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Plan de interventie
Student:
Ovanescu Ana Ioana
CAZUL:
Elena este o femeie de 45 de ani. Este foarte religioasa si sufera de anxietate generala si
teama de inaltimi. Ea este casatorita si are trei copii. Frica de inaltimi este demonstrata
prin evitarea de a zbura cu avionul si de refuzul de a calatori cu masina pe varfurile
muntilor. Anxietatea generala este exprimata prin sentimente de tensiune ori de cate ori
este criticata sau este pusa in situatii sociale in care trebuie sa poarte conversatii cu
persoane straine. Ea crede ca nu este o persoana competenta si de multe ori gandeste
despre ea ca este o ,,mama rea. Cand este in astfel de situatii ea de obicei simte
tensiune musculara , simte palpitatii la inima , incepe sa transpire si simte ca in stomacul
ei este un nod.
OBIECTIVE:
- Identificarea si modificarea schemei cognitive care directioneaza organizarea si
procesarea informatilor, precum si interpretarea experientelor de viata. Schemele
cognitive sunt cele care produc distorsionarile cognitive, generatoare de stari afective si
comportamente disfunctionale (Beck, 1967, 1976), accentuand sau diminuand
vulnerabilitatea persoanei in anumite imprejurari de viata.
Interventia psihoterapeutica:
Tehnici cognitiv comportamentale care pot fi utilizate:
- Tehnica adresarii intrebarilor cu caracter provocativ;
- Tehnica metaforelor;
- Tehnica utilizarii unor scale de evaluare a asteptarilor;
- Tehnica examinarii avantajelor si dezavantajelor;
- Tehnica transformarii unui eveniment negativ intr-un avantaj;
- Tehnica descoperirii dirijate;
- Tehnici de relaxare;
- Tehnica sarcinilor pentru acasa.
Structura sedintelor:
Prima sedinta
Obiectivele fixate pentru prima sedinta sunt:
o Dezvoltarea relatiei terapeutice.
o Conceptualizarea problemelor pacientului si stabilirea prioritatilor, etc.
- Ca tema pentru acasa, ii solicit subiectului sa intocmeasca o lista cu planurile pe care si
le-a facut si sa le ordoneze prioritar.
Sedinta a II-a:
Obiectivul sedintei Il constituie identificarea listei de prioritati ale subiectului
(asteptarile, prioritatile si incadrarile temporale pe care aceasta si le asuma).
4
Sedinta a III-a:
Obiectivul sedintei Il constituie identificarea, modificarea si acceptarea de catre subiect
a gandurilor si sentimentelor negative.
- Analiza gandurilor, si proiectia actiunilor subiectului. O ajut sa-si restructureze
gandurile si sa caute permanent argumente valide la gandurile care o nelinistesc.
Introducerea unor tehnici de relaxare
Sedintele a IV- a si a V- a:
In aceste sedinte fixam gandurile si convingerile pozitive dobandite in sedintele
anterioare.
Exploram situatii si intaresc convingerea ca n-are motive de ingrijorare privind anumite
subiecte care o nelinistesc.
Sedintele a VI-a si a VII-a:
Explorarea unor posibile evenimente de viata, ale caror ganduri asociate sa-i
restructureze increderea in sine si in ceilalti.
Sedinta a VIII-a:
Scopul sedintei este de a identifica abilitatile pe care subiectul le-a dobandit pentru a evita
intoarcerea la gandurile si modelul comportamental care a instituit interventia terapeutica.
Sedinta a IX-a:
Scopul sedintei este de a ajuta subiectul sa identifice conduite (de principiu) pentru a
5
Anger is one of the basic emotions and is a very common experience. In this assignment,
you are asked to interview three people about an anger experience they have had.
Please interview one child (age 6 to 10), one adolescent (age 13 to 18), and one adult (age
21 and over). Be careful about these ages. Do not to interview anyone who is age 11 or
12, or age 19 or 20.
Most important, is that you interview these three people in private. The child, adolescent,
and adult who you interview is most likely to be honest if parents, friends, or other family
members are not present during the interview.
Always begin by helping the person to be comfortable and feel secure. Pick a time when
you have at least 20 minutes for each interview. Go slow and allow the person to think
about the answers to each question. Again, slowly moving through the questions will
increase honesty.
Begin each interview with this statement;
I am taking a course in which we are learning about personal anger experiences. So, I
want to know about a time when you felt angry. First, I will ask you to think about a
specific time when you felt angry. Then, I will ask some questions about what
happened. Think very carefully about my questions. We are not in a rush. I just want to
learn whatever you remember about the anger.
My plan is to hold everything you say in confidence, unless you really plan to hurt
another person. I will not talk about your answers to your friends or family. However, I
will hand in what you say to my own teacher at the University of Oradea. Your name will
not be on the paper I hand in, so no one will know that it was you who gave the answers.
Thanks for helping me. Do you have any questions? Okay, lets begin.
P a g e| 2
This is a GIRL
Age of child : 9
P a g e| 3
B1) When I think about it, I know I could have easily dealt with it. I could have just
accepted it.
B2) I couldnt stand what happened. I could not take it.
C1) The other person (s) should have acted better. He/she/they must know how to behave.
