From the Roots of Psychosocial Practice-Therapeutic Use of Self in the Classroom: Practical Applications for Occupational Therapy Faculty

The roots of occupational therapy stem from psychosocial practice and embrace concepts of humanism, client-centered practice and therapeutic use of self. These concepts are integral to both clinical and academic settings. As the profession has moved toward graduate level education, increased numbers of non-traditional students are entering the field. Models of teaching that incorporate principles of active learning and therapeutic use of self within the classroom provide a consumer-learner-based model of education that is uniquely suited to students of diverse backgrounds, lifestyles, and educational needs. This article presents a brief overview of andragogical principles and the development of the student-faculty relationship. Mosey's concepts of conscious use of self are introduced as a means by which positive faculty-student relationships can be formed in order to enhance student learning and educational outcomes.     

Conscious and Unconscious Use of Self: The Evolution of a Process

Recent emphasis has been placed on the central role of the therapeutic relationship in successful treatment. One aspect of the development of an effective relationship is the clinical social worker's use of self. We argue that the use of self happens both consciously and unconsciously and is a dynamic and evolving process in psychotherapy. This evolution can result in the clinical social worker shifting from a stance of doing to being. Drawing from a Japanese tradition of learning, three stages of learning provide a framework for understanding how therapists may transition from a state of doing to being in the therapy. Through this process, the conscious use of self may develop into unconscious use of self. Two case examples demonstrate how expanding and using one's self-awareness and the new knowledge through meaningful learning experiences can shift a clinical social worker's ability to develop and enhance his or her use of self, inviting therapeutic presence and depth.     

Occupational Therapy Students' Development of Therapeutic Communication Skills During a Service-Learning Experience

This qualitative study examined the effect community-based service-learning experiences had upon occupational therapy students' therapeutic communication skills and their application of theoretical concepts. After their semester-long course was completed, six students de-identified and voluntarily submitted their weekly reflective journals for retrospective analysis in accordance with Giorgi's strategies (1985 Giorgi , A. ( 1985 ). Phenomenology and psychological research . Pittsburgh , PA : Duquesne University Press . [Google Scholar], 1997 Giorgi , A. ( 1997 ). The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure . Journal of Phenomenological Psychology , 28 , 235 – 261 .[Crossref] , [Google Scholar]). Two analysts identified eight themes: developing trust, establishing boundaries, communication, client-centered care, breakdown of preconceptions, increased self-awareness, power of pride, and power of occupation. Educators are urged to use service-learning experiences to facilitate student interpersonal skill development and integration of theoretical knowledge.     

护理健康教育与治疗性沟通的比较与思考

根据近年来有关护理健康教育和治疗性沟通的研究,从护理健康教育和治疗性沟通的概念、适用范畴、实施的模式、实施的程序、实施的主客体等角度对两者进行比较和思考,以解决目前临床对两者的困惑。提出治疗性沟通和规范护理健康教育协同进步才是护理学发展之未来。     

The Application of Self Psychology to Therapeutic Camps

Abstract

Camp programs provide children and adolescents with vital opportunities to grow and are recognized as effective social work interventions. Children and adolescents with learning disabilities (LD) are at risk to experience psychosocial difficulties, which may result in difficulty attending regular camps. Self psychology can increase our understanding of these children's camp experiences, because of its focus on the individual's subjectivity and interactions throughout the lifespan and in therapeutic relationships. This paper extends the application of self psychology to therapeutic summer camps with children who have learning disabilities, illustrated through examples. The paper concludes with practice principles.     

