Coping Effectively With Spinal Cord Injuries: A Group Program Therapist GuideFor individuals who have suffered a spinal cord injury, it is a struggle to know how to assess and cope with such a life-changing event. The coping strategies that a person employs can have an enormous impact on their mental well-being and long-term health. Approach focused coping, in which the individual accepts and seeks to understand their condition, results in a sense of mastery, self-efficacy, and post traumatic growth. Conversely, avoidance focused coping can lead to anxiety, depression, self neglect, and substance abuse problems. Approximately 50% will meet the diagnostic criteria for depression at 6 months post injury. Research shows that those with depression will have a poorer outcome and shorter life-span. Coping effectiveness training (CET) aims to improve skills for assessing stress, teaching a range of coping skills that can be used to tackle stress, and provide an opportunity for interaction with others who have similar experiences of spinal cord injury. CET includes the identification of effective and ineffective responses to stress, especially those that are particularly unhelpful, such as disengagement, general avoidance, long term denial, and the expression of extreme emotion. By encouraging individuals to think critically about their behaviour in response to stressors, CET helps people avoid unproductive ways of coping. Like all TreatmentsThatWork programs, this treatment is evidence-based. In the author's clinical studies, CET has proven to successfully reduce levels of depression and anxiety in individuals with spinal cord injury, and also resulted in changes in negative self-perception and improved self-efficiacy. The intervention consists of seven, 60-75 minute sessions run two a week in small groups of six to nine people. By working in small groups, participants are able to share experience and build a community, reducing the sense of isolation that often results from sever injury. A corresponding workbook provides monitoring forms, homework exercises, and other user-friendly techniques to continue the work outside of therapy. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER) |
Contents
Chapter 1 Introductory Information for Therapists | 1 |
Chapter 2 Group Logistics | 7 |
Chapter 3 Session 1Introduction to Stress and Coping | 11 |
Chapter 4 Session 2Assessing and Managing Stress | 17 |
Chapter 5 Session 3Problem Solving | 25 |
Chapter 6 Session 4Managing Emotions | 33 |
Chapter 7 Session 5Changing Negative Thinking | 43 |
Chapter 8 Session 6MaladaptiveAdaptive Coping | 49 |
Chapter 9 Session 7Social Support Final Session | 53 |
Fidelity Checklists | 59 |
| 67 | |
About the Author | 69 |
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able adaptive coping allow Ask group members aspects assertive Assign homework Review Assign homework Session automatic thoughts behavior board and markers breathing slowly in...and cognitive distortions cognitive model Cognitive-behavioral therapies comfortable common thinking errors complex stressors coping skills coping strategies Corresponds to chapter deal disability dry erase board emotional reactions Explain Fidelity Checklist Date Flipchart or dry following sample dialogue friends identify important indicating high fidelity indicating poor fidelity intervention Kennedy let go Managing Stress Materials Needed members to think Negative Thinking participants patients people’s person pleasant activity scheduling practicing autohypnotic relaxation problem solving problem-focused coping problem-solving method Problem-Solving Worksheet Radnitz Rate your fidelity Review of Previous Review previous session scenarios self-efficacy session and homework session element Signs of Stress slowly in...and slowly social support spinal cord injury Step Stress and Coping stress reactions stressful situation talk Therapist today’s session unhelpful What’s wheelchair workbook