WEEK 4 Flashcards
MALIGNANT INTERACTIONS
Treachery
disempowerment
Infantilization
Intimidation
Labelling
Stigmatization
Outpacing
Invalidation
Banishment
Objectification
Any form of deception in order to distract and manipulate a person, forcing them into compliance
Treachery
refers to using deception to control or manipulate someone, making them comply with a set schedule or treatment plan
Treachery
Taking power away from the patient/client.
Disempowerment
Not allowing the person to use abilities that they do have, or failing to allow them to complete tasks that they have begun.
For example, not allowing person to get dressed on their own, bathe, brushing people’s teeth, assuming people are completely incapable simply because of their diagnosis, symptom, or because they can’t conduct one task
Disempowerment
Treating adults as one may treat a child, in a patronizing or matronizing manner; often as a very insensitive parent
Infantilization
Inducing fear in a person, whether it is through use of threats or use of physical power.
Intimidation
Using a category, symptom, condition, or diagnosis as the main basis for describing and interacting with an individual; and as a way to explain the behaviours of an individual. We do not do this with our friends and family members, and often not with people who have people physical health conditions. But we do this with people who are a part of a stigmatized group. We only see a person through the lens of the label.
Example, assuming that any condition that a person describes is occurring simply because they are old.
Labelling
We treat a person as though they are an object, alien, or outcast. Often based on disease condition, mental health condition, age, gender identity/expression, sexual orientation, race, religion, ability…
STIGMATIZATION
When we provide information or care at a rate that is too fast for the person to understand; or we put too much pressure on the individual too rapidly, more rapidly than they can bear
Outpacing
When we believe that our reality is the true reality, and fail to acknowledge that reality is subjective. We all live different realities, because we all come from different belief systems, past experiences, and knowledge networks. This becomes more obvious when we are working with people with psychosis, dementia, or other mental health conditions. Instead, seek to understand.
Invalidation
Sending a person away, either physically or psychologically sending a person away.
Banishment
Treating a person as though they are a lump of dead matter, to be pushed, lifted, filled, pumped, or drained, without proper reference to the fact that they are sentient beings.
Objectification
Personhood-promoting Interactions
Recognition
Play
Relaxation
Negotiation
Timalation
Validation
Facilitation
Collaboration
Celebration
Holding
the act of recognizing theuniquepersonin front of you (not a health care number; not a room number; not a set of symptoms- a unique human being). We do this be using people’s preferred names, and by acknowledging the pieces that make them unique, such as their preferences, values, and strengths.
Recognition
takes into consideration people’s preferences and needs when planning health and social care.
Negotiation
Refers to partnering with patients/clients to develop shared goals and plans. This is a fundamental part of person-centered care. Decisions are made together with patients/clients, not simply by health/social care providers.
Collaboration
refers to spontaneous self expression- creating an environment where people feel safe and secure to simply be themselves.
Play
refers to offering sensory stimulation to patients/clients
Timalation
the stimulation of the senses of touch, hearing, sight, sound, and smell. It is used in the care of patients with dementia, enabling them to experience the world in a pleasurable way
Timalation
takes opportunities to recognize and celebrate! Is it someone’s birthday? A religious holiday? Did someone’s granddaughter just graduate from high school? Let’s celebrate! This ties in closely with recognition!
Celebration
offers people breaks. Especially in health care settings, the only time we interact with health providers is to answer lengthy (often intimate questions) or to listen and understand complex health information.
I call this a “cognitive vacation”. With this, health providers take time to simply sit with their patients/clients, and talk about low-stress topics, such as the weather.
Relaxation
the recognition that all realities are valid. Our reality is not “true”, and we do not need to force a patient to “believe” our reality. This is particularly true for feelings: a person is whatever they say they are (even if you disagree). If a person is sad, it will have little impact to tell them, “well, stop being sad! There is no reason for that!”. If a person is mad, you likely can’t change their minds by saying, “it really wasn’t that big of a deal, I don’t see why you’re so upset…” A person is whatever they say they are. Accept their feelings (even if you disagree).
Validation
the act of creating a space where people can feel confident to express their emotions. We are often uncomfortable with emotions. If someone is very sad, it makes us feel awkward, and we just want it to stop! We may use defense mechanisms to try to avoid these situations. It is the act of giving people permission and space to express themselves. Simply by sitting with a person and allowing them to vent their feelings, we hold safe space for them.
Holding
