[eBook] [PDF] The Intentional Relationship Occupational Therapy and Use of Self, 2nd Edition By Renee R Taylor

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Cover Title Page Copyright Page Dedication Foreword Preface Contributors Reviewers Acknowledgments Contents Part I: Theoretical Foundations and Guidelines for Practice Chapter 1: Therapeuti... c Use of Self in Occupational Therapy: The Importance of Empathy and Intentionality Introduction Honoring Those We Serve: Client Snapshots Ken Ed Elliott Reagan Clients’ Underlying Experiences Therapists’ Underlying Experiences Empathy and Intentionality: Foundations for Occupational Therapy Practice Empathy: Roots in Occupational Therapy Modern Conceptualizations of Empathy: A Critical Perspective Empathy and the Intentional Relationship Model: Important Points Intentionality: Reflections in Historical Definitions of Therapeutic Use of Self Intentionality and the Intentional Relationship Model Empathy and Intentionality Define Therapeutic Use of Self Overview of the Intentional Relationship Model Failures in Empathy and Intentionality The Importance of Relational Expertise in Occupational Therapy: Therapist Snapshots Rigel Erika Being Client-Centered in Occupational Therapy Client Examples Bart (Two-Sticks) Johnson Sarah Veronica Margarita Chapter 2: What Defines a Good Therapist? Introduction Interpersonal Challenge Interpersonal Solution Outcome About Kim Interpersonal Challenge Interpersonal Response Outcome About René Interpersonal Challenge Interpersonal Response Outcome About Michele Interpersonal Challenge Interpersonal Response Outcome About Anne Interpersonal Challenge Interpersonal Response Outcome About Roland Interpersonal Challenge Interpersonal Response Outcome About Belinda Interpersonal Challenge Interpersonal Response Outcome About Stephanie Interpersonal Challenge Interpersonal Response Outcome About Vardit Interpersonal Challenge Interpersonal Response The Outcome About Kate Interpersonal Challenge Interpersonal Response Outcome About Krissa Interpersonal Challenge Interpersonal Response Outcome About Carmen Interpersonal Challenge Interpersonal Response Outcome About Jane Chapter 3: A Model of the Intentional Relationship Introduction Explaining the Therapeutic Relationship: Need for a Conceptual Practice Model Conceptual Background for the Model: How Therapeutic Use of Self in Occupational Therapy Differs From Psychotherapy Elements of the Intentional Relationship Model The Client’s Interpersonal Characteristics Situational Interpersonal Characteristics Enduring Interpersonal Characteristics Interpersonal Events of Therapy The Therapist’s Use of Self Interpersonal Skill Base Therapeutic Mode Use Interpersonal Reasoning Desired Occupation Relationships Within the Model Intentional Relationship Model: 10 Underlying Principles Principle 1: Critical Self-Awareness Is Key to the Intentional Use of Self Principle 2: Interpersonal Self-Discipline Is Fundamental to Effective Use of Self Principle 3: It Is Necessary to Keep Head Before Heart Principle 4: Mindful Empathy Is Required to Know Your Client Principle 5: Grow Your Interpersonal Knowledge Base Principle 6: Provided That They Are Purely and Flexibly Applied, a Wide Range of Therapeutic Modes Can Work and Be Utilized Interchangeably in Occupational Therapy Principle 7: The Client Defines a Successful Relationship Principle 8: Activity Focusing Must Be Balanced With Interpersonal Focusing Principle 9: Application of the Model Must Be Informed by Core Values and Ethics Principle 10: Cultural Sensitivity Is Central to Practice Chapter 4: Knowing Ourselves as Therapists: Introducing the Therapeutic Modes Introduction Initial Self-Assessment Our Interpersonal Behavior Interpersonal Behavior and Therapeutic Modes The Six Therapeutic Modes Advocating Mode Strengths of the Advocating Mode Cautions of the Advocating Mode Collaborating Mode Strengths of the Collaborating Mode Cautions of the Collaborating Mode Empathizing Mode Strengths of the Empathizing Mode Cautions of the Empathizing Mode Encouraging Mode Strengths of the Encouraging Mode Cautions of the Encouraging Mode Instructing Mode Strengths of the Instructing Mode Cautions of the Instructing Mode Problem-Solving Mode Strengths of the Problem-Solving Mode Cautions of the Problem-Solving Mode Modes in Perspective Mode Shifting Mode Mismatch, Mixed and Incongruent Mode Use Mode Shifting: Avoiding Suboptimal Communication Therapeutic Style: Using the Modes Broadening One’s Repertoire of Modes: A Central Objective of the Intentional Relationship Model Locating One’s Comfort Zone of Preferred Modes Therapeutic Style and Daily Interpersonal Behavior: Striving Toward Integration Assessing Mode Use Chapter 5: Being Client-Centered: Understanding Interpersonal Characteristics and Mode Preferences Introduction Client-Centered Practice, Client Interpersonal Characteristics, and Participation Client Interpersonal Characteristics Situational Interpersonal Characteristics Enduring Interpersonal Characteristics Categories of Interpersonal Characteristics Communication Style Tone of Voice Body Language Facial Expression (Affect) Response to Change and Challenge Level of Trust Need for Control Approach to Asserting Needs Predisposition to Giving Feedback Response to Feedback Response to Human Diversity Orientation Toward Relating Preference for