CCIM Final Exam With Questions and 100% Correct graded A+ Answers
Balanced Compassionate Caring Model - Answer-
What is the Balanced Compassionate Caring Model? - Answer-Describes how an optimum
level of emotional involvement or engagement with a patient has positive effects for the
patient and the clinician
What is the zone of balanced compassionate caring? - Answer-The zone of balanced
compassionate caring lies between being emotionally detached or neutral with a patient and
being emotionally over involved with a patient
Negatively emotionally involved - Answer-An attitude that is explicitly hostile to the patient
Neutral/detached - Answer-Clinician suppresses any emotional engagement, perhaps
because they think this will prevent burnout, or they have an objectifying attitude towards
the patient
Emotional Overinvolvement - Answer-When a clinician does more for a patient than what is
necessary
what is the benefit of optimal emotional involvement? - Answer-Better emotional control
and attention to what is happening to the patient -> allows clinician to feel the rewards of
the work, preventing burnout
7 Attitudes - Answer-5) Being centered
6) Lifetime of caring as a story with succession of awakenings
7) Awareness and use of Wounded Healer Archetype
Caritas Attitude - Answer-Compassionate caring attitude as the core driving force in helping
relationships -> caritas anchors ourselves in the zone of balanced caring even when things
get tough (guiding you and motivating what you are doing with another person)
, Balanced notion of personal responsibility and outcome - Answer-Balanced sense of
personal responsibility -> clinicians must have at least some personal investment for
anything positive to happen but an excessive sense of personal responsibility is also a
problem when the clinician feels he or she is completely responsible for what happens to
the patient (IMPORTANT for clinicians to remember that even if a treatment can work, it
doesn't mean it should always be used AND clinicians should be realistic about outcome,
acknowledge personal limits, remember that mistakes are inevitable
Compassionate empathic concern versus emotional detachment or emotional engulfment -
Answer-Empathy = capacity to attempt to understand in cognitive and emotional terms what
another person is experiencing and then express this understanding to that person ->
emotional detachment removes this empathic arousal thus reduced motivation to offer help
(to balance between being emotionally detached from the patient and being emotionally
engulfed or distressed by the patient, the keys are to be in a mindset in which you are
altruistically focused on understanding what the patient is going through and not losing the
sense that this is your patient's experience- not yours)
Therapeutic perspective versus detached objectivity (person-centered) - Answer-Purpose of
having therapeutic perspective with a patient is to avoid being consumed by patient's
pathology, hopelessness or despair (clinicians should not take patient's comments
personally, recognize what they are experiencing and stay in a problem solving mindset) ->
detached objectivity is attempting to see the patient's point of view in an objective way,
when it is important to actually have a subjective view to understand the patient's situation
Being centered - Answer-Being balanced; a focused, emotionally regulated state in which
you are not off balance or easily thrown off balance (emotionally collected, focused
awareness) -> helps us maintain a mental state of optimum emotional management and
problem solving in which we are invested but not overwhelmed
Lifetime of caring as a story with succession of awakenings - Answer-Describes how there
are themes in the development of a clinician and how you overcome certain situations
changes with this development (early med school, there is a lot of identification with the
patient- anxiety and helplessness; later in med school there is a loss of empathy; in
residency, there is anxiety over making mistakes which decreases as training ends) ->
clinicians face detachment and burnout but become more forgiving of themselves and
others as they age (learn from positive and negative interactions with patients)
Balanced Compassionate Caring Model - Answer-
What is the Balanced Compassionate Caring Model? - Answer-Describes how an optimum
level of emotional involvement or engagement with a patient has positive effects for the
patient and the clinician
What is the zone of balanced compassionate caring? - Answer-The zone of balanced
compassionate caring lies between being emotionally detached or neutral with a patient and
being emotionally over involved with a patient
Negatively emotionally involved - Answer-An attitude that is explicitly hostile to the patient
Neutral/detached - Answer-Clinician suppresses any emotional engagement, perhaps
because they think this will prevent burnout, or they have an objectifying attitude towards
the patient
Emotional Overinvolvement - Answer-When a clinician does more for a patient than what is
necessary
what is the benefit of optimal emotional involvement? - Answer-Better emotional control
and attention to what is happening to the patient -> allows clinician to feel the rewards of
the work, preventing burnout
7 Attitudes - Answer-5) Being centered
6) Lifetime of caring as a story with succession of awakenings
7) Awareness and use of Wounded Healer Archetype
Caritas Attitude - Answer-Compassionate caring attitude as the core driving force in helping
relationships -> caritas anchors ourselves in the zone of balanced caring even when things
get tough (guiding you and motivating what you are doing with another person)
, Balanced notion of personal responsibility and outcome - Answer-Balanced sense of
personal responsibility -> clinicians must have at least some personal investment for
anything positive to happen but an excessive sense of personal responsibility is also a
problem when the clinician feels he or she is completely responsible for what happens to
the patient (IMPORTANT for clinicians to remember that even if a treatment can work, it
doesn't mean it should always be used AND clinicians should be realistic about outcome,
acknowledge personal limits, remember that mistakes are inevitable
Compassionate empathic concern versus emotional detachment or emotional engulfment -
Answer-Empathy = capacity to attempt to understand in cognitive and emotional terms what
another person is experiencing and then express this understanding to that person ->
emotional detachment removes this empathic arousal thus reduced motivation to offer help
(to balance between being emotionally detached from the patient and being emotionally
engulfed or distressed by the patient, the keys are to be in a mindset in which you are
altruistically focused on understanding what the patient is going through and not losing the
sense that this is your patient's experience- not yours)
Therapeutic perspective versus detached objectivity (person-centered) - Answer-Purpose of
having therapeutic perspective with a patient is to avoid being consumed by patient's
pathology, hopelessness or despair (clinicians should not take patient's comments
personally, recognize what they are experiencing and stay in a problem solving mindset) ->
detached objectivity is attempting to see the patient's point of view in an objective way,
when it is important to actually have a subjective view to understand the patient's situation
Being centered - Answer-Being balanced; a focused, emotionally regulated state in which
you are not off balance or easily thrown off balance (emotionally collected, focused
awareness) -> helps us maintain a mental state of optimum emotional management and
problem solving in which we are invested but not overwhelmed
Lifetime of caring as a story with succession of awakenings - Answer-Describes how there
are themes in the development of a clinician and how you overcome certain situations
changes with this development (early med school, there is a lot of identification with the
patient- anxiety and helplessness; later in med school there is a loss of empathy; in
residency, there is anxiety over making mistakes which decreases as training ends) ->
clinicians face detachment and burnout but become more forgiving of themselves and
others as they age (learn from positive and negative interactions with patients)
