NR 668 Week 2
1. Theoretical models in psychotherapy: -Maslow's Hierarchy of Needs
-Health Belief Model
-Transtheoretical Model of Change
2. Maslow's Hierarchy of Needs: -Abraham Maslow theorized that all individuals have the same basic
needs
-provides a framework for understanding client motivation
-first four levels of need in the hierarchy
• physiological needs, safety, love & belonging, esteem
• deficiency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need
• self-actualization
• considered a growth or being need (B-need)
-Once D-needs are met, clients can focus on self-actualization and personal growth
-A self-actualized person is self-fulfilled.
3. Qualities exhibited by the self-actualized person include:: independence, autonomy,
creativity, and maturity
,4. Ed is a 32-year-old client who is beginning psychotherapy with the PMHNP.
During the interview, Ed shares that he has been unemployed for the past 6
months due to consolidation at his former place of employment. Since then, he
reports that he has had difficulty sleeping due to worries about what he should
do. His wife has a full-time job with health benefits and has been supportive of
him taking time to find the ideal position while he is collecting unemployment;
however, his unemployment will run out in a few months. He would love to find
a position that would allow him to use his artistic talents but expresses a lack
of self-confidence in his ability to succeed in a new position. Ed reports that he
has felt somewhat isolated now that he doesn't see his friends at work.
The PMHNP has identified needs for Ed at all levels of Maslow's hierarchy. Drag
,the client's concern to the appropriate level of the hierarchy: Physiological: diflculty
sleeping
Safety: unemployment
Love/belonging: isolation
, Esteem: lack of self-confidence
Self-actualization: the need for creativity
5. The client expresses that his goal is to focus on improving his self-confidence.
Based on Maslow's hierarchy of needs, is Ed likely to be prepared to explore his
lack of self-confidence?
Yes
No: No
Rationale: Because Ed has unmet needs at the physiological, safety, and love/belonging levels of the hierarchy, he may
not yet be prepared to explore self-confidence. The PMHNP may need to help the client address more foundational
needs as part of the initial therapy before helping him focus on improving his confidence.
6. Health Belief Model: -used to explain and predict health behaviors
-person's belief about a perceived threat of illness combined with belief in the effectiveness of the recommended action
predict the person's willingness to change
-constructs:
• perceived seriousness
1. Theoretical models in psychotherapy: -Maslow's Hierarchy of Needs
-Health Belief Model
-Transtheoretical Model of Change
2. Maslow's Hierarchy of Needs: -Abraham Maslow theorized that all individuals have the same basic
needs
-provides a framework for understanding client motivation
-first four levels of need in the hierarchy
• physiological needs, safety, love & belonging, esteem
• deficiency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need
• self-actualization
• considered a growth or being need (B-need)
-Once D-needs are met, clients can focus on self-actualization and personal growth
-A self-actualized person is self-fulfilled.
3. Qualities exhibited by the self-actualized person include:: independence, autonomy,
creativity, and maturity
,4. Ed is a 32-year-old client who is beginning psychotherapy with the PMHNP.
During the interview, Ed shares that he has been unemployed for the past 6
months due to consolidation at his former place of employment. Since then, he
reports that he has had difficulty sleeping due to worries about what he should
do. His wife has a full-time job with health benefits and has been supportive of
him taking time to find the ideal position while he is collecting unemployment;
however, his unemployment will run out in a few months. He would love to find
a position that would allow him to use his artistic talents but expresses a lack
of self-confidence in his ability to succeed in a new position. Ed reports that he
has felt somewhat isolated now that he doesn't see his friends at work.
The PMHNP has identified needs for Ed at all levels of Maslow's hierarchy. Drag
,the client's concern to the appropriate level of the hierarchy: Physiological: diflculty
sleeping
Safety: unemployment
Love/belonging: isolation
, Esteem: lack of self-confidence
Self-actualization: the need for creativity
5. The client expresses that his goal is to focus on improving his self-confidence.
Based on Maslow's hierarchy of needs, is Ed likely to be prepared to explore his
lack of self-confidence?
Yes
No: No
Rationale: Because Ed has unmet needs at the physiological, safety, and love/belonging levels of the hierarchy, he may
not yet be prepared to explore self-confidence. The PMHNP may need to help the client address more foundational
needs as part of the initial therapy before helping him focus on improving his confidence.
6. Health Belief Model: -used to explain and predict health behaviors
-person's belief about a perceived threat of illness combined with belief in the effectiveness of the recommended action
predict the person's willingness to change
-constructs:
• perceived seriousness
