CCIM NEW FINAL EXAM WITH COMPLETE
SOLUTIONS 100% CORRECT
Summary of what the Balanced Compassionate Caring Model means: - ANSWER
-Optimum level of emotional involvement yields positive effects for both the patient and
the clinician. -Zone of Balanced Caring lies between being emotionally detached and
being over-involved. -Draw Relationship Between Level of Clinician Emotional
Involvement and Effects on Patient.
Why may the Balanced Compassionate Caring Model be important in a clinician's
career? - ANSWER Anything outside of the Zone of Balanced Caring is simply not
sustainable:
-Being overly-involved leads to emotional exhaustion.
-Being detached also yields downstream emotional problems and can result in a lack of
a sense of personal accomplishment.
Both of these can lead to burnout.
On the other hand, optimal emotional involvement enables clinicians to control their
emotions at the same time as attending to their patients.
Compassionate Caring Attitudes: Caritas Attitude -ANSWER -This core attitude
positions compassionate caring attitude as the driving force in helping relationships.
Whatever you do is based on this compassionate caring focus. When the chips are
down, the attitude of caritas endures beneath.
It means that, in that way, caritas attitude is always guiding and motivating what you are
doing with another person.
We are in touch, in staying grounded in the caritas attitude, with a key force in helping
our patients and also connected to the intrinsic motivation we have for being in this
work.
If we understand the nature of compassion we will then be able to guard against being
overly emotionally involved with patients and know what we need to do to take care of
ourselves in this work.
10 Caritas Processes that facilitate the healing process: - ANSWER -Practice of
,loving-kindness toward self and others.
-Authentic presence.
Instill faith and hope/spirituality.
-Develop and sustain a helping-trusting caring relationship.
Being present and supportive to the expression of positive and negative feelings.
Creativity in caring process.
Engage in genuine teaching-learning experience.
Create a healing environment.
Honor/assist basic human needs
Opening and attending to the spiritual/ mysterious and existential unknowns of
life-death.
Balanced Compassionate Caring Attitudes: Balanced notion of personal responsibility
and outcome:- ANSWER -This attitude basically says that you should accompany people
on their journeys not do their journeys for them.
- The lack of a sense of personal responsibility in helping another person on the part of a
helper will most likely lead to an unsuccessful helping action.
- Excessive sense of personal responsibility is also a problem wherein the clinician feels
he is wholly responsible for what happens to the patient. It is unreal to take
responsibility for all the variables that may affect a patient.
Those you help may hold you more responsible for their progress than you really can be
and lay that expectation on you. Important in this frame of mind are mistakes: Blow to
clinician self-confidence; disturbing to exacerbate suffering of patient who sought them
out-and trusted-them. Need each other to process what happened in mistakes and how
we should proceed; have to support and help colleagues when they make mistakes.
Balanced Compassionate Caring Attitudes: Compassionate empathic concern vs.
emotional detachment or emotional engulfment. - ANSWER -Empathic arousal
increases the intrinsic motivation to help another person. Empathy leads to helping
behavior because it increases our internalized values of what's important to do, which
we call 'autonomous motivation'. Emotional detachment removes this empathic arousal
and thus reduces the motivation to offer help.
,-the perspectives help keep the balance with this attitude, in particular a balance
between the 'self' perspective and the 'other' perspective, the key distinction being
"Imagining what I would feel if I were my patient" vs. "imagining what my patient feels"
-the key to balanced empathy is maintaining clear distinction between Self and Other
-self-other merging leads to becoming emotionally overwhelmed and distressed
-good self-other distinction underlies empathy-based altruism.
Balanced Compassionate Caring Attitudes Being Centered: - ANSWER This attitude
does not mean a relaxed calm.
-Instead, an emotionally collected, focused awareness while doing something:
-Having the ability to concentrate even with distractions.
-The ability to manage strong emotions (yours, patient's, colleagues', etc.).
-Ability to shift mental state smoothly.
-Emotionally present; not preoccupied.
-Mental state of optimum emotional management and problem solving; fully present with
the patient in the situation before us (not rushing to move on the next thing).
Balanced Compassionate Caring Attitudes: Lifetime of caring as a story with succession
of awakenings: - ANSWER -This attitude is based on the assumption that individuals
develop more compassion, first for themselves and then for others, as they mature.
Arriving at that destination is not easy though. It takes many trials and many ups and
downs.
As such, periods of emotional detachment or severe over-attachment are seen as
temporary steps that are taken within the transformation process.
Balances Compassionate Caring Attitudes: Awareness of the Wounded-Healer
Archetype: - ANSWER -We often hear physicians mention specific experiences in their
lives that set them on the journey towards medicine. Give personal example.
Within this posture, each one has a "wound" that can be healed. The way to heal the
wound is first to become aware of what your wound is, then understand and learn from
it. This works because clinicians get grounded in their own humanity once they are able
to connect with their own suffering.
, This allows the clinician to be more understanding and empathic and less judgmental,
which in turn yields great effects on the patient.
Behavioral Compassionate Caring Qualities: Competence in the