Behavior Change and Emotion Theories

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Questions and Answers

Which of the following statements best describes the contemplative stage of behavior change as outlined by Prochaska and DiClemente?

  • Determination
  • Integration of behavior change into a person's life
  • Struggling with ambivalence (correct)
  • None of the options above

Which of the following behaviors are part of active listening?

  • maintain eye contact
  • nodding and making eye contact.
  • asking for clarification
  • all of the above (correct)

What would be the best physician response to elicit a change talk in the following situation? Physician: "How confident are you on a scale of 0 to 10 that you can make this change?" Patient: "About a 4."

  • So, you're about a 4
  • Why are you not a 10?
  • Why are you a 4 and not a 0?
  • You've got some confidence, but not a lot. (correct)

Which of the following statements is correct according to the James-Lange theory of emotion?

<p>Physiological arousal of the body occurs before the conscious interpretation of an emotion. (C)</p> Signup and view all the answers

Which is NOT part of active listening?

<p>Give advice (A)</p> Signup and view all the answers

When someone incorrectly believes he or she is receiving a real treatment and reports an improvement in his or her condition, it is called...

<p>Placebo effect (A)</p> Signup and view all the answers

Among the different stages characterizing the mechanism for changing risky health behaviors, Pre-contemplation is when:

<p>the patient experiences health related issues but has not gone to see the physician, yet. (C)</p> Signup and view all the answers

Within the framework of motivational interviewing as explained in class: when a physician argues that a patient's behavior needs to change, the patient often responds by:

<p>arguing against change. (A)</p> Signup and view all the answers

Which of the following is NOT consistent with the Motivational Interviewing approach?

<p>Confronting denial (B)</p> Signup and view all the answers

Physician's statement #h represents

<p>a failure to roll with resistance</p> Signup and view all the answers

What causes autism?

<p>There is no single cause of autism (C)</p> Signup and view all the answers

According to the Cannon-Bard theory of emotion,

<p>there is a different pattern of physiological activity for each emotion. (D)</p> Signup and view all the answers

Which of these is an unconditioned stimulus?

<p>Shock (C)</p> Signup and view all the answers

When would you use closed questions?

<p>When you do not want the person to keep talking (B)</p> Signup and view all the answers

The Motivational Interviewing approach is:

<p>directive but patient-centered (B)</p> Signup and view all the answers

Which of the following is NOT a Motivational Interviewing-consistent strategy for handling resistance?

<p>argument (C)</p> Signup and view all the answers

Self-efficacy is:

<p>the belief that you will be able to accomplish a specific task (D)</p> Signup and view all the answers

Which of the following is NOT considered a source for self-efficacy?

<p>Genetic predisposition (B)</p> Signup and view all the answers

The statement, "You're very determined, even in the face of discouragement. This change must really be important to you." is an example of

<p>Affirmation (C)</p> Signup and view all the answers

Patient-Centeredness is best defined as:

<p>Providing care that is respectful of and responsive to individual patient preferences, needs and values (B)</p> Signup and view all the answers

Paralanguage or paraverbal communication refers to:

<p>the vocal messages of pitch, rate, and loudness. (A)</p> Signup and view all the answers

When a patient expresses anger about a physician's colleague, which of the following statements would be the most appropriate response?

<p>Tell me what concerns you have and how you were treated (A)</p> Signup and view all the answers

Empathic understanding is which ONE of the following?

<p>Empathic understanding is the ability to feel with patients, as opposed to feeling for patients (C)</p> Signup and view all the answers

In patient-doctor communication, what is the difference between reflecting and paraphrasing?

<p>Reflecting goes on to check how the person is feeling, not just checking you understand (A)</p> Signup and view all the answers

Negative reinforcement can be defined as: Stimulus ______ contingent upon a response, which ______ the future probability of that response.

<p>Removed, increases (D)</p> Signup and view all the answers

In which of the following conditions involving the use of placebos have NO real changes been detected in the patient...

<p>Parkinson's (B)</p> Signup and view all the answers

First Impressions are based on the following three items:

<p>Appearance, Presentation, Dress (B)</p> Signup and view all the answers

Which is NOT a principle of nonverbal communication?

