question

Activity focusing

answer

Strategies of responding to interpersonal events that emphasize doing over feeling or relating.

question

Critical self-awareness

answer

A general knowledge of one's interpersonal tendencies while interacting with clients of different personalities and under different conditions and circumstances.

question

Desired occupation

answer

The task or activity that the therapist and the client have elected for therapy.

question

Emotionally charged therapy task

answer

An activity or situation that can cause clients to become overwhelmed or results in unpleasant emotional reactions like shame, embarrassment, or humiliation.

question

Enduring characteristics

answer

Stable aspects of the client's interpersonal behavior.

question

Interpersonal event

answer

A naturally occurring communication, reaction, process, task, or general circumstance that occurs during therapy and that has the potential to detract from or strengthen the therapeutic relationship.

question

Interpersonal focusing

answer

Strategies that emphasize feeling or relating over doing.

question

Interpersonal reasoning

answer

A step-wise process by which a therapist decides what to say, do, or express in reaction to the occurrence of an interpersonal dilemma in therapy.

question

Interpersonal self-discipline

answer

Anticipating, measuring, and responding to the effects of ongoing communication with a client.

question

Interpersonal skill base

answer

A continuum of skills that must be judiciously applied by the therapist to build a functional working relationship with the client.

question

Interpersonal style

answer

The therapeutic mode or set of modes typically used when interacting with a client.

question

Mindful empathy

answer

An objective mode of observation in which the therapist comes to feel and understand a client's underlying emotions, needs, and motives, while at the same time maintaining an objective viewpoint.

question

Mode shift

answer

A conscious change in one's way of relating to a client.

question

Ongoing critical awareness

answer

A constant mindfulness about what one is communicating verbally, nonverbally, and emotionally.

question

Situational characteristics

answer

Aspects of a client's acute emotional reaction to a specific situation.

question

Therapeutic mode

answer

A specific way of relating to a client.

question

Therapeutic relationship

answer

A socially defined and personally interpreted interactive process between a therapist and client.

question

The intentional relationship model explains...

answer

how the relationship between client and therapist affects the overall process of occupational therapy and how that relationship can be used to enhance occupational therapy outcomes

question

IRM views the therapeutic relationship as being composed of:

answer

-The client -The interpersonal events that occur during therapy -The therapist -The occupation

question

ITM emphasizes...

answer

it is the therapist's responsibility to develop a positive relationship with the client

question

In order to develop this relationship and respond appropriately to the client,

answer

a therapist must work to understand the client's situational and enduring interpersonal characteristics.

question

An interpersonal event

answer

occurs naturally during therapy and has the potential to detract from or strengthen the therapeutic relationship

question

When optimally responded to,

answer

interpersonal events are opportunities for positive client learning or change and for solidifying the therapeutic relationship

question

The therapist is responsible for making every reasonable effort to make the relationship work. The therapist brings three main interpersonal capacities into the relationship:

answer

-An interpersonal skill base -Therapeutic modes (or interpersonal styles) -Capacity for interpersonal reasoning

question

The desired occupation

answer

refers to the task or activity that the therapist and the client have selected for therapy

question

The therapeutic relationship functions as:

answer

-A support to occupational engagement -A place where the emotional and coping processes associated with the client's impairment and its implications for occupational performance are addressed

question

This relationship can be viewed at two different levels or scales:

answer

-Macro-level (i.e., the ongoing enduring rapport and patterns of interaction between client and therapist) -Micro-level (i.e., the moment-by-moment therapeutic relationship as influenced by interpersonal events of therapy that have the potential to challenge or enrich the relationship)

question

IRM underscores

answer

that the occupational therapist must assume the ultimate responsibility for the relationship

question

Failure to respond adequately to interpersonal events

answer

may negatively affect occupational engagement and weaken the therapeutic relationship

question

Ten fundamental principles underlie this model:

answer

1. Critical self-awareness is key to the intentional use of self 2. Interpersonal sel-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. Grow your interpersonal knowledge base 6. Provided that they are purely and flexibly applied, a wide range of therapeutic modes can work and be utilized interchangeably in occupational therapy 7. The client defines a 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. Cultural competency is central to practice

question

The resources of the model are focused on helping therapists better understand both their clients' and their own interpersonal characteristics and on helping therapists become more able to monitor and respond to the inevitable interpersonal events of therapy. They include:

answer

- Materials and procedures for better understanding and monitoring clients' interpersonal characteristics -Resources for identifying inevitable interpersonal events in therapy -A format for applying interpersonal reasoning -Guidelines and materials for developing one's interpersonal skill base (conflict resolution)

question

Actively seeking to know and understand each client's interpersonal characteristics (client emotions, behaviors, and reactions that occur in interactions between the client and therapist)

