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Session 7: Assertiveness and Relationships 第七部分:自信和人际关系
Children's Health and Illness Recovery Program (CHIRP) Pub Date : 2020-02-01 DOI: 10.1093/med-psych/9780190070267.003.0008
B. Carter, W. Kronenberger, E. Scott, C. Brady
{"title":"Session 7: Assertiveness and Relationships","authors":"B. Carter, W. Kronenberger, E. Scott, C. Brady","doi":"10.1093/med-psych/9780190070267.003.0008","DOIUrl":"https://doi.org/10.1093/med-psych/9780190070267.003.0008","url":null,"abstract":"In Session 7 you are introduced to the concept of avoidant coping. We all use avoidance at times in dealing with stressful, unpleasant and uncomfortable situations. However, if we use avoidance as the major way to cope with these challenges, it will have a negative impact on our ability to function physically, emotionally, and in school and social situations. In order to make sure we don’t fall into the trap of over-using avoidance in dealing with the challenges of a chronic medical problem, CHIRP uses activities that teach you strategies that can disrupt this cycle by improving your skills and confidence in dealing with stressful situations you may encounter socially and in your daily life. Key skills you will learn include improving interpersonal communication and assertive behaviors. Increasing your skills and comfort in communicating and asserting your wants and needs with others is a primary goal of this session.","PeriodicalId":367094,"journal":{"name":"Children's Health and Illness Recovery Program (CHIRP)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115010274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction and Prep Session 介绍和准备环节
Children's Health and Illness Recovery Program (CHIRP) Pub Date : 2020-02-01 DOI: 10.1093/med-psych/9780190070267.003.0001
B. Carter, W. Kronenberger, E. Scott, C. Brady
{"title":"Introduction and Prep Session","authors":"B. Carter, W. Kronenberger, E. Scott, C. Brady","doi":"10.1093/med-psych/9780190070267.003.0001","DOIUrl":"https://doi.org/10.1093/med-psych/9780190070267.003.0001","url":null,"abstract":"This chapter provides an explanation as to how having a chronic illness can start a cascading effect that results in the teen becoming more inactive and less involved in important life events experienced by healthy teens, and how this can actually worsen some of their symptoms and lead to more disability. The CHIRP interventions are introduced as a program specifically designed to provide teens, and their parents, with skills that can disrupt this process and allow the teen to more actively participate in life. A “Weekly Activity and Exercise Action Plan” Worksheet is provided to begin the process of gradually becoming more active at a level that is sensitive to the teen’s medical and health issues.","PeriodicalId":367094,"journal":{"name":"Children's Health and Illness Recovery Program (CHIRP)","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124849906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Session 2: Problem-Solving Skills 第二部分:解决问题的能力
Children's Health and Illness Recovery Program (CHIRP) Pub Date : 2020-02-01 DOI: 10.1093/med-psych/9780190070472.003.0003
B. Carter, W. Kronenberger, E. Scott, C. Brady
{"title":"Session 2: Problem-Solving Skills","authors":"B. Carter, W. Kronenberger, E. Scott, C. Brady","doi":"10.1093/med-psych/9780190070472.003.0003","DOIUrl":"https://doi.org/10.1093/med-psych/9780190070472.003.0003","url":null,"abstract":"Building on the stress and stress management information from the last session, Session 2 introduces two specific forms of coping with stress: “Solving the Problem,” which involves you engaging in actions that instrumentally reduce the stressors to which you are exposed (active problem-solving), and “Managing the Impact” coping, i.e., those skills that reduce the effects of stressors on you physically and emotionally (relaxation and cognitive-behavioral strategies). This session describes these two forms of coping and the “when” and “how” of applying each. In this session problem-solving skills are introduced as a strategy that can reduce stress by addressing and altering the situation, and specific steps in the problem-solving process are described and illustrated.","PeriodicalId":367094,"journal":{"name":"Children's Health and Illness Recovery Program (CHIRP)","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114851743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Session 9: Keys to Maintaining Progress 会议9:保持进展的关键
Children's Health and Illness Recovery Program (CHIRP) Pub Date : 2020-02-01 DOI: 10.1093/med-psych/9780190070267.003.0010
B. Carter, W. Kronenberger, E. Scott, C. Brady