<p>Nonverbal communication is ambiguous. (A)</p> Signup and view all the answers

Learning by trial and error is called

<p>operant conditioning (C)</p> Signup and view all the answers

One difference between verbal and nonverbal communication is that verbal communication is

<p>usually continuous. (B)</p> Signup and view all the answers

You visit a new friend for the first time and as you enter his apartment his cat hisses and jumps on you from above the doorway. This happens for several nights. Then one evening you come in for a visit and at the sound of the cat's hiss you jump briskly to one side and the cat lands on the floor next to you. The cat's hiss is the:

<p>Unconditioned stimulus (C)</p> Signup and view all the answers

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Flashcards

Precontemplation Stage

The stage in which a person is aware of a problem and considering changing their behavior, but they have not yet committed to taking action. They may be weighing the pros and cons of change, and they may be experiencing conflicting emotions.

Motivational Interviewing

A technique used in therapy and counseling that focuses on guiding a person toward making positive changes in their behavior by exploring their own motivations and values. It involves a collaborative, non-confrontational approach that empowers the individual to make their own decisions.

Negative Reinforcement

A behavioral technique that involves removing an unpleasant stimulus after a desired behavior occurs, making the behavior more likely to be repeated in the future. For example, removing a loud noise when a child finishes their homework.

Unconditioned Stimulus

A stimulus that automatically triggers a response, without any prior learning. For example, a loud noise causing someone to jump.

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Unconditioned Response

A response that is automatically elicited by an unconditioned stimulus without any prior learning. For example, jumping in response to a loud noise.

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Cannon-Bard Theory of Emotion

The subjective experience of feeling an emotion, which occurs simultaneously with physiological arousal. It suggests that both the physical and mental aspects of emotion happen at the same time.

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Self-efficacy

The belief that a person has in their abilities to successfully perform a specific task. It's about confidence in their capabilities.

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Patient-Centered Communication

A method of communication that emphasizes the receiver's perspective and understanding. It involves actively listening, reflecting back feelings, and showing empathy.

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Nonverbal Communication

The use of nonverbal cues to express a message, which includes facial expressions, gestures, posture, and tone of voice.

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Reflecting

A technique used in counseling that involves mirroring the speaker's words and emotions to show understanding and build rapport. It helps the person feel heard and validated.

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James-Lange Theory of Emotion

The belief that experiencing the physiological changes associated with an emotion is what leads to the feeling of that emotion. The theory suggests that we feel emotions after our bodies respond to a stimulus.

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Action Stage

The stage where a person is actively making changes to their behavior and putting their plan into action.

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Cognitive Change

A change in behavior that occurs because of a change in thoughts, feelings, or beliefs. It involves a cognitive shift that alters the way a person understands and perceives a situation.

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Negative Reinforcement

A technique involving providing positive reinforcement by removing an aversive stimulus, like removing a nagging sound once a task is completed. This increases the likelihood of repeating the desired behavior.

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Contemplation Stage

A state where a person is considering changing their behavior but is not yet ready to make a commitment. They may be unsure about the benefits of change or struggling with ambivalence.

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Self-Efficacy

The belief that a person has the ability to control their behavior and make changes in their life. It is essential for successful behavior change.

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Classical Conditioning

The process of learning through repeated exposure to a stimulus and a response. It involves associating a neutral stimulus with a conditioned stimulus that elicits a conditioned response.

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Active Listening

A method of communication that involves asking questions and seeking clarification to understand the other person's perspective. It helps to create a more open and collaborative environment.

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Maintenance Stage

The stage where a person has maintained their changed behavior for a significant period and successfully integrated it into their daily life.

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Operant Conditioning

The process of learning through consequences. It involves associating a behavior with a reward or punishment, leading to a change in the likelihood of that behavior occurring in the future.

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Termination Stage

The stage where a person is making sustained efforts to maintain their change and to prevent relapses. They may need to develop coping strategies to deal with temptations and challenges.

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Paraphrasing

A technique used in counseling that involves reflecting back a person's words and emotions to show understanding and build rapport. It helps the person feel heard and validated.

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Preparation Stage

The stage in which a person has made a conscious decision to change their behavior and is actively making preparations to do so.

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Observational Learning

The process of learning by watching and imitating the behavior of others. It is a form of social learning that involves observing, remembering, and replicating the behavior.

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Conditioned Response

The response that is learned through association with a conditioned stimulus. For example, jumping in response to the sound of a can opener.