answer

is essential to an intentional and tailored relationship in which the client feels comfortable

question

IRM identifies 12 categories of interpersonal characteristics

answer

1. Communication style 2. Capacity for trust 3. Need for control 4. Capacity to assert needs 5. Response to change and challenge 6. Affect 7. Predisposition to giving feedback 8. Capacity to receive feedback 9. Response to human diversity 10. Orientation toward relating 11. Preference for touch 12. Capacity for reciprocity

question

In addition to being aware of a client's tendency to display certain interpersonal characteristic, therapist must also be vigilant during therapy to:

answer

- Recognize a client's emotion, reaction, or behavior -Understand its source -Consciously and reflectively consider options for how to act - Monitor the client's response

question

Self-knowledge and self-discipline

answer

are key to becoming an intentional and interpersonally effective therapist

question

The ideal is a multi-modal therapist whose use of modes reflects

answer

a vigilant understanding of the client's unfolding needs rather than one's personal comfort zone

question

Interpersonal events are

answer

distinguished from other therapy events in that they are emotionally charged and ripe with both threat and opportunity

question

If ignored, they can lead to difficulties in the therapeutic relationship and negatively affect occupational engagement.

answer

If addressed appropriately these events may lead to positive outcomes that involve feelings such as gratification, fulfillment, satisfaction, or intimacy

question

Interpersonal reasoning is

answer

"the process by which a therapist monitors the interpersonal events of therapy, the client's unique interpersonal characteristics, and her or his own behavior in a reflective way to maximize the likelihood that the therapeutic relationship will be successful and supportive of client's engagement in occupation"

question

Interpersonal reasoning involves six steps:

answer

-Anticipate interpersonal events or client behaviors that may test, challenge, or threaten the therapeutic relationship -Accurately identify interpersonal events and coping -Determine if a mode shift is required -Choose a response mode or a sequence of modes -Draw upon any relevant interpersonal skills associated with the mode(s) in responding -Gather feedback and strive toward mutual understanding if the client does not feel the event has been adequately resolved

question

A therapist's ability to effectively draw upon his or her interpersonal skills

answer

during therapist-client interactions can enhance the therapeutic alliance and help ensure more positive therapy outcomes

question

Interpersonal events of Therapy

answer

1. Expressions of strong emotion 2. Intimate self-disclosures 3. Power dilemmas 4. Nonverbal cues 5. Crisis points 6. Resistance 7. Reluctance 8. Boundary testing 9. Empathic breaks 10. Emotionally charged therapy tasks and situations 11. Limitations of therapy 12. Contextual inconsistencies

question

The six therapeutic modes in occupational therapy practice

answer

1. Advocating 2. Collaborating 3. Empathizing 4. Encouraging 5. Instructing 6. Problem-solving

question

Areas of the Interpersonal skill base

answer

1. Therapeutic communication 2. Interviewing skills 3. Establishing relationships 4. Families, social systems, and groups 5. Working effectively with supervisors, employers, and other professionals 6. Understanding and managing difficult interpersonal behavior 7. Empathic breaks and conflicts 8. Professional behavior, values, and ethics 9. Therapist self-care and professional development

question

The Therapeutic Relationship

answer

-The Client -Interpersonal events that happen during therapy -The clinician -The occupation

question

Therapeutic Relationships

answer

-Behaviors -Feelings -Interactions -This model explains "therapeutic use of self"

question

Occupational Engagement

answer

-Undertaking an activity that has a therapeutic aim -Example: do an activity that can increase strength -Example: do an activity that can remediate a cognitive deficit -Occupational engagement ties to relationship with the clinician

question

Client

answer

-Focal point to the model -It is the clinician's responsibility to develop a positive relationship with the client -Situational characteristics - client's emotional reaction to a situation -Enduring characteristics - style of communication, personality

question

The Clinician (1)

answer

-INTERPERSONAL SKILL BASE -Communicating verbally and nonverbally, ability to listen, assert, respond -Interviewing skills -Establishing relationships -Ability to bring in families into the therapy process -Working with co-workers -Ability to manage and understand difficult behavior -Resolution of conflicts -Professional behavior, values, ethics -Self-care and professional development

question

Changes a clinician may need to make

answer

-MODE SHIFT - conscious change in the way of relating to a client -INTERPERSONAL REASONING - change in how one decides what to say, do, or express

question

The Occupation

answer

Task that the client and clinician have selected for therapy

question

The Therapeutic Relationship (2)

answer

-Define boundaries -Maintain a positive client of interpersonal relating -Critical self-awareness -Self-discipline -Head before heart -Mindful empathy (understand client emotions while maintaining an objective viewpoint)

The Intentional Relationship Model – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards