Inhoudsopgave
INLEIDING INNOVATIE IN DE PSYCHIATRIE...........................................................................................................5
LIFE BALANCE........................................................................................................................................................5
INNOVATIE EN HERSTEL............................................................................................................................................5
HERSTELVISIE................................................................................................................................................................. 5
5 DOMEINEN IN DE EXECUTIEVE FUNCTIES...........................................................................................................................6
OM DE BEHANDELINGEN EFFECTIEVER TE MAKEN VOLGENS VAN DER STEL : 3 KENNISBRONNEN.............................................6
PERSOONLIJK HERSTEL GERELATEERD AAN 4 CENTRALE HERSTELPROCESSEN................................................................................7
4 TYPEN FUNCTIONELE PROBLEMEN...................................................................................................................................7
TRANSLATIEPSYCHIATRIE AANBEVELLINGEN..........................................................................................................................7
ZINGEVING...........................................................................................................................................................8
AANDACHT VOOR DE PERSOONLIJKE DIMENSIE..............................................................................................................8
ZINGEVING VOLGENS VAN DER STEL....................................................................................................................................8
EEN DOEL HEBBEN........................................................................................................................................................10
IDENTITEIT.........................................................................................................................................................10
IDENTITEITSCIRKEL................................................................................................................................................11
WE ONTLEDEN IDENTITEIT AAN................................................................................................................................11
HANDELINGSIDENTITEIT..........................................................................................................................................11
IDENTITEIT EN GELAAGDHEID..........................................................................................................................................12
ECOLOGICAL MOMENTARY ASSESMENT ( EMA)................................................................................................12
ASSESENT...........................................................................................................................................................12
WAAROM.................................................................................................................................................................... 12
TIJDSCONTIGENT...........................................................................................................................................................12
GEBEURTENISCONTINGENT.............................................................................................................................................13
TIPS EN TRICKS.............................................................................................................................................................13
VOORDELEN EMA’S.......................................................................................................................................................13
NADELEN EMA’S...........................................................................................................................................................13
NARRATIVITEIT..................................................................................................................................................13
PATIENT STUURT MEE............................................................................................................................................13
ICF....................................................................................................................................................................13
KENNISBRONNEN..................................................................................................................................................13
,NARRATIVITEIT....................................................................................................................................................13
NARRATIEVEN..............................................................................................................................................................14
DIVERSITEITSCIRKEL...............................................................................................................................................14
IK- ONTWIKKELING...............................................................................................................................................14
MILIEUTHERAPIE................................................................................................................................................14
UITGANGSPUNT VAN JANZING.................................................................................................................................15
DOELSTELLINGEN..................................................................................................................................................16
LES 2 BEGRIPPEN – COMPATILITEITSMODUS.....................................................................................................16
CONTEXT............................................................................................................................................................16
4 DIMENSIES.......................................................................................................................................................16
1. DE DIMENSIE VAN DE FEITEN.......................................................................................................................................17
2. DE DIMENSIE VAN DE PSYCHOLOGIE..............................................................................................................................17
3. DE DIMENSIE VAN DE INTERACTIE.................................................................................................................................17
4. DE DIMENSIE VANDE RELATIONELE ETHIEK.....................................................................................................................17
THERAPEUTISCHE DENKKADERS................................................................................................................................17
PSYCHOANALYSE...........................................................................................................................................................17
CLIËNT CENTERED THERAPIE ( ROGERS).............................................................................................................................17
SYSTEEMTHERAPIE........................................................................................................................................................17
COGNITIEVE THERAPIE...................................................................................................................................................18
METABEHANDELING -> MILIEUTHERAPIE............................................................................................................................18
RATIONEEL EMOTIE THERAPIE..........................................................................................................................................18
ABCDE- SCHEMA........................................................................................................................................................19
IRRATIONELE BASISIDEEËN..............................................................................................................................................19
DENKFOUTEN..............................................................................................................................................................19
ACT = ACCEPTENCE & COMMITMENT THERAPIE.................................................................................................................20
GROEPSTHERAPIE.................................................................................................................................................21
THERAPEUTISCHE FACTOREN GROEPSTHERAPIE...................................................................................................................21
TAAK VAN DE THERAPEUT..............................................................................................................................................21
ZELF-DETERMINATIE THEORIE.........................................................................................................................................21
AUTONOME EN GECONTROLEERDE MOTIVATIE...................................................................................................................21
ABC VAN DE ZDT........................................................................................................................................................21
LANGDURIGE ZORG...........................................................................................................................................22
SYNDROOM VAN KORSAKOV :.................................................................................................................................23
GEHEUGENPROBLEMEN..................................................................................................................................................23
VERSLAVINGSZORG............................................................................................................................................24
ZINGEVING IN VERSLAVINGSZORG............................................................................................................................24
,THERAPEUTISCHE RELATIE......................................................................................................................................24
CONTROLERENDE PROCESSEN..................................................................................................................................25
BEHANDELING:............................................................................................................................................................25
AUTOMATISCHE PROCESSEN...........................................................................................................................................26
PRAKTIJK.................................................................................................................................................................... 27
ZELFOBJECT OVERDRACHT” (2 VORMEN)...........................................................................................................................27
VERSLAVING EN GEDRAG................................................................................................................................................28
VERSLAVING EN MOTIVATIECIRKEL...................................................................................................................................28
OUTCOME: IDENTITEIT EN VOLDOENING...........................................................................................................................28
STEMMINGSSTOORNISSEN................................................................................................................................29
BURN-OUT.........................................................................................................................................................29
DE ZELFDETERMINATIE THEORIE......................................................................................................................................29
STEMMINGSTOORNISSEN........................................................................................................................................30
DEPRESSIE..........................................................................................................................................................30
SOORTEN DEPRESSIE.....................................................................................................................................................30
ERVARINGSDESKUNDIGE................................................................................................................................................30
SYMPTOMEN..............................................................................................................................................................30
DYNAMISCH INTERACTIONISTISCH MODEL..........................................................................................................................31
2 PERSOONLIJKHEIDSDIMENSIES......................................................................................................................................31
ANACLYTISCHE/SOCIOTROPE...........................................................................................................................................31
INTROJECTIEVE/AUTONOME...........................................................................................................................................32
BEHANDELING..............................................................................................................................................................32
FASEN VAN BEHANDELING..............................................................................................................................................32
GEDRAGSACTIVATIE:.....................................................................................................................................................32
PROCESMATIG WERKEN.................................................................................................................................................33
EXPRESSIEVE ACTIVITEITEN.............................................................................................................................................33
THERAPEUTISCHE RELATIE..............................................................................................................................................34
THERAPEUTISCHE SITUATIE.............................................................................................................................................35
CASUS........................................................................................................................................................................35
MANISCH-DEPRESSIVITEIT......................................................................................................................................35
TIPS VOOR LOTGENOTEN:...............................................................................................................................................35
WEES PREVENTIEF.........................................................................................................................................................36
EETSTOORNISSEN..............................................................................................................................................36
PERSOONLIJKHEID EN EETSTOORNIS (CULLBERG).................................................................................................................37
ONDERLIGGENDE PROBLEMATIEK.....................................................................................................................................38
PERFECTIONISME EN FAALANGST (VANDEREYKEN)..............................................................................................................38
BEHANDELING.............................................................................................................................................................38
DOELSTELLINGEN..........................................................................................................................................................38
ACTIVITEITEN...............................................................................................................................................................39
NEGATIVISME...............................................................................................................................................................39
, PERSOONLIJKE KAART (BROEDERS ALEXIANEN TIENEN)........................................................................................................39
THERAPEUTISCHE RELATIE..............................................................................................................................................40
ZELFZORG THERAPEUT!..................................................................................................................................................40
SCHAAMTE..................................................................................................................................................................40
OEFENENINGEN............................................................................................................................................................41
PERSOONLIJKHEIDSSTOORNISSEN.....................................................................................................................41
THERAPEUTISCHE SITUATIE.....................................................................................................................................41
SCHEMA THERAPIE J. YOUNG..................................................................................................................................41
