Therapeutic Modes Flashcards
Response to change or challenge
Clients who are strong in this will demonstrate perseverance and healthy coping mechanisms to stress.
Clients who are weak in this will give up easily, make excuses, become easily irritable or angry.
Collaborating
-Relinquishing all therapeutic power and control.
-Facilitating the client’s independence in through and behavior.
- Expecting clients to drive your therapeutic reasoning by following their preferences and participation choices following the clients lead in every way.
Interpersonal Characteristics
Need for control.
Demonstrated through:
- Attempting to dominate or manipulate the therapeutic process.
- Excessive demands
- Going against recommendations
- Seeking high structure
Identifying Interpersonal Events
A client needs a piece of equipment that is unavailable within the therapeutic environment.
Limitations of therapy
Interpersonal Characteristics
Response to human diversity
Client may:
- Question practitioner about their personal characteristics.
- Make statement of inability to work with certain types of people.
- Make indirect statements of discomfort with people in general of a certain background.
Interpersonal Impulse Control
Client emotions, behaviors, and reactions that occur in interactions between the client and therapist and that emanate from underlying client personality traits and from the client’s circumstances.
Therapeutic Mode
Advocating
Providing clients with knowledge about and access to resources.
Awareness of laws or rights
Consciousness-raising
Normalization of experience
Therapeutic Mode
Instructing
- Directing, informing, guiding, educating, explaining, justifying, correcting, redirecting.
- Providing structure
- Making recommendations unapologetically
- Using gentle/ finessed confrontation.
Therapeutic Style
The primary mode or set of modes that you tend to utilize most often during interactions with clients.
Intentionality
Exertion of physical, behavioral, emotional, psychological, and interpersonal impulse control during an interaction with a client, while at the same time maintaining emotional congruity in all verbal and non-verbal communication.
Underlying principles of the intentional relationship model
- Critical Self-Awareness: is key to the intentional use of self.
- Interpersonal self-discipline: Is fundamental to effective use of self.
- It is necessary to keep head before heart.
- Mindful empathy: is required to know your client.
- Practitioners are responsible for expanding their interpersonal knowledge base.
- Provided that they are purely, and flexibility applied a wide range of modes can work and be used interchangeably.
- The client defines the successful relationship.
- Activity focusing must be balanced with interpersonal focusing.
- Application of the model must be informed by core values and ethics.
- Application of the model requires cultural sensitivity.
Identifying interpersonal events
A client makes a general statement about “ how young all of the healthcare stuff seem these days”. The practitioner happened to look very young, and the client may have been insinuating that the practitioner was one among all of the “young healthcare stuff”.
Verbal Innuendos
Identifying Interpersonal Events
The client is offended by a seemingly innocent comment made by the practitioner.
Empathetic Breaks
Behavioral Impulse Control
Involves establishing an appropriate amount of distance from or proximity to a client so that the client feels comfortable interacting…being cognizant of one’s resting facial expression and posture, paying attention to one’s body, hand, and arm movements (fidgeting, crossed arms)
- Movement
-Posture
Nonverbal communication
What word would you use to describe a man who does not have all his fingers on one hand?
Normal
Interpersonal Characteristics
Predisposition to giving feedback.
Clients may:
- Never give unsolicited feedback or frequently gives the practitioner feedback.
- Minimize feedback when given, or gives significant detail
- Positive or negative
Therapeutic Mode
Encouraging
- Instilling hope, courage, and the will to participate, explore, or preform.
- Praising accomplishments
- Using positive reinforcement to encourage continued behavior
- Using cheering, applause, high fives, compliments, motivational words, humor.
Emotional Congruity
Congruity: Refers to the ability to communicate in a way that reflects what one is truly thinking and feeling.
Incongruence: When affect, facial expression, or body language, is inconsistent with what is communicated verbally.
Mode Shifting
A practitioner interacting with a client by discontinuing use of one mode and initiating use of another mode.
Interpersonal Characteristics
Tone of Voice
The sounds of voice:
- Loud or soft
- Normal or different
- Tension or tightness
- Soft or low
Identifying Interpersonal Events
A client insists on a goal that the therapist believes is not attainable, or the therapist recommends a goal that the client rejects.
Power Dilemmas
Interpersonal Characteristics
Communication Style
Describes the quality, quantity, and pace with which clients express themselves verbally or using gestures or sign language.
Identifying Interpersonal Events
An elderly client begins crying during transfer training or a child client runs up to the therapist and hugs her in the midst of sensory motor activity.
Expression of Strong Emotion
Identifying Interpersonal Events
A client is unwilling to engage in therapy.
Resistance and Reluctance
Emotional Impulse Control
Encompasses an ability to hold back the outward facial, bodily, and vocal expression of one’s emotions while interacting with a client during times when the client’s communication and behaviors indicate that it would be inappropriate to show such reactions.
Appropriate Reactions
Identifying Interpersonal Events
Something significant happens in the client’s personal life or something about the client’s health status changes, and it has an effect on the client’s ability to engaged in therapy.
Crisis Point
Interpersonal Characteristics
Orientation Toward Relating
Clients may:
- Initiate or avoid conversations with practitioner
- Over-share or under-share personal information
The Intentional Relationship Models
4 Elements
Interpersonal Characteristics
Interpersonal Events
Therapeutic Modes
Occupational Engagement
The Process of interpersonal Reasoning
The process by which a practitioner consciously and reflectively monitors both the therapeutic relationship and the interpersonal events of therapy in order to device on and enact interpersonal strategies.
Interpersonal Characteristics
Facial Expressions
The outward expression of emotion
Therapeutic Mode
Empathizing
-Summary statements
-Mirroring effect
_ Validating negativity.
- Depending on questions that reflect an effort to understand.
- Allowing full space for client’s reactions and experience.
Interpersonal Characteristic
Level of Trust
A client who is strong in this will engage in activities with unquestioning and trusting attitude.
A client who is weak in this will ask frequent questions, demonstrate distrust through body language.
Interpersonal Characteristics
Body Language
How the body presents the client’s current emotional state.
Comfortable=open, relaxed, neutral posture.
Uncomfortable= Closed, arms/legs crossed, stiff posture.
Enduring Interpersonal Characteristics
Client emotions, behaviors, and reactions that are consistent across time, circumstance, and people.
Identifying Interpersonal Characteristics
A client reveals something significant.
Intimate Self Disclosure
Identifying Interpersonal Characteristics
A client communicates something significant through body language.
Nonverbal Cues
Identifying Interpersonal Events
The client invites the practitioner to attend her wedding.
Boundary Pushing
Physical Impulse Control
Basic elements of professional behavior including maintaining a hygienic, functional, sensory-neutral and nondramatic personal style and dress and ensuring the environment is safe, accessible, tidy, and appropriate.
- Physical appearance
- Physical environment
Empathy
Understand the client’s inner experience as a separate or emotional perspective as it is reflected in the person’s expressed thoughts, feelings, or behaviors.
Interpersonal Characteristics
Approach to asserting needs.
- Frequency of asking for assistance when it may or may not be needed.
- Apologizing when asking for assistance.
- Asking for assistance then rejecting it.
- Passive asking for assistance.
Psychological Impulse Control
Involves the ability to suspend one’s personal problems or life stresses during interaction with the client.
- Being present
- Leaving personal problems at the door.
Identifying Interpersonal Events
A client is embarrassed of losing bladder control or becomes frustrated or fearful in the midst of an activity.
Emotionally charged therapy tasks and situations
Identifying Interpersonal Events
The location of the therapy session changes.
Contextual Inconsistencies