家庭社会经济地位对数学成绩的影响:亲子沟通和学业自我效能感的链式中介模型

采用“中国学校课程教学调查项目”中1811名八年级学生及其家长作为样本进行调查,探讨家庭社会经济地位与数学成绩的关系,考察亲子沟通和学业自我效能感的作用机制。结果显示:(1)家庭社会经济地位显著正向影响数学成绩;(2)亲子沟通、学业自我效能感在家庭社会经济地位与数学成绩之间起部分中介作用;(3)亲子沟通、学业自我效能感在家庭社会经济地位与数学成绩之间具有链式中介作用。     

Emotional Intelligence: An Opportunity for Occupational Therapy

Emotional intelligence theory developed within the psychology and business fields and is described as an ability to monitor emotions and to use the information to guide thinking and problem solving. Emotional intelligence skills are needed by occupational therapy practitioners to support therapeutic use of self, promote client-centered care, and foster communication skills within the workplace. A scenario illustrates how emotional intelligence supports the therapeutic use of self during a clinical interaction. The Mayer Salovey Caruso Emotional Intelligence Test is introduced as a resource for occupational therapy practitioners to measure and develop therapeutic relationship skills based upon emotional intelligence research.     

Three Educational Orientations: A Peircean Perspective on Education and the Growth of the Self

The theme of growth is amongst the most important and pervasive themes in the philosophy of Charles Peirce. This paper offers a synthesized account of the Peircean self drawn from his various discussions of the growth of ideas and then presents three educational orientations which, in turn, tend to foster or frustrate this growth. It concludes that the growth of the student depends significantly upon the ends or intent of the educator and upon an appropriate mean between freedom and constraint in the educational context. A commitment to such an orientation is taken to be a form of resistance to the narrowing ends of business-minded educational institutions     

Self and Reminiscence of Place: A Conceptual Study

This conceptual study looks at reminiscence of past places and selfhood for older people, especially people with dementia, living in long-term care facilities. Although the therapeutic potential of reminiscence, as well as the importance of places in one's life have been recognized, the potential benefits of place-based reminiscence remains untapped. This study critically reviews the existing literature in related substantive areas, synthesizes emergent major themes, and proposes a conceptual framework in approaching the relevant concepts. It is suggested that reminiscence of events and aspects associated with significant places from the past can offer a potentially therapeutic process in holding onto one's life experiences, and in turn present opportunities for preserving one's sense of self-identity.     

Between Minimal Self and Narrative Self: A Husserlian Analysis of Person

The distinction between minimal self and narrative self has gained ground in recent discussions of selfhood. In this article, this distinction is reassessed by analysing Zahavi and Gallagher’s account of selfhood and supplementing it with Husserl’s concept of person. I argue that Zahavi and Gallagher offer two compatible and complementary notions of self. Nevertheless, the relationship between minimal self and narrative self requires further clarification. Especially the embeddedness of self, the interplay between passivity and activity, and the problems of uniqueness and persistence are better understood with Husserl’s analysis of person and its central concepts of position-taking, habitualities, and overall style. The embeddedness of self is elucidated by outlining how person is related to its environment, to other people, and to its past. This relational notion of self is both passively constituted and actively shaped: person mediates between minimal self characterized by perspectival ownership and narrative self based on authorship.     

A Therapeutic Model of Self‐Forgiveness With Intervention Strategies for Counselors

Self‐forgiveness is associated with psychological and relational well‐being and may be a worthwhile treatment goal for clients who have hurt others. The authors utilized theoretical and empirical literature to describe a 4‐component therapeutic model of self‐forgiveness—responsibility, remorse, restoration, and renewal—and offer suggestions for promoting each component with clients. Finally, the authors explore potential contraindications and the applicability of self‐forgiveness for military veterans, clients in substance abuse treatment, and clients convicted of a crime.     

Contemplating the Self: A Brief Phenomenological Participatory Action Study

This study examines Self contemplation from a heuristic phenomenological and applied psychological perspective using a participatory action research approach. The participant authors (n = 6; females = 50%, majority ethnicity = isiZulu = 67%) engaged in reflective contemplation of the Self to generate qualitative data that captured its core features and psychological applications. The data were thematically analyzed. Core features of the Self were revealed in contemplative, spiritual, ancestral, healing and psychotherapeutic themes. Specific psychological applications consisted of various universal characteristics of healing including the therapeutic relationship, therapeutic moments, integrity, dialogue, authenticity, intentionality, will, belief, practice and breath-work.     

