Categories of Difficult Behavior
Steps to Managing Difficult Behavior
Mental Health Approaches to Behavior
Case Examples of Difficult Behavior
100
Underhanded efforts to maintain control or have one's own way when interacting with others
What is manipulative behavior?
100
The number of steps Taylor says are involved in successfully managing difficult behavior
What is six?
100
This is an approach that explains behavior as a consequence of neurotic conflicts and disrupted relationships early in life
What is psychoanalytical/psychodynamic?
100
Rex spends much of his time in therapy focusing on limitations and symptoms of his pain. It's becoming problematic because he spends so much time discussing these symptoms that you frequently don't get to everything you need to in therapy.
What is symptom focusing?
200
Clients who are resistant to any attempts by the therapist to promote independent thinking and/or functioning are considered to be in this category of difficult behavior
What is excessive dependence?
200
The first step in managing difficult behavior
What is anticipate?
200
This approach expresses that behavior is a manifestation of a maladaptive dynamic within the larger social system of which the client is a part
What is systems approach?
200
You are practicing dressing with your client, Jenny, in OT to address her goals. You notice that part-way through the activity, she seems to withdraw from participating and become distant, no longer happy and chatting as she usually does.
What is resistance?
300
A multifaceted behavioral expression of anger or rage that isn't always immediately obvious.
What is hostility?
300
The final step
What is gather feedback?
300
Treatment using this approach involves extinguishing the behavior through active ignoring or discontinued reinforcement
What is a behavioral approach?
300
You've been working with Javier on anger management in OT for the past few days and have noticed that he tends to have a flat affect and very little to say.
What is emotional disengagement?
400
A way of coping with a painful or uncomfortable event
What is denial?
400
A shift in this may be necessary to respond to difficult behavior
What is mode?
400
Treatment of this approach involves providing unconditional positive regard and the behavior changes on its own
What is a humanistic approach?
400
Mama Lu has been coming to see you in OT for a few weeks now to work on managing her rheumatoid arthritis symptoms. During your first few sessions, you notice that she has expressed skepticism and uneasiness about OT.
What is difficulty with trust?
500
This category is also an inevitable interpersonal event of therapy discussed in Taylor chapter 6
What is resistance?
500
This specific mode is best used toward the end of the process when you and your client are attempting to negotiate a satisfactory outcome
What is problem-solving mode?
500
This perspective assumes that whatever the underlying cause of a behavior, the person who is behaving problematically is doing so on the basis of something he or she is experiencing, thinking, or feeling about the situation at hand.
What is a phenomenological perspective?
500
You are seeing Max, a 6 year old boy, today in your peds clinic for the first time. You find that he frequently clings to you. He also asks for help doing things that you've observed him doing independently when on the playground with other children.
What is excessive dependence?
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