BASISDOMEINEN...........................................................................................................................................................42
ZELFWAARDERING.........................................................................................................................................................44
BORDERLINE................................................................................................................................................................44
BOODSCHAPPEN...........................................................................................................................................................44
SCHEMA’S EN VALKUILEN...............................................................................................................................................44
DIALECTISCHE GEDRAGSTHERAPIE....................................................................................................................................45
HECHTINGEN...............................................................................................................................................................46
HECHTINGSSTIJLEN.......................................................................................................................................................46
DOELEN.............................................................................................................................................................46
ACTIVITEITEN.......................................................................................................................................................47
THERAPEUTISCHE RELATIE......................................................................................................................................47
ZELFZORG...........................................................................................................................................................47
IDENTITEIT, TRAUMA EN HERSTEL.....................................................................................................................47
TRANSCULTURELE PSYCHIATRIE................................................................................................................................47
IDENTITEIT IN EEN DIVERSE WERELD..........................................................................................................................48
IDENTITEIT:................................................................................................................................................................. 48
PERSOONLIJK EN SOCIAAL..............................................................................................................................................48
OUTCOME..........................................................................................................................................................48
HANDELINGSDIAGNOSE..................................................................................................................................................48
LITERATUUR................................................................................................................................................................ 49
ONDERZOEKSVRAAG.....................................................................................................................................................49
TRAUMA & HERSTEL.............................................................................................................................................49
FASES (METHODIEK).....................................................................................................................................................49
CLOITRE E.A. 2012......................................................................................................................................................49
EMDR....................................................................................................................................................................... 51
VLUCHTEN IS VERLIES....................................................................................................................................................51
CREATIVITEIT ALS INVALSHOEK ACTIVITEITEN......................................................................................................................53
THERAPEUTISCHE RELATIE..............................................................................................................................................53
INLEIDING INNOVATIE IN DE PSYCHIATRIE...........................................................................................................5
LIFE BALANCE........................................................................................................................................................5
INNOVATIE EN HERSTEL............................................................................................................................................5
HERSTELVISIE................................................................................................................................................................. 5
5 DOMEINEN IN DE EXECUTIEVE FUNCTIES...........................................................................................................................6
OM DE BEHANDELINGEN EFFECTIEVER TE MAKEN VOLGENS VAN DER STEL : 3 KENNISBRONNEN.............................................6
PERSOONLIJK HERSTEL GERELATEERD AAN 4 CENTRALE HERSTELPROCESSEN................................................................................7
4 TYPEN FUNCTIONELE PROBLEMEN...................................................................................................................................7
TRANSLATIEPSYCHIATRIE AANBEVELLINGEN..........................................................................................................................7
ZINGEVING...........................................................................................................................................................8
AANDACHT VOOR DE PERSOONLIJKE DIMENSIE..............................................................................................................8
ZINGEVING VOLGENS VAN DER STEL....................................................................................................................................8
EEN DOEL HEBBEN........................................................................................................................................................10
IDENTITEIT.........................................................................................................................................................10
IDENTITEITSCIRKEL................................................................................................................................................11
WE ONTLEDEN IDENTITEIT AAN................................................................................................................................11
HANDELINGSIDENTITEIT..........................................................................................................................................11
IDENTITEIT EN GELAAGDHEID..........................................................................................................................................12
ECOLOGICAL MOMENTARY ASSESMENT ( EMA)................................................................................................12
ASSESENT...........................................................................................................................................................12
WAAROM.................................................................................................................................................................... 12
TIJDSCONTIGENT...........................................................................................................................................................12
GEBEURTENISCONTINGENT.............................................................................................................................................13
TIPS EN TRICKS.............................................................................................................................................................13
VOORDELEN EMA’S.......................................................................................................................................................13
NADELEN EMA’S...........................................................................................................................................................13
NARRATIVITEIT..................................................................................................................................................13
PATIENT STUURT MEE............................................................................................................................................13
ICF....................................................................................................................................................................13
KENNISBRONNEN..................................................................................................................................................13
,NARRATIVITEIT....................................................................................................................................................13
NARRATIEVEN..............................................................................................................................................................14
DIVERSITEITSCIRKEL...............................................................................................................................................14
IK- ONTWIKKELING...............................................................................................................................................14
MILIEUTHERAPIE................................................................................................................................................14
UITGANGSPUNT VAN JANZING.................................................................................................................................15
DOELSTELLINGEN..................................................................................................................................................16
LES 2 BEGRIPPEN – COMPATILITEITSMODUS.....................................................................................................16
CONTEXT............................................................................................................................................................16
4 DIMENSIES.......................................................................................................................................................16
1. DE DIMENSIE VAN DE FEITEN.......................................................................................................................................17
2. DE DIMENSIE VAN DE PSYCHOLOGIE..............................................................................................................................17
3. DE DIMENSIE VAN DE INTERACTIE.................................................................................................................................17
4. DE DIMENSIE VANDE RELATIONELE ETHIEK.....................................................................................................................17
THERAPEUTISCHE DENKKADERS................................................................................................................................17
PSYCHOANALYSE...........................................................................................................................................................17
CLIËNT CENTERED THERAPIE ( ROGERS).............................................................................................................................17
SYSTEEMTHERAPIE........................................................................................................................................................17
COGNITIEVE THERAPIE...................................................................................................................................................18
METABEHANDELING -> MILIEUTHERAPIE............................................................................................................................18
RATIONEEL EMOTIE THERAPIE..........................................................................................................................................18
ABCDE- SCHEMA........................................................................................................................................................19
IRRATIONELE BASISIDEEËN..............................................................................................................................................19
DENKFOUTEN..............................................................................................................................................................19
ACT = ACCEPTENCE & COMMITMENT THERAPIE.................................................................................................................20
GROEPSTHERAPIE.................................................................................................................................................21
THERAPEUTISCHE FACTOREN GROEPSTHERAPIE...................................................................................................................21
TAAK VAN DE THERAPEUT..............................................................................................................................................21
ZELF-DETERMINATIE THEORIE.........................................................................................................................................21
AUTONOME EN GECONTROLEERDE MOTIVATIE...................................................................................................................21
ABC VAN DE ZDT........................................................................................................................................................21
LANGDURIGE ZORG...........................................................................................................................................22
SYNDROOM VAN KORSAKOV :.................................................................................................................................23
GEHEUGENPROBLEMEN..................................................................................................................................................23
VERSLAVINGSZORG............................................................................................................................................24
ZINGEVING IN VERSLAVINGSZORG............................................................................................................................24
,THERAPEUTISCHE RELATIE......................................................................................................................................24
CONTROLERENDE PROCESSEN..................................................................................................................................25
BEHANDELING:............................................................................................................................................................25
AUTOMATISCHE PROCESSEN...........................................................................................................................................26
PRAKTIJK.................................................................................................................................................................... 27
ZELFOBJECT OVERDRACHT” (2 VORMEN)...........................................................................................................................27
VERSLAVING EN GEDRAG................................................................................................................................................28
VERSLAVING EN MOTIVATIECIRKEL...................................................................................................................................28
OUTCOME: IDENTITEIT EN VOLDOENING...........................................................................................................................28
STEMMINGSSTOORNISSEN................................................................................................................................29
BURN-OUT.........................................................................................................................................................29
DE ZELFDETERMINATIE THEORIE......................................................................................................................................29
STEMMINGSTOORNISSEN........................................................................................................................................30
DEPRESSIE..........................................................................................................................................................30
SOORTEN DEPRESSIE.....................................................................................................................................................30
ERVARINGSDESKUNDIGE................................................................................................................................................30
SYMPTOMEN..............................................................................................................................................................30
DYNAMISCH INTERACTIONISTISCH MODEL..........................................................................................................................31
2 PERSOONLIJKHEIDSDIMENSIES......................................................................................................................................31
ANACLYTISCHE/SOCIOTROPE...........................................................................................................................................31
INTROJECTIEVE/AUTONOME...........................................................................................................................................32
BEHANDELING..............................................................................................................................................................32
FASEN VAN BEHANDELING..............................................................................................................................................32
GEDRAGSACTIVATIE:.....................................................................................................................................................32
PROCESMATIG WERKEN.................................................................................................................................................33
EXPRESSIEVE ACTIVITEITEN.............................................................................................................................................33
THERAPEUTISCHE RELATIE..............................................................................................................................................34
THERAPEUTISCHE SITUATIE.............................................................................................................................................35
CASUS........................................................................................................................................................................35
MANISCH-DEPRESSIVITEIT......................................................................................................................................35
TIPS VOOR LOTGENOTEN:...............................................................................................................................................35
WEES PREVENTIEF.........................................................................................................................................................36
EETSTOORNISSEN..............................................................................................................................................36
PERSOONLIJKHEID EN EETSTOORNIS (CULLBERG).................................................................................................................37
ONDERLIGGENDE PROBLEMATIEK.....................................................................................................................................38
PERFECTIONISME EN FAALANGST (VANDEREYKEN)..............................................................................................................38
BEHANDELING.............................................................................................................................................................38
DOELSTELLINGEN..........................................................................................................................................................38
ACTIVITEITEN...............................................................................................................................................................39
NEGATIVISME...............................................................................................................................................................39
, PERSOONLIJKE KAART (BROEDERS ALEXIANEN TIENEN)........................................................................................................39
THERAPEUTISCHE RELATIE..............................................................................................................................................40
ZELFZORG THERAPEUT!..................................................................................................................................................40
SCHAAMTE..................................................................................................................................................................40
OEFENENINGEN............................................................................................................................................................41
PERSOONLIJKHEIDSSTOORNISSEN.....................................................................................................................41
THERAPEUTISCHE SITUATIE.....................................................................................................................................41
SCHEMA THERAPIE J. YOUNG..................................................................................................................................41
BASISDOMEINEN...........................................................................................................................................................42
ZELFWAARDERING.........................................................................................................................................................44
BORDERLINE................................................................................................................................................................44
BOODSCHAPPEN...........................................................................................................................................................44
SCHEMA’S EN VALKUILEN...............................................................................................................................................44
DIALECTISCHE GEDRAGSTHERAPIE....................................................................................................................................45
HECHTINGEN...............................................................................................................................................................46
HECHTINGSSTIJLEN.......................................................................................................................................................46
DOELEN.............................................................................................................................................................46
ACTIVITEITEN.......................................................................................................................................................47
THERAPEUTISCHE RELATIE......................................................................................................................................47
ZELFZORG...........................................................................................................................................................47
IDENTITEIT, TRAUMA EN HERSTEL.....................................................................................................................47
TRANSCULTURELE PSYCHIATRIE................................................................................................................................47
IDENTITEIT IN EEN DIVERSE WERELD..........................................................................................................................48
IDENTITEIT:................................................................................................................................................................. 48
PERSOONLIJK EN SOCIAAL..............................................................................................................................................48
OUTCOME..........................................................................................................................................................48
HANDELINGSDIAGNOSE..................................................................................................................................................48
LITERATUUR................................................................................................................................................................ 49
ONDERZOEKSVRAAG.....................................................................................................................................................49
TRAUMA & HERSTEL.............................................................................................................................................49
FASES (METHODIEK).....................................................................................................................................................49
CLOITRE E.A. 2012......................................................................................................................................................49
EMDR....................................................................................................................................................................... 51
VLUCHTEN IS VERLIES....................................................................................................................................................51
CREATIVITEIT ALS INVALSHOEK ACTIVITEITEN......................................................................................................................53
THERAPEUTISCHE RELATIE..............................................................................................................................................53