The Self As a Complex Adaptive System,Part IV: Making Sense of the Sense of Self

This article proposes that when we speak of “the self,” reference is being made to the person and not to a homunculus that is located in a person's psyche; when we speak of the sense of self, we are referring to the person's mental activities, whether these are consciously, nonconsciously, or unconsciously experienced. It suggests that central to our understanding of our mental activities is an evolutionary perspective; in particular, the recognition process that permits us either to adapt to our environment or to reshape our environment to make it conform to our survival needs. Finally, it delineates some of the components and attributes of the sense of self that describe its major dynamics. These are discussed within the context of the three levels of analysis: the neuropsychological, the introspective, and the interpersonal domains.     

疼痛治疗方法在晚期癌痛病人中的应用

癌症是当今严重威胁人类健康和生命的疾病之一。解除癌症疼痛对改善晚期癌症患者的生存质量、延长生存期都具有十分重要的意义。癌痛的诊断和合理的疼痛评估是治疗癌痛的基础。癌症疼痛的治疗方法虽有多种,但其目的就是使用最佳方法解除患者痛苦,消除疼痛,从而提高生存质量。因此本文从科学的角度对晚期癌痛的治疗方法进行评价和阐述。     

Bowen Theory: A Study of Differentiation of Self, Social Anxiety, and Physiological Symptoms

The study tested several propositions about an important construct in Bowen's theory of differentiation of self, using an Israeli sample of university students to examine relationships between differentiation of self, social anxiety, and physiological symptoms. The main finding was that family differentiation was negatively correlated with social anxiety (particularly fear of negative evaluation) and physiological symptoms. Results suggest that differentiation is a meaningful construct for Israeli students, and that less differentiated students may be at risk for high levels of social anxiety and symptomatology. They also suggest that therapists should consider various aspects of differentiation when treating a client's social anxiety.     

The Commodifled Self in Consumer Culture: A Cross-Cultural Perspective

Abstract

The author examined the premise that the pervasive consumer ideology in today's society has implications for the conceptions of self and others. She used structured interviews to assess conceptions of self and other and G. P. Moschis's (1978) questionnaire to measure consumer orientation among 76 U.S. and 62 Finnish college students. The principal hypotheses were (a) that the U.S. students would be more commodifled than the Finnish students and (b) that the participants who were high in consumer orientation would be more likely than those lower in consumer orientation to see themselves and others in material terms and also to consider personal characteristics to have market values. The results supported both hypotheses.     

A Critical Theory of the Self: Wittgenstein,Nietzsche, Foucault

Critical thinking, considered as a version of informallogic, must consider emotions and personal attitudesin assessing assertions and conclusions in anyanalysis of discourse. It must therefore presupposesome notion of the self. Critical theory may be seenas providing a substantive and non-neutral positionfor the exercise of critical thinking. It thereforemust presuppose some notion of the self. This paperargues for a Foucauldean position on the self toextend critical theory and provide a particularposition on the self for critical thinking. Thisposition on the self is developed from moretraditional accounts of the self from Descartes toSchopenhauer, Nietzsche and Wittgenstein.     

Parentification and Alcohol Use: Conditional Effects of Religious Service Attendance

This study tested a model of the relation between parentification and alcohol use through differentiation of self (DoS), with religious service attendance as a moderator. Results provided mixed support for the model. Perceived unfair parentification was associated with decreased DoS, and lowered DoS corresponded to increased alcohol use. Religious service attendance moderated the association between increased perceived unfairness and increased alcohol use. Implications for practice focused on assessing perceived unfairness and integrating clients’ religiousness.     

Three Views of Artful Practice in Psychosocial Occupational Therapy

This qualitative study explored artfulness in the psychosocial practice of three occupational therapists through in-depth observation and interviews. Analysis focused on the therapist-client relationship, activity use, self-reflection, and the change process. Each therapist established an interpersonal connection while offering meaningful, engaging activities. In addition, each brought a distinct and unique personal view to treatment. Findings suggest that the art of practice in occupational therapy is constructed by the therapist's integrated balance of substance, form, and vision to achieve a coherent whole, which positively influences the personal views of substance, form, and vision in clients.