{"title":"Session 9: Keys to Maintaining Progress","authors":"B. Carter, W. Kronenberger, E. Scott, C. Brady","doi":"10.1093/med-psych/9780190070267.003.0010","DOIUrl":"https://doi.org/10.1093/med-psych/9780190070267.003.0010","url":null,"abstract":"Session 9 provides a review of the individual skills the teen has acquired in the Children’s Health and Illness Recovery Program (CHIRP) with a focus on relapse prevention strategies and anticipatory guidance. Key components of CHIRP are emphasized as they apply to teen and parent strategy for “Working Towards a Normal Daily Schedule.” At this point in the program most teens should have recognized the benefits of improved sleep and activity levels, increased social contacts with peers, and increased comfort in assertively communicating with others. Parents should demonstrate an increased willingness to support and trust their teen in becoming more independent in managing various aspects of their chronic illness, as well as in decision making in setting their personal schedule and making lifestyle choices. A key component to success in sustaining these gains is the willingness of family members to continue to follow established family rules for communicating about symptoms and resolving conflicts.","PeriodicalId":367094,"journal":{"name":"Children's Health and Illness Recovery Program (CHIRP)","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128382026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Session 5: Time Management and Prioritization 第五部分:时间管理和优先排序
Children's Health and Illness Recovery Program (CHIRP) Pub Date : 2020-02-01 DOI: 10.1093/med-psych/9780190070472.003.0006
B. Carter, W. Kronenberger, E. Scott, C. Brady
{"title":"Session 5: Time Management and Prioritization","authors":"B. Carter, W. Kronenberger, E. Scott, C. Brady","doi":"10.1093/med-psych/9780190070472.003.0006","DOIUrl":"https://doi.org/10.1093/med-psych/9780190070472.003.0006","url":null,"abstract":"For teens with a chronic illness, setting reasonable and reachable personal expectations while titrating their activities in response to their disease/symptoms is often a major stressor. In Session 5 the teen is taught specific strategies to distinguish between desired (want to) and required (have to) activities and to create (and revise) personal schedules that address problems they may have with over- and/or underscheduling physical and social activities in their daily life. These issues are particularly important in working with teens who are on home-hospital/home-bound schooling or who are home-schooled and thus more likely to have less structure and peer social contact.","PeriodicalId":367094,"journal":{"name":"Children's Health and Illness Recovery Program (CHIRP)","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132133293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Session 4: Thought-Challenging and Thought-Changing Skills 第四部分:挑战思维和改变思维的技能
Children's Health and Illness Recovery Program (CHIRP) Pub Date : 2020-02-01 DOI: 10.1093/med-psych/9780190070472.003.0005
B. Carter, W. Kronenberger, E. Scott, C. Brady
{"title":"Session 4: Thought-Challenging and Thought-Changing Skills","authors":"B. Carter, W. Kronenberger, E. Scott, C. Brady","doi":"10.1093/med-psych/9780190070472.003.0005","DOIUrl":"https://doi.org/10.1093/med-psych/9780190070472.003.0005","url":null,"abstract":"Employing information from their Thought Record homework, in Session 4 the teen is instructed in applying cognitive behavioral therapy (CBT) thought-challenging skills employing the “Challenging Your Thoughts” worksheet in the Children’s Health and Illness Recovery Program (CHIRP) Workbook. Common cognitive errors (e.g., hopelessness, catastrophizing, mind reading) are introduced and applied to the teen’s own identified automatic thoughts. For youth with chronic illness, the impact of their symptoms on their functioning can adversely impact on their expectations and willingness to set challenging yet appropriate goals for themselves. CBT skills in challenging and changing unsubstantiated and disabling beliefs and schema are crucial to overcoming these barriers.","PeriodicalId":367094,"journal":{"name":"Children's Health and Illness Recovery Program (CHIRP)","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123472750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Session 3: Relaxation Skills 第三部分:放松技巧
Children's Health and Illness Recovery Program (CHIRP) Pub Date : 2020-02-01 DOI: 10.1093/med-psych/9780190070472.003.0004
B. Carter, W. Kronenberger, E. Scott, C. Brady
{"title":"Session 3: Relaxation Skills","authors":"B. Carter, W. Kronenberger, E. Scott, C. Brady","doi":"10.1093/med-psych/9780190070472.003.0004","DOIUrl":"https://doi.org/10.1093/med-psych/9780190070472.003.0004","url":null,"abstract":"When, for various reasons, the teen cannot alter the stressfulness of a challenging situation via active problem solving (“Solving the Problem”), such circumstances call for employing strategies to “Manage the Impact” of the stressor on their physical and emotional functioning. In Session 3 of the Children’s Health and Illness Recovery Program (CHIRP), the clinician instructs the teen in effective relaxation skills including diaphragmatic breathing and progressive muscle relaxation. These are introduced and practiced in the session, with homework practice assigned for skill development. Cognitive behavioral therapy skills are introduced to help the teen understand the bidirectional relationships between thoughts, emotional responses, and behavioral responses. Finally, thought-changing skills and activities are introduced from the CHIRP Workbook with the assignment of recoding stressful situations and their associated thoughts and feelings on a Thought Record sheet.","PeriodicalId":367094,"journal":{"name":"Children's Health and Illness Recovery Program (CHIRP)","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125236454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Session 6: Increasing Teen Independence 第六部分:提高青少年的独立性
