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Therapeutic Use of Self and YOU!

Final Project OTD 752
by

Brandy Brown

on 14 April 2011

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Transcript of Therapeutic Use of Self and YOU!

Therapuetic Use of Self and YOU! Pre-Test

1. What is therapeutic use of self?
2. How do occupational therapy practitioners utilize therapeutic use of self?
3. What does the AOTA Framework 2008 say about therapeutic use of self in relation to occupational therapy practice?
4. How can therapeutic use of self be used to improve practice skills?
OBJECTIVES

Define therapeutic use of self

Explain how therapeutic use of self is utilized in occupational therapy practice

Discuss the AOTA Framework 2008 in relation to therapeutic use of self

Describe three ways to use therapeutic use of self to improve practice skills
Therapeutic use of self is. . .
Intrinsic motivation
Self-direction
Ability to affect one's own state of health History of Self Reflection
Dated back to prehistoric times and is evident in terminology used such as:

Prehistoric - "homo" or earthly beings
Ancient Orient - "ka" or human afterlife
Middle Ages - concept of sin
Renaissance - physical beauty and ephemeral nature
Modern Era - self concsiousness and materialism Brandy Brown
Chatham University
OTD 752 AOTA Framework (2008) states that the use of therapeutic use of self is instrumental in the evaluation and intervention processes of occupational therapy practice. Therapeutic use of self in occupational therapy
Planned interaction with client
Alleviates fear and anxiety
Allows for obtainment of necessary information
Provision of information and advice
Assist individual in gaining more function of inner resources Research has shown that therapeutic use of self/self reflection is essential at improving practice skills:

Lowe, Rappolt, Jaglal, & MacDonald (2007)
Implementing learning from continuing education into practice
More likely to use reflection if have awareness, motivation, and ability to do so

Paget (2000)
Writing is an essential part of the reflective process
Practitioner’s view - changes personally and with patient care

Williams (2001)
Personal and critical reflection are essential for professional practice
Problem based learning enhances reflective skills
 References
Lowe, M., Rappolt, S., Jaglal, S., & MacDonald, G. (2007). The role of reflection in implementing learning from continuing education into practice. Journal of Continuing Education in Health Professions, 27(3), 143-148.
Occupational Therapy Otago. (2007). Therapeutic Use of Self. Retrieved from http://occupationaltherapyotago.wordpress.com/2007/05/10/therapuetic-use-of-self/
Paget, T. (2001). Reflective practice and clinical outcomes: Practitioners’ views on how reflective practice has influenced their clinical practice. Journal of Clinical Nursing, 10, 204-214.
Stahl, C. (1998). Therapeutic Use of Self. Retrieved from http://occupational-therapy.advanceweb.com/Article/Therapeutic-Use-of-Self.aspx
Wikipedia. (2011). Human Self Reflection. Retrieved from, http://en.wikipedia.org/wiki/Human_self-reflection
Williams, B. (2001). Developing clinical reflection for professional practice through problem based learning. Journal of Advanced Nursing, 34(1), 27-34.
How did the therapist in the video use therapeutic use of self with the child?
Would your reaction to the video have been different if this was a teenage mother?
What if the child was agitated and screaming and the mother was yelling at her?
Chances are yout perception of this situation would have changed the real question you have to ask yourself is how do I handle it in a client-centered, empathetic manner that is non-bisaed and still ethical? OBJECTIVES
Define therapeutic use of self
Explain how therapeutic use of self is utilized in occupational therapy practice
Discuss the AOTA Framework 2008 in relation to therapeutic use of self
Describe three ways to use therapeutic use of self to improve practice skills
Post-Test
1. What is therapeutic use of self?
2. How do occupational therapy practitioners utilize therapeutic use of self?
3. What does the AOTA Framework 2008 say about therapeutic use of self in relation to occupational therapy practice?
4. How can therapeutic use of self be used to improve practice skills?
Pre-Test
1. What is therapeutic use of self?
2. How do occupational therapy practitioners utilize therapeutic use of self?
3. What does the AOTA Framework 2008 say about therapeutic use of self in relation to occupational therapy practice?
4. How can therapeutic use of self be used to improve practice skills? A Possible Scenario for Use of Therapeutic Use of Self

A resident comes up to the nurses station and begins to explore the papers on the desk. (initial behavior)

Staff Member Action Possibility 1: "Millie DON'T TOUCH that and go sit down! (action)
Resident – The resident becomes angry, agitated or sad and behaves accordingly. (reaction)

Staff Member Action Possibility 2: "Hi Millie. How are you? Why don't you come sit with me and help me to fold these towels while I write my notes". (action)
Resident – The resident feels noticed, important and needed and happily engages in the activity. (reaction)

The example demonstrates how we act when a behavior occurs is vital to what happens next. Therefore, do not underestimate the power of your "therapeutic use of self". The benefits of "therapeutic use of self" have long been described in our therapy profession.
Therapist may spend 5 to 15 minutes on this type of intervention during treatment sessions by doing things such as:

1. Talk about the patient's past, family, work and interests
2. Compliment the patient
3. Reassure them that they are with people who care about them
4. Enable them to develop a relationship with you, other team members and residents

All of this intervention is for the intent of gaining trust and agreement which can facilitate the use of the person's latent inner resources and abilities to maximize function and safety.

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