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Conditioned Stimulus

A previously neutral stimulus that has been paired with an unconditioned stimulus to elicit a conditioned response.

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Placebo

A phenomenon that occurs when a person experiences a positive response to a treatment that is not actually effective. It is believed to be due to the person's expectations and beliefs about the treatment.

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Neutral Stimulus

A neutral stimulus that is paired with an unconditioned stimulus to elicit a conditioned response.

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Closed Questions

A method of communication that is direct and specific, usually requiring a short answer. It's helpful for clarifying details and gathering information.

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Empathic Understanding

A technique used in counseling that involves expressing empathy and understanding for a person's feelings and experiences. It helps to create a more supportive and non-judgmental environment.

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Relapse Stage

The stage where a person has experienced a lapse or relapse in their changed behavior and is struggling to maintain their progress. It is a common experience, and it can be an opportunity to learn from the experience and develop stronger coping strategies.

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Study Notes

Behavior Change Stages (Prochaska & DiClemente)

  • Contemplative stage is described as integrating behavior change into daily life.
  • Contemplative stage involves struggling with ambivalence.

Active Listening Behaviors

  • Maintain eye contact
  • Nodding and making eye contact
  • Asking for clarification
  • Combining all of the above

Physician Response to Elicit Change Talk

  • A suitable response to a patient rating their confidence at 4 out of 10 is, "You've got some confidence, but not a lot."

Emotion Theories (James-Lange)

  • The James-Lange theory proposes physiological arousal occurs before the conscious interpretation of an emotion

Active Listening vs. Other Skills

  • Giving advice is NOT a part of active listening.

Placebo Effect

  • Incorrectly believing that a treatment is real and experiencing improvement describes the placebo effect.

Precontemplation Stage (Health Behavior Change)

  • The precontemplation stage is when a patient has identified relevant issues but has not yet consulted a physician

Motivational Interviewing

  • Motivational interviewing involves a lack of argumentation
  • It emphasizes supporting the patient's self-efficacy
  • Rolling with resistance is a key technique in motivational interviewing

Diagnosing Addiction

  • A physician's statement like "You have to admit you are powerless" demonstrates a failure to roll with resistance.

Autism Causes

  • There's no single cause of autism; it's not attributed to maternal lack of bonding, a single gene, or poor prenatal nutrition.

Emotion and the Autonomic Nervous System

  • The autonomic nervous system doesn't react in ways that are specific to emotions.

Unconditioned Stimuli

  • A shock is considered an unconditioned stimulus.

Motivational Interviewing Approach

  • A non-directive, patient-centered approach is consistent with motivational interviewing.
  • Avoiding argumentation and supporting self-efficacy are key elements to the approach.
  • Confronting denial is NOT consistent with this approach.

Self-Efficacy

  • Self-efficacy is the confidence in one's ability to execute behaviors necessary to produce specific performance attainments. It is not simply the belief that one can accomplish anything or a humanistic theory.

Factors Influencing Self-Efficacy

  • Mastery experiences, social modeling, and physiological/emotional states are factors that influence self-efficacy.

Patient-Centered Care

  • Patient-centered care involves respecting patient preferences, needs, and values.

Paralanguage (Paraverbal Communication)

  • Paralanguage encompasses vocal elements such as pitch, rate, and volume.

Responding to Patient Anger

  • When a patient expresses anger at a colleague, a suitable response is to facilitate their concerns and how they were addressed.

Empathetic Understanding

  • Empathetic understanding involves feeling with patients, not for them, and requires genuine concern for their experiences.

Reflecting vs. Paraphrasing

  • Reflecting checks for understanding by slightly changing the phrasing; paraphrasing repeats the main points.

Negative Reinforcement

  • Negative reinforcement increases a behavior by removing an aversive stimulus.

Non-Real Change from Placebos

  • No real change in patients has been observed for some conditions who were exposed to placebos.

First Impressions

  • First impressions are based on appearance, presentation, and communication style.

Nonverbal Communication

  • Nonverbal communication occurs even if language is not used; it isn't always deliberate.

Learning by Trial and Error

  • Learning is said to be trial and error when new things are tried, learning from the failures to avoid repeating them.

Verbal vs. Nonverbal Communication

  • Verbal communication is typically more deliberate than nonverbal communication.

Classical Conditioning

  • Classical conditioning is linked to conditioned and unconditioned stimuli.

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