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OTA-1210 > Therapeutic Modes > Flashcards

Therapeutic Modes Flashcards

1
Q

Response to change or challenge

A

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.

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2
Q

Collaborating

A

-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.

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3
Q

Interpersonal Characteristics

Need for control.

A

Demonstrated through:
- Attempting to dominate or manipulate the therapeutic process.
- Excessive demands
- Going against recommendations
- Seeking high structure

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4
Q

Identifying Interpersonal Events

A client needs a piece of equipment that is unavailable within the therapeutic environment.

A

Limitations of therapy

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5
Q

Interpersonal Characteristics

Response to human diversity

A

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.

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6
Q

Interpersonal Impulse Control

A

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.

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7
Q

Therapeutic Mode

Advocating

A

Providing clients with knowledge about and access to resources.

Awareness of laws or rights

Consciousness-raising

Normalization of experience

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8
Q

Therapeutic Mode

Instructing

A
  • Directing, informing, guiding, educating, explaining, justifying, correcting, redirecting.
  • Providing structure
  • Making recommendations unapologetically
  • Using gentle/ finessed confrontation.
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9
Q

Therapeutic Style

A

The primary mode or set of modes that you tend to utilize most often during interactions with clients.

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10
Q

Intentionality

A

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.

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11
Q

Underlying principles of the intentional relationship model

A
  1. Critical Self-Awareness: is key to the intentional use of self.
  2. Interpersonal self-discipline: Is fundamental to effective use of self.
  3. It is necessary to keep head before heart.
  4. Mindful empathy: is required to know your client.
  5. Practitioners are responsible for expanding their interpersonal knowledge base.
  6. Provided that they are purely, and flexibility applied a wide range of modes can work and be used interchangeably.
  7. The client defines the successful relationship.
  8. Activity focusing must be balanced with interpersonal focusing.
  9. Application of the model must be informed by core values and ethics.
  10. Application of the model requires cultural sensitivity.
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12
Q

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”.

A

Verbal Innuendos

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13
Q

Identifying Interpersonal Events

The client is offended by a seemingly innocent comment made by the practitioner.

A

Empathetic Breaks

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14
Q

Behavioral Impulse Control

A

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

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15
Q

What word would you use to describe a man who does not have all his fingers on one hand?

A

Normal

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16
Q

Interpersonal Characteristics

Predisposition to giving feedback.

A

Clients may:
- Never give unsolicited feedback or frequently gives the practitioner feedback.
- Minimize feedback when given, or gives significant detail
- Positive or negative

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17
Q

Therapeutic Mode

Encouraging

A
  • 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.
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18
Q

Emotional Congruity

A

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.

19
Q

Mode Shifting

A

A practitioner interacting with a client by discontinuing use of one mode and initiating use of another mode.

20
Q

Interpersonal Characteristics

Tone of Voice

A

The sounds of voice:
- Loud or soft
- Normal or different
- Tension or tightness
- Soft or low

21
Q

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.

A

Power Dilemmas

22
Q

Interpersonal Characteristics

Communication Style

A

Describes the quality, quantity, and pace with which clients express themselves verbally or using gestures or sign language.

23
Q

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.

A

Expression of Strong Emotion

24
Q

Identifying Interpersonal Events

A client is unwilling to engage in therapy.

A

Resistance and Reluctance

25
Q

Emotional Impulse Control

A

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

26
Q

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.

A

Crisis Point

27
Q

Interpersonal Characteristics

Orientation Toward Relating

A

Clients may:
- Initiate or avoid conversations with practitioner
- Over-share or under-share personal information

28
Q

The Intentional Relationship Models

4 Elements

A

Interpersonal Characteristics
Interpersonal Events
Therapeutic Modes

Occupational Engagement

29
Q

The Process of interpersonal Reasoning

A

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.

30
Q

Interpersonal Characteristics

Facial Expressions

A

The outward expression of emotion

31
Q

Therapeutic Mode

Empathizing

A

-Summary statements
-Mirroring effect
_ Validating negativity.
- Depending on questions that reflect an effort to understand.
- Allowing full space for client’s reactions and experience.

32
Q

Interpersonal Characteristic

Level of Trust

A

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.

33
Q

Interpersonal Characteristics

Body Language

A

How the body presents the client’s current emotional state.

Comfortable=open, relaxed, neutral posture.

Uncomfortable= Closed, arms/legs crossed, stiff posture.

34
Q

Enduring Interpersonal Characteristics

A

Client emotions, behaviors, and reactions that are consistent across time, circumstance, and people.

35
Q

Identifying Interpersonal Characteristics

A client reveals something significant.

A

Intimate Self Disclosure

36
Q

Identifying Interpersonal Characteristics

A client communicates something significant through body language.

A

Nonverbal Cues

37
Q

Identifying Interpersonal Events

The client invites the practitioner to attend her wedding.

A

Boundary Pushing

38
Q

Physical Impulse Control

A

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
39
Q

Empathy

A

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.

40
Q

Interpersonal Characteristics

Approach to asserting needs.

A
  • 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.
41
Q

Psychological Impulse Control

A

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.

42
Q

Identifying Interpersonal Events

A client is embarrassed of losing bladder control or becomes frustrated or fearful in the midst of an activity.

A

Emotionally charged therapy tasks and situations

43
Q

Identifying Interpersonal Events

The location of the therapy session changes.

A

Contextual Inconsistencies

OTA-1210 (2 decks)

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