CYC323 Philosophies of Care And Management

Question:

Fundamental Principles:

Dialectics; recognition of competing opposites in all aspects of life, beliefs, behaviours, etc.
Behaviour Science: analysis and change of stimulus-response patterns
Zen Buddhism: mindfulness, acceptance

DBT views struggles as a consequence of underlying emotional dysregulation Emotional dysregulation is influenced by 2 significant factors:

Lack of important interpersonal, self-regulation and distress tolerance capabilities (self-soothing)

Personal and environmental factors that impede the development of new skills and self-soothing capacities Goal/Intention of Therapy

Increasing the youths’ and families’ coping capacities by teaching skills in self-regulation (emotional regulation and mindfulness), interpersonal effectiveness, distress tolerance, and balanced thinking

Structuring the environment to motivate, reinforce and individualize appropriate use of skills

Increase teens’ motivation to use new skills, reduce the use of previous dysfunctional behaviours

Encourage the generalization of new skills into life situations Regulation:

Emotional Regulation- reactivity, outbursts, negative emotional states (depression, anger, shame, guilt, anxiety) deficits in positive emotion and difficultly modulating emotions Self dysregulation- Lacking awareness of emotions, and thoughts Interpersonal dysregulation- unable to form/maintain interpersonal relationships, abandonment and difficulties getting needs and wants met in relationships

4 DBT Skills Modules:

Mindfulness
Distress Tolerance
Interpersonal Effectiveness
Emotional Regulation

Walking the middle path; self-management (added module specifically for adolescents) Additional Concepts:

“Wise Mind” – rational and emotional minds working in balance
Radical Acceptance – acceptance of things that cannot change, and seeking the beneficial aspects

DEAR MAN Skills enhance a person’s ability to express and negotiate their needs within interpersonal relationships:

Describe- the situation
Express- feelings and opinions
Assert- by asking for what you want
Reward- ahead of time by expressing appreciation
Mindful-stay focused on your goals, don’t get distracted
Appear Confident- tone of voice, eye contact, head high
Negotiate- offer to give to get- how can you help the other person?

GIVE Skills describe the counsellor’s presentation:

Gentle- be nice and respectful- don’t use threats
Interested- be interested in what another is saying
Validate- respect someone’s position and a reality
Easy manner- avoid being stiff, serious or overly firm

How would someone working from this perspective view the young person in your scenario? What have been the key events or factors that have affected them and contributed to their struggles? How do these factors affect them? Are there positive or resilience factors evident?

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