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3 ways in which acupuncture skills are useful
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Why rapport generates trust
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Acupuncture Skills
1st Year Acupuncture Skills flash cards
| Question | Answer |
|---|---|
| 3 ways in which acupuncture skills are useful | Patient rapport, better observation, assessing inappropriate emotion |
| Why rapport generates trust | Patient feels you understand them |
| 3 things determined by the depth of rapport | Quality of information given by patient, quality & depth of change patient experiences, accurate assessment of emotion |
| What matching is | Adjusting behaviour / expressions to be similar to your patient |
| What matching does | Creates unconcious 'agreements' > builds trust > increases patient receptiveness & responsiveness |
| 10 areas to match | Posture, breath, tempo, representational system, phrase & word, gesture, voice, values, mental filters, language patterns & metaphors |
| 4 areas of posture to match | lower body, upper body, head, face |
| Stages of emotion testing | 1-rapport, 2-opportunity, 3-emotion choice, 4-setting up, 5-delivery, 6-observation, 7-notation |
| The test of rapport | Extent to which someone will allow you to lead / direct them |
| What the structure of an emotion refers to | Factors that need to be present for the patient to naturally experience an emotion |
| 2 things required for good 'delivery' in an emotion test | Geniune & congruent expression of feeling from tester, be short & stop |
| 3 types of responses to emotion tests | Normal, inappropriate, hiding another emotion |
| 2 things to notate in emotion testing | Type of test, judgement of patient response |
| Emotion testing is done . . . | Because you don't know, when you are in charge, in the patient's best interest |
| Angry brows & eyes | Brows lowered & drawn together with vertical lines between, eyelids tense, lower lid may be raised, upper lid may be lowered, hard stare |
| Angry lips & jaw | Lips pressed firmly together, jaw tense / jutting |
| Angry posture | Erect, tight muscles, slight move forward |
| Angry gestures | Emphasised, point / fist |
| Joyful eyes | Crows feet at corners, eyes sparkle, lower lids wrinkled & raised (not tense) |
| Joyful cheeks, mouth & naso-labial fold | Cheeks raised, naso-labial fold deepens, corners of mouth drawn back / up, lips may part |
| Joyful posture | Upwards & expansive |
| Joyful gestures | Tend to be upward movements |
| Lack-of-joy face | Inner corners of brows drawn up & in, upper corner of eyelid raised, skin below brow triangulated from inner corner up, corner of lips down |
| Lack-of-joy posture | Slumped, caved chest |
| Lack-of-joy gestures | Withdrawal of movement |
| Sympathy eyes | Eyes soft & wide open, brows raised, maybe small lines on forehead |
| Sympathy cheeks & mouth | Loose cheeks, mouth maybe open soft & relaxed |
| Sympathy posture | Middle of torso collapsed |
| Grief face | Mouth corners turn down, mouth maybe slightly open, cheeks pulled down, lower lids loose, downward movement of face (expiration) |
| Grief posture | Chest caved in |
| Respect face | Open mouth, brows up, eyes open |
| Respect posture | Body lifts (esp. upper body), may take breath in |
| Respect gestures | Small, light, slow |
| Fear eyes | Brows raised & drawn together, upper lid raised exposing sclera, lower lid tensed & drawn up, eyes fixed & pulled back / move from side-to-side |
| Fear forehead & mouth | Wrinkles in centre of forehead, mouth open / lips slightly tensed / stretched & drawn back |
| Fear posture | Slight backward movement, breath high / held, shaking |
| Fear gestures | Tentative, shaking, still |
| Reassurance face | Neutral |
| Reassurance posture | Upright, straight spine, breathing low down |
| 2 reasons why observing breathing is important | Weak breathing indicates weak lungs, changes in breathing indicate changes of internal state |
| How breathing is matched directly | Matcher breathes at same rate & depth as patient |
| How breathing is matched indirectly | Matcher moves in sync with breathing (eg pressure of hand on patient's arm) |
| What a key gesture is | Repetitive, comes at moments of excitement / stress, connected with significant recurring inner states |
| 2 important things when matching a key gesture | Be respectful: key gestures are powerful to match because they connect with significant internal states, match key gestures in their context |
| The intention of matching a key gesture | Deepen rapport |
| We notice an emotion via . . . | Gestures, posture, facial expression, voice tone, words |
| Metal CSEO | White, weep, grief, rotten |
| Emotion can be experienced / expressed in . . . | Feelings, thoughts, behaviour |
| 2 things that are compared to assess Grief | What was / might have been vs. what is now |
| Objects of grief (what was / might have been) | Physical objects, status, a relationship, a function, an ability, a dream |
| Grief: what is now | The current situation, from which something is experienced as missing |
| An alternative to assessing Grief | Assess respect by articulating a Personal Inner Quality |
| PIQ | Personal Inner Quality |
| What a PIQ is | Attributable to a person, wothwhile (esp. with reference to a person's culture), Inner so they can plausibly take credit for it |
| When PIQs are often demonstrated | Under difficult circumstances |
| How to find a PIQ | Ask the patient to think of a difficult time / struggle |
| What Fire-Joy is associated with | Interpersonal warmth, ability to share love, warmth & affection with other humans |
| Fire CSEO | Red / lack-of-red, laughing, joy, scortched |
| What to give to assess Joy | Congruent personal warmth, focus on a joyous activity (can they hold their joy?), natural lessening of joy |
| What to observe after giving congruent personal warmth | Can the patient raise & maintain joy in themselves |
| The essence of congruent personal warmth | "I like you. It's nice to be with you." |
| How to make focus on a joyous activity a good test | Question the patient so they feel like they're engaged in the activity |
| How joy lessens naturally | Once experiencing joy and stimulus is gone, joy recedes slowly in its own time |
| Inappropriate lessening of joy | Joy disappears suddenly and drops into sadness |
| Earth CSEO | Yellow, singing, sympathy, fragrant |
| Structure of sympathy | 1-wound, 2-inner wound, 3-timing (recent/on-going), 4-can't be changed easily / not obviously the person's fault |
| What a 'wound' is | A hurt presented for sympathy |
| What an 'inner wound' is | Significant of the 'wound' |
| Sympathy timing | 'Wound' is current / on-going / recent |
| Wood CSEO | Green, shouting, anger, rancid |
| Structure of Anger | 1-abuse, 2-timing (recent / on-going), 3-who, 4-wrongness |
| What an 'abuse' is | What happened that made them angry + its significance |
| Anger timing | 'Abuse' is current / on-going / recent |
| What an agent of 'abuse' is not | Nature / God |
| What 'wrongness' is | Appeal to social norms, agreements or fairness |
| Water CSEO | Blue, groaning, fear, putrid |
| Structure of fear | 1-threat, 2-future-fantasied violation, 3-reassurance via future-fantasied safety |
| What a 'threat' is | Recurring / occuring now / recent & causing concern |
| What a 'future-fantasied violation' is | Undesirable consequences we imagine are indicated by the 'threat' |
| What 'future-fantasied safety' is | A safe situation imagined when the 'threat' no longer exists |
| What we need to give genuine reassurance | Relevant information |
| 3 distinctions with respect to Reassurance information | What the patient knows, what you know, what other info may be available |
| How to assess if fear is appropriate | Determine what info has influenced patient; determining what we know about the threat, future-fantasied violation & safety; reassuring the patient |
| How to assess if lack-of-fear is appropriate | Determine what info has influenced patient; frighten the patient |
Created by:
Warthogontheweb
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