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On the last track we discussed a model for helping clients understand the experience of enjoyment. This discussion was based on Bryant’s three stages of enjoyment. These three stages of enjoyment are anticipation, savoring the experience, and reminiscing. We also discussed six steps for improving leisure and recreation.
As you know, some clients diagnosed with schizophrenia may be adept at independent living. However, other clients continue to need help with independent living. Therefore, this track will focus on independent living and self-care. Seven basic guidelines can assist either the therapist or a family member in improving independent living and self-care.
Maynard, age 26, was hospitalized at age 17 after the manifestation of psychotic symptoms. Maynard stated, "I remember thinking about having AIDS. I thought I was Jesus. I thought the whole world knew me. Then I thought I was psychic, like I could control people by putting thoughts into their heads. Later, I thought the radio was giving me messages, like the bands were playing just for me. So I turned the music up real loud. I felt frenzied, and started breaking things in my room. I tore my door off its hinges, and that really freaked my mom out. She called the cops, and they took me to the hospital."
Maynard then spent several years in and out of hospitals, undergoing treatment for schizophrenia. After Maynard’s last release, he began to cope with his symptoms. At age 26, nine years after his first hospitalization, Maynard lacked necessary independent living and self-care skills. When Maynard decided that he was ready to try to move out on his own, his mother and I discussed ways to improve his independent living and self-care skills.
#1 Discussing the Reasons a Specific Skill Area Is Important
#2 Agreeing On Specific Steps of the Skill to Work On
#3 Setting Goals
#4 Demonstrating Skills
#5 Practicing the Skill
#6 Agreeing On a Plan for the Client to Try the Skill On His Or Her Own
#7 Planning Follow-up
For example, Maynard was working on the skill of shopping for groceries. He purchased three out of the five items on his list. Maynard’s mother praised the accomplishment of purchasing those three items. During the planned follow-up, Maynard’s mother helped him make a plan to increase the number of items purchased. I stated to her, "At times, you may need to modify the plan, either to work toward larger goals or set smaller ones."
When Maynard’s mother set new goals for him after he had success with a previous goal, she took small steps to avoid overwhelming him. For example, when Maynard succeeded in picking up all five items on his grocery list, his mother added two more items to the list, rather than doubling the number to ten items.
On this track we discussed independent living and self-care. Seven basic guidelines can assist either the therapist or a family member in improving independent living and self-care. The seven guidelines for improving independent living and self-care that we discussed on this track are discussing the reasons a specific skill area is important, agreeing on specific steps of the skill to work on, setting goals, demonstrating skills, practicing the skill, agreeing on a plan for the client to try the skill on his or her own, and planning follow-up.
Peer-Reviewed Journal Article References:
Bechi, M., Bosia, M., Agostoni, G., Spangaro, M., Buonocore, M., Bianchi, L., Cocchi, F., Guglielmino, C., Mastromatteo, A. R., & Cavallaro, R. (2018). Can patients with schizophrenia have good mentalizing skills? Disentangling heterogeneity of theory of mind. Neuropsychology, 32(6), 746–753.
Davis, L. W., Ringer, J. M., Strasburger, A. M., & Lysaker, P. H. (2008). Participant evaluation of a CBT program for enhancing work function in schizophrenia. Psychiatric Rehabilitation Journal, 32(1), 55–58.
van Erp, N. H. J., van Vugt, M., Verhoeven, D., & Kroon, H. (2009). Enhancing systematic implementation of skills training modules for persons with schizophrenia: Three steps forward and two steps back? Psychiatric Rehabilitation Journal, 33(1), 50–52.
This CD set has covered such topics as treating negative symptoms, the stigma of schizophrenia, avoiding relapses through relapse prevention plans, coping with psychosis, managing conflict, communicating effectively, anger due to schizophrenia, cognitive difficulties, the experience of enjoyment, and independent living and self-care..
I hope you have found the information to be both practical and beneficial. We appreciate that you've chosen the Healthcare Training Institute as a means for receiving your continuing education credit.
Other Home Study Courses we offer include: Treating Teen Self Mutilation; Treating Post Holiday Let-Down and Depression; Living with Secrets: Treating Childhood Sexual Trauma; Interventions for Anxiety Disorders with Children and Adults; and Balancing the Power Dynamic in the Therapeutic Relationship.
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