Children's Health and Illness Recovery Program (CHIRP) Pub Date : 2020-02-01 DOI: 10.1093/med-psych/9780190070472.003.0007
B. Carter, W. Kronenberger, E. Scott, C. Brady
{"title":"Session 6: Increasing Teen Independence","authors":"B. Carter, W. Kronenberger, E. Scott, C. Brady","doi":"10.1093/med-psych/9780190070472.003.0007","DOIUrl":"https://doi.org/10.1093/med-psych/9780190070472.003.0007","url":null,"abstract":"Session 6 is intended to be a family-focused session, with the teen and parent(s) seen conjointly for all or at least a major portion of the session. This format allows the clinician to observe the ways in which the teen and parent(s) approach such issues as problem solving and decision making and to coach and provide feedback and guidance in developing family dynamics that increase teen confidence and skills in becoming more confident and independent. The mechanism for stimulating these discussions is generated from the Workbook exercises and Worksheets addressing the activity schedule of a healthy teen versus the teen with a chronic illness and together generating strategies for increasing teen independence that they will approach between sessions.","PeriodicalId":367094,"journal":{"name":"Children's Health and Illness Recovery Program (CHIRP)","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114970186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Session 8: Family Roles, Communication, and Support 第八部分:家庭角色、沟通和支持
Children's Health and Illness Recovery Program (CHIRP) Pub Date : 2020-02-01 DOI: 10.1093/med-psych/9780190070472.003.0009
B. Carter, W. Kronenberger, E. Scott, C. Brady
{"title":"Session 8: Family Roles, Communication, and Support","authors":"B. Carter, W. Kronenberger, E. Scott, C. Brady","doi":"10.1093/med-psych/9780190070472.003.0009","DOIUrl":"https://doi.org/10.1093/med-psych/9780190070472.003.0009","url":null,"abstract":"Session 8 is again focused primarily on family communication and dynamics for the purposes of identifying and addressing parenting behaviors and parent–teen dynamics that may unwittingly undermining teen confidence in becoming more independent in managing their illness and lifestyle. The clinician engages the family in a discussion of parental and teen roles within the family system and an examination of the impact of the teen’s illness on family members’ roles. Behavioral family systems concepts of “misguided support” and “strong beliefs” that family members hold, but that inadvertently may be serving to maintain a dependent or even overprotective/enmeshed family dynamic, are introduced and applied to the family situation, along with strategies for moving these dynamics in a more independence-engendering direction.","PeriodicalId":367094,"journal":{"name":"Children's Health and Illness Recovery Program (CHIRP)","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126593099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Session 1: Stress Identification and Management 第一部分:压力识别和管理
Children's Health and Illness Recovery Program (CHIRP) Pub Date : 2020-02-01 DOI: 10.1093/med-psych/9780190070472.003.0002
B. Carter, W. Kronenberger, E. Scott, C. Brady
{"title":"Session 1: Stress Identification and Management","authors":"B. Carter, W. Kronenberger, E. Scott, C. Brady","doi":"10.1093/med-psych/9780190070472.003.0002","DOIUrl":"https://doi.org/10.1093/med-psych/9780190070472.003.0002","url":null,"abstract":"Session 1 of the Children’s Health and Illness Recovery Program (CHIRP) addresses the impact of illness- and non–illness-related stressors on teens with chronic illness and coping strategies needed to reduce stress. This chapter provides the clinician with techniques for guiding the teen in developing methods for identifying stressors and assessing the impact they may have on their symptoms and functioning. The importance of sleep and developing healthy sleep hygiene practices are introduced, along with instructions for the teen in completing a Sleep Log to assess their own sleep patterns and practices. Graduated physical activity is also assessed and encouraged. These data will be collected over the course of several sessions in order to facilitate more effective coping, stress management, and sleep hygiene practices.","PeriodicalId":367094,"journal":{"name":"Children's Health and Illness Recovery Program (CHIRP)","volume":"232 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115993517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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