Treatment Flashcards

1
Q

traditional therapy approach

A
  • Focused on fixing problem
  • Assumes patient is motivates
  • Ambivalence means person is in denial
  • Advise, warn, persuade
  • Paternalistic
  • Goals are prescribed
  • Resistance met with correction
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2
Q

motivational interviewing approach

A
  • Focused on patient’s concerns and perspectives
  • Matches intervention to patient level
  • Ambivalence = normal part of change process
  • Emphasizes personal choice
  • Egalitarian
  • Goals are collaboratively set
  • Resistance is interpersonal pattern influenced by provider behaviour
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3
Q

stages of change model

A
  • Pre-contemplation
  • Contemplation
  • Preparation
  • Action
  • Either maintenance or relapse
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4
Q

what is motivational interviewing?

A
  • A directive, client-centred method for enhancing intrinsic motivation to change by exploring and resolving ambivalence
    • Solicits information from client about why they want to make the change rather than just telling them why they should
  • When a person feels accepted for who they are and what they do —no matter how unhealthy— it allows them the freedom to consider change rather than needing to defend against it
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5
Q

4 basic principles of motivational interviewing

A
  • Express empathy
  • Develop discrepancy
  • Roll with resistance
  • Support self-efficacy
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6
Q

importance and confidence rulers

A
  • Used to help solicit information about client re: why they want to change, what obstacles they have to face, how confident they are, etc.
    • How important is it to eat healthy on a scale of 0 to 10?
    • How confident are you that you can eat better?
    • What would it take to get to a 10?
    • How come you are not at a 2?
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7
Q

Cognitive Behavioural Therapy

A
  • Thoughts, physical sensations, emotions, and behaviours are linked
    • Ex. Missing bus -> thoughts: “I’m so stupid, why didn’t I wake up earlier” -> emotions: sadness -> physical sensations: feeling upset -> behaviour: cry
  • CBT model intervenes with thoughts to try and change behaviour
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8
Q

Public health perspective

A
  • Tax increases (ex. Liquor tax)
  • Restricted access
  • Bans on advertising (ex. Can’t advertise to children)
  • Information and warnings
  • Consequences for behaviour
  • Nudging (moving people towards behavioural change in a way that isn’t overt)
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