspects of the situation that cannot be controlled. P
37
Q

External Locus of Control (Positive factors of adaptation)

A

Maladaptive: Worry, magical thinking (i.e., wishing the problem would just go away), denial, blaming oneself or others, use of escape and avoidance strategies (such as over-eating, over-drinking, smoking, or medication), and keeping to one’s self

38
Q

Social Support (Positive factors of adaptation)

A

Helping behaviors from a person or group that result in emotional benefits and/or practical assistance, is an important mechanism through which individuals adjust to disability.

39
Q

How to use models in groups if OTR takes this approach, what model should be used…

A

?

40
Q

The importance of social participation

A

If we influence this, we can influence other areas

41
Q

Communication styles or modes with certain diagnoses or behaviors

A
  • Advocating
  • Collaborating
  • Empathizing: Depression/Mania
  • Encouraging
  • Instructing; Mania
  • Problem Solving: Mania
42
Q

Interpersonal reasoning (how to makeshift)

A
  • Anticipate
  • Identify, cope, and strive for understanding
  • Determine if a mode shift is required
  • Choose a response mode
  • Draw on any relevant interpersonal skills associated with that mode
  • Gather feedback
43
Q

Steps in managing difficult behaviors

A

?

44
Q

Inevitable interpersonal events

A
  • Inevitable, naturally occurring communications, reactions, processes, tasks, or general circumstances that take place within the context of the client-therapist interaction.
  • Can be distinguished from all other therapy events
  • Emotionally charged and ripe with both threat and opportunity.
  • May produce feelings such as disappointment, despair, worry, or anger.
  • If addressed appropriately by the OT, these events may lead to positive outcomes that involve feelings such as gratification, fulfillment, satisfaction, or intimacy.
45
Q

Towards end of taylor book (how you would address that event and what’s happening

A
  • Expression of strong emotion
  • Intimate self-disclosures
  • Power dilemmas
  • Nonverbal cues
  • Verbal innuendos
  • Crisis points
  • Resistance and reluctance
  • Boundary testing
  • Empathic breaks
  • Emotionally charged therapy tasks and situations
  • Limitations of therapy
  • Contextual inconsistencies
46
Q

Sensory processing model and how it’s used with mental illness

A

?

47
Q

What do you do when there are trust issues in a therapeutic relationship?

A

Acknowledge openly to the client that they exist. You may make statements such as: “I’m wondering if you still need more time to trust this process” or “I’m wondering if you need some time to come to know me and trust that I have your best interests in mind.”

48
Q

Occupational circumstances assessment, interview, and rating scale

A

To identify the clients perception of their occupational performance and participation

49
Q

Volitional Questionnaire

A

Stems from MOHO and assesses the persons inner motives and the environments impact on motivation

  • Rates them in 3 Stages: Exploration, Competency, Achievement
  • For each item rated as passive, hesitant, involved or spontaneous
  • Also an environment form
50
Q

OPHI2

A

To gather a life history of the client and to categorize the clients occupational narrative

51
Q

Executive Functional Performance Test

A

Performance-based standardized assessment of cognition and executive function

  • IADL tasks used to assess are (cooking, phone use, meds management, bill paying)
  • Determines executive function components are deficient (initiation, organization, sequencing, judgement, safety, and completion), determine capacity for independent functioning, and determine type of assistance needed for task completion
52
Q

Sensory Regulation

A

Regulating emotions towards sensory stimuli to be able to function

53
Q

Trauma-informed care, recovery model (principles, ask about application- if the therapist did this in practice, what aspect of trauma-informed care is the therapist promoting)

A
  • Hope
  • Person-driven
  • Many pathways
  • Holistic
  • Peer support
  • Relational
  • Culture
  • Addresses trauma
  • Strengths/responsibility
  • Respect
54
Q

Social participation

A

Occupation addressed for those with mental illness and we expect to have outcomes in all occupational areas

55
Q

Occupational engagement

A

Considered the human expression of self

56
Q

Co-occupations

A

Necessary to mental health and well-being and require shared physicality (same space for co-occupation to occur, space for shared communication, shared emotions, and intentionality)-co-occupations are really important for peer advocacy and coregulation

57
Q

What methods do we use to improve social participation

A
  • We will use peer advocates, pets, and family systems

- When would we use those, benefits of one over the other

58
Q

Emotional Buoy

A

Therapist who continually orients and guides clients through the interview by highlighting shifts in major topic areas, marking how much has been accomplished and how much is left to do, and describing the questions to come. Therapists occasionally provide positive feedbacl

59
Q

Behavioral Model

A

Stimulus-Response

60
Q

Cognitive-Behavioral Model

A
  • Changing the way we think about something to get a different outcome
  • “If I reframe this into a more positive pattern, I will feel different
61
Q

Dialectical Behavioral Responses (Theory

A
  • Learning new coping skills and ways of addressing different behaviors we have to stop them or stop our response to stimulus
  • Behavior response is for low cognition
  • Building new routines and habits
62
Q

KAWA

A
  • Helps you to see things in a different light
  • Barriers and assets
  • “Stubborn doesn’t work in the family but it works well for you advocating for your mental health”
  • Drawing the river and looking at aspects
  • Look at positives and where they can help
63
Q

Recovery Model

A

-Recovery supported by those who believe in a person’s ability to recover exemplifies what guiding principle of recovery
-The relational aspect of recovery
“I believe in you and I want to help you through”
-Many pathways to recovery mean that we take our own unique individual steps to get there and whatever works for you
-Peer support, respect (seeing them as someone who is trying and because they’re human)

64
Q

Health Disparities

A

Influence how and when access is provided for mental health care
Location is important
When in the same place as regular doctors or hospitals its better
Accessing care in one place is good
All providers in the same place are easier for practitioners too
Environmental or Social Aspect
Language and communication barriers
Previous negative experience with health care providers is a big problem because then they don’t want to go back
PRIOR MILITARY DOESN’T EFFECT AS A HEALTH DISPARITY

65
Q

Couple multiple answers or ordering Qs

A

Bias > Stereotype> Prejudice, Discrimination, Oppression

66
Q

Sociological Characteristics of Culture

A

Looking at the bigger sociological picture (not a language, gender, or where you came from, its how people are integrated together into a culture

67
Q

Beth has a child with autism and the OTR is like “My nephew experiences these things, hard to take him to the grocery store” What is this an example of?

A

Projected personal experience

68
Q

Confrontation and setting hard limits

A

Is a therapeutic use of self
Must be used within limits
If the client is trying to take scissors back to the unit, you have to take them and tell them you are gonna take the,

69
Q

Clinical Reasoning

A
Interpersonal
Conditional
Narrative
Interactive
Systematic (DOESNT EXIST)
70
Q

Therapeutic Modes

A

If a certain sentence is said “OT says I think we should work together to make some goals for you so we can decide together what we are doing in therapy- Empathizing mode
When a client needed to address problems in the workplace- Advocating Mode (Client working on behaviors and having problems in school, you told the client “hey I’m gonna make sure the teacher knows you need a break, advocate out of a team meeting)
Problem Solving Mode vs Collaborating
Collaborating (Let’s do it together)
Problem-solving (This is what you should do, Takes away support kinda)

71
Q

Trauma-Informed Practice

A

?

72
Q

Occupational therapy core values

A

-Dignity
-Prudence
-Altruism
-Truth
Know what they mean and how they may interact with trauma-informed care and recovery model

73
Q

Ethical Principles

A

?

74
Q

Health care parody act

A

Tried to equalize mental and physical health care

75
Q

Processing vs application

A
Processing 
-What really happened in the group, what did you learn, what is something new or surprised you
-Did you get anything out of this
-Reflective of process
Application
-How are you gonna apply it in everyday life
-How can you use it to improve something
-Where do you want to practice it
-About real life