Touch Interpersonal Reciprocity Approaching the Therapeutic Relationship in Light of Client Interpersonal Characteristics Using Therapeutic Modes in Response to Client Characteristics Chapter 6: Complexities Within Client-Therapist Relationships: Inevitable Interpersonal Events of Therapy Introduction Expression of Strong Emotion Intimate Self-Disclosures Power Dilemmas Nonverbal Cues Verbal Innuendos Crisis Points Resistance and Reluctance Boundary Testing Empathic Breaks Emotionally Charged Therapy Tasks and Situations Limitations of Therapy Contextual Inconsistencies Interpersonal Event Cascades The Role of Inevitable Events in the Interpersonal Reasoning Process Chapter 7: Uncomplicating the Complicated: The Interpersonal Reasoning Process Introduction Six Steps of Interpersonal Reasoning Step 1: Anticipate Step 2: Identify and Cope Step 3: Determine if a Mode Shift Is Required Step 4: Choose a Response Mode or Mode Sequence Step 5: Draw on Any Relevant Interpersonal Skills Associated With the Mode(s) Step 6: Gather Feedback, and if Necessary, Strive Toward Mutual Understanding of the Response Suboptimal Communication Responses That Are Suboptimal or Carry the Potential to Be Suboptimal Dominating Responses Parental Responses Defensive Responses Nervous Responses Casual Responses Self-Disclosing Responses Intrusive Responses Patronizing Responses Cliché Responses Minimizing Responses Responses That Prematurely Optimize Humorous Responses Dismissive Responses Distancing Responses Culturally Insensitive Responses Socially Embarrassing Responses Evaluative Responses Confused Responses Responses That Exaggerate, Pathologize, or Pity Responses That Compare Part II: Building An Interpersonal Skill Base Chapter 8: Therapeutic Communication Introduction Verbal Communication Nonverbal Communication Unidirectional Versus Bidirectional Communication Therapeutic Listening Empathic Listening Guided Listening Verbal Prompts and Sounds Enrichment Questions Seeking and Responding to Client Feedback Providing Clients With Structure, Direction, and Feedback Chapter 9: Establishing Intentional Relationships Introduction Rapport Building, Impression Management, and Emotional Climate Mode Matching and Versatility Managing Emotional Intensity Sadness Anger Anxiety Judicious Use of Touch Cultural Competence Chapter 10: The Intentional Interview and Strategic Questioning Introduction Intentional Interviewing: Interpersonal Aspects Creating a Confidential and Protective Environment Conveying a Take-Charge Attitude Assessing Vulnerabilities and Sensitivities Orienting the Client to the Process and Requesting Consent Rephrasing, Reordering, or Asking Questions Creatively Detecting and Respecting the Client’s Boundaries Listening Well Responding (Nonverbally or Verbally) to a Response Responding Therapeutically Never Apologizing for Interview Length or the Questions Checking in and Acting as an Emotional Buoy Knowing When to Stop Redirecting Hyperverbal or Tangential Clients Spotting and Clarifying Ambiguities, Doorknob Comments, and Contradictions in Content Summarizing, Seeking Feedback, and Establishing Closure Strategic Questioning Chapter 11: Understanding Families, Social Systems, and Group Dynamics in Occupational Therapy Introduction Preserving Confidentiality and Boundaries Viewing Relationships From a Social Systems Perspective Distinguishing Between Productive and Maladaptive Dynamics of Systems Managing Maladaptive Dynamics of Systems Modes for Parents and Caregivers Chapter 12: Understanding and Managing Difficult Behavior Introduction Understanding Difficult Behavior Managing Difficult Behavior Step 1. Anticipate Step 2. Identify, Cope, and Strive for Understanding Step 3. Determine If a Mode Shift Is Required Step 4. Choose a Response Mode Step 5. Draw on Any Relevant Interpersonal Skills Associated With That Mode Step 6. Gather Feedback Summing It Up Specific Categories of Difficult Behavior Manipulative Behavior Excessive Dependence Symptom Focusing Resistance Emotional Disengagement Denial Difficulty With Rapport and Trust Hostility Incorporating a Complementary Occupational Therapy Approach Chapter 13: Resolving Empathic Breaks and Conflicts Introduction Resolving Empathic Breaks Conflict Resolution Chapter 14: Professional Behavior, Values, and Ethics Introduction Core Values and the Therapist’s Interpersonal Modes Advocating Mode Collaborating Mode Empathizing Mode Encouraging Mode Instructing Mode Problem-Solving Overview Behavioral Self-Awareness Reliability Confidentiality Professional Boundaries Chapter 15: On Being Intentional on Fieldwork and in Interprofessional Practice Settings Introduction Teachers and Educators Collaborations in the Client’s Absence Collaborations in the Client’s Presence Supervisory and Fieldwork Relationships Chapter 16: On Becoming a Better Therapist: Self-Care and Developing Your Therapeutic Use of Self Introduction Self-Awareness and Reflective Use of Your Traits Knowing and Responsibly Accepting Weaknesses and Limitations Recognizing and Cultivating Your Assets Developing Aspects of the Self Deliberately Cultivating Strengths From Mistakes, Problems, and Failures Transforming Personal Difficulties and Challenges Into Gifts Maintaining Mindfulness of Why You Are an Occupational Therapist Glossary Credits Index [Show More]

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