Communicating As A Mental Health Carer

by Bonham, Paul

• ISBN13: 9780748772919
• ISBN10: 074877291X
• Format: Paperback
• Copyright: 2004-06-01
• Publisher: Nelson Thornes

Summary

The dialogue and case studies approach will help students and newly qualified practitioners to build their confidence. Dialogues provide examples of how to interact with clients in certain situations. Chapters devoted to different conditions, for example schizophrenia, depression and substance abuse, acknowledge the varying levels of care and intervention required. An appendix on the Mental Health Act and drugs unsed in psychiatry provides a practical source of reference.

Table of Contents

PREFACE	vi
INTRODUCTION: SETTING THE SCENE	1	(19)
Mental health care settings	1	(7)
Approaches to delivery of mental health care	8	(4)
Issues around the role of the student	12	(8)
1. THE RUDIMENTS	20	(21)
1.1 Just listening	20	(1)
1.2 The importance of thoughtful communication	21	(3)
1.3 The differences between thoughtful and thoughtless communication	24	(1)
1.4 Being approachable	24	(1)
1.5 Why your self-awareness matters to others	25	(2)
1.6 Intuition	27	(1)
1.7 Starting a rapport	28	(3)
1.8 Being non-intrusive	31	(1)
1.9 Ordinariness and how it can help	32	(1)
1.10 Observation in mental health settings	33	(1)
1.11 Being optimistic	33	(1)
1.12 Being tentative	34	(1)
1.13 The myth of the magic sentence	35	(1)
1.14 Saying the wrong thing	35	(1)
1.15 Nurse or patient?	36	(1)
1.16 Self-disclosure and boundaries	37	(1)
1.17 Time and timing	38	(1)
1.18 Use of the telephone	39	(1)
1.19 When the patient is aggressive towards you	40	(1)
2. MORE COMPLEX SKILLS, TECHNIQUES AND IDEAS	41	(22)
2.1 Continually assessing	41	(1)
2.2 Intention	41	(1)
2.3 The answer to the patient's problem	42	(1)
2.4 Being consistent	43	(1)
2.5 Being persistent	44	(1)
2.6 Using activity	45	(1)
2.7 Honesty	46	(1)
2.8 Open dialogue	47	(1)
2.9 Clarifying	48	(1)
2.10 The quality of the relationship - when is it 'therapeutic' and does it need to be?	49	(1)
2.11 The therapeutic relationship: congruence, empathy, acceptance	50	(2)
2.12 When patients/clients say 'I don't know'	52	(1)
2.13 Pigeon-holing data	53	(1)
2.14 Empowering patients and clients	53	(1)
2.15 Throwaways	54	(1)
2.16 Giving feedback effectively	55	(2)
2.17 Space and silence	57	(1)
2.18 Using touch to help	58	(1)
2.19 Measuring the patient's/client's experience	58	(2)
2.20 Summaries (paraphrasing and summarising)	60	(1)
2.21 Written communication	61	(1)
2.22 How to finish	62	(1)
3. EVEN MORE ADVANCED SKILLS, TECHNIQUES AND IDEAS	63	(16)
3.1 Working with micro stories	63	(1)
3.2 Starting to think and work in an integrated way	64	(1)
3.3 Professional assertiveness	65	(2)
3.4 The idea of psychological containment	67	(1)
3.5 The observe/assess/react cycle	68	(1)
3.6 'The problem is ...'	69	(1)
3.7 Using images and imagery	70	(1)
3.8 Everything before the 'but'	70	(1)
3.9 Genograms	71	(1)
3.10 Different losses	72	(1)
3.11 When the patient finds the nurse attractive (and vice versa)	73	(2)
3.12 Using the tray of tea	75	(1)
3.13 Cultural diversity	76	(1)
3.14 Suicide	77	(2)
4. DISORDER-FOCUSED INTERVENTIONS	79	(19)
4.1 People with abnormal perceptions	79	(5)
4.2 People who are abnormally overactive	84	(3)
4.3 People who are withdrawn/low in mood	87	(2)
4.4 People who have abnormally difficult personalities	89	(4)
4.5 People who have organic mental illness	93	(2)
4.6 People who have abnormal self-destructive behaviours	95	(3)
5. ILLUSTRATIVE STORIES	98	(69)
5.1 Mental health problems in our society - setting the scene	98	(2)
5.2 Preamble, Profile, Pathway, Prognosis	100	(2)
5.3 Acute depression with anxiety - Joanne	102	(11)
5.4 Longer-term depression - Jon	113	(7)
5.5 Long-term/chronic psychosis - Laura	120	(10)
5.6 Acute psychosis - Wendy	130	(9)
5.7 Personality disorder - Denise	139	(9)
5.8 Organic illness in the older adult - Jim	148	(7)
5.9 Self-destructive behaviour (drugs and alcohol) - Jason	155	(5)
5.10 'Complex needs' - Paul	160	(7)
6. PUTTING IT ALL TOGETHER. THE COMPLETE, EFFECTIVE, PROFESSIONAL MENTAL HEALTH NURSE	167	(12)
6.1 Leaving work behind	167	(1)
6.2 Relationships at work: up, down, across	168	(1)
6.3 You're the best nurse	169	(1)
6.4 Relatives of patients and clients	170	(1)
6.5 Being professional	170	(2)
6.6 Career or police?	172	(1)
6.7 I'm really fed up	173	(1)
6.8 It's not for me	174	(1)
6.9 Moving on to specialise	175	(1)
6.10 Supervision	176	(1)
6.11 Debriefing	176	(1)
6.12 I don't like her attitude	177	(1)
6.13 Roll on retirement	177	(1)
6.14 Summary of skills used, as a way to manage professional issues	178	(1)
APPENDIX A. MEASURING THE PATIENT'S/CLIENT'S EXPERIENCE	179	(2)
Using a diary	179	(1)
Using a scale	179	(1)
Using a pie chart	179	(1)
Using a continuum	180	(1)
APPENDIX B. STAGES OF EGAN'S MODEL OF HELPING	181	(2)
APPENDIX C. HELP ORGANISATIONS AND NURSING UNIONS	183	(1)
REFERENCES	184	(5)
FURTHER READING	189	(1)
INDEX	190