C2) I wanted the person (s) to act better. But, other people dont have to do what I want.
D1) The other person (s) does lots of things. I like some of them and I dont like other
things.
D2) The other person (s) is a really and totally bad person.
OK, now, I want to learn about exactly what you felt. Lets continue.
6) How angry were you? (read the four choices and circle one)
NOT VERY ANGRY,
A LITTLE ANGRY,
VERY ANGRY,
EXTREMELY ANGRY
7) For how long were you angry? (read the four choices and circle one)
Was it A FEW MINUTES, A FEW HOURS, A FEW DAYS,
or MORE THAN A FEW DAYS
8) When you were angry, what did your body feel like? What happened in your body?
(write exactly what the child said)
Am simtit ca vreau sa-l lovesc si eu
YES
a) yell or scream.
YES
b) cry
YES
NO
YES
NO f) just keep your anger inside and not tell anyone you
were angry
NO
g) plan to get even later on. You held a grudge and wanted
NO
revenge
h)
just leave
YES
YES
NO
NO
wanted.
j) have something to eat or drink, to help you forget about your
anger.
_sad
afraid
_satisfied
13) How did your anger affect your relationship with the other person or persons?
no effect.
School relationship
Friendship
Relationship with Parents and Brothers or Sisters
Relationship with other family members (like grandparent, aunts, uncles, etc.)
Other
Explain Nu mai vorbesc cu colegul meu
This is a BOY
3) Where did it happen? (for example, in school or at home or at work or while in a store
La scoala
5) Now, I am going to give you two sentences. Pick the one that sounds most like what you
thought about what happened. The words in the sentences are similar. So, think carefully
before you answer.
A1) What happened was really awful and terrible.
A2) What happened was only bad. It was not terrible or horrible.
B1) When I think about it, I know I could have easily dealt with it. I could have just
accepted it.
B2) I couldnt stand what happened. I could not take it.
C1) The other person (s) should have acted better. He/she/they must know how to behave.
C2) I wanted the person (s) to act better. But, other people dont have to do what I want.
D1) The other person (s) does lots of things. I like some of them and I dont like other
things.
D2) The other person (s) is a really and totally bad person.
OK, now, I want to learn about exactly what you felt. Lets continue.
6) How angry were you? (read the four choices and circle one)
NOT VERY ANGRY,
ANGRY
A LITTLE ANGRY,
7) For how long were you angry? (read the four choices and circle one
Was itA FEW MINUTES, A FEW HOURS, A FEW DAYS, or MORE THAN A FEW
DAYS
8) When you were angry, what did your body feel like? What happened in your body?
(write exactly what the adolescent said)
Am inceput sa fiu nervos si sa tremur
NO
_NO
_YES
f) just keep your anger inside, boil inside, and not tell anyone you
were angry. g) plan to get even later on. You held a grudge and
_YES
_sad
_afraid
_satisfied
(Record exactly what was said) Am luat in teza la romana o nota foarte buna
13) How did your anger affect your relationship with the other person or persons?
This episode had a generally (check one) negative or
This anger episode affected a:
School relationship
Friendship
Relationship with Parents and Brothers or Sisters
Relationship with other family members (like grandparent, aunts, uncles, etc.)
Other
Explain Sunt suparat pe doamna profesoara
no effect.
This is a WOMAN
Age of adult 26
5) Now, I am going to give you two sentences. Pick the one that sounds most like what you
thought about what happened. The words in the sentences are similar. So, think carefully
before you answer.
B1) When I think about it, I know I could have easily dealt with it. I could have just
accepted it.
B2) I couldnt stand what happened. I could not take it.
C1) The other person (s) should have acted better. He/she/they must know how to behave.
C2) I wanted the person (s) to act better. But, other people dont have to do what I want.
D1) The other person (s) does lots of things. I like some of them and I dont like other
things.
D2) The other person (s) is a really and totally bad person.
OK, now, I want to learn about exactly what you felt. Lets continue.
6) How angry were you? (read the four choices and circle one)
NOT VERY ANGRY,
ANGRY
A LITTLE ANGRY,
7) For how long were you angry? (read the four choices and circle one)
Was it A FEW MINUTES, A FEW HOURS, A FEW DAYS, or MORE THAN A FEW
DAYS
8) When you were angry, what did your body feel like? What happened in your body?
(write exactly what the adult said)
Am fost foarte furioasa, am simtit ca explodez cand am vazut ce se intampla
NO
NO
b) cry
NO
c) cross your arms, stare at the other person, or frown, or give a nasty
look d) throw something or break something.
What was it?
NO
NO
f) just keep your anger inside, boil inside, and not tell anyone you
were angry.NO g) plan to get even later on. You held a grudge and
wanted revenge
YES
_sad
_afraid
_satisfied
(Record exactly what was said) Mi-este foarte frica sa nu creasca si mai mult
11) What was the best part about getting angry?
Nici o part e buna
13) How did your anger affect your relationship with the other person or persons?
This episode had a generally (check one) negative or
This anger episode affected a:
no effect.
School relationship
Friendship\
Relationship with Parents and Brothers or Sisters
Relationship with other family members (like grandparent, aunts, uncles, etc.)
Other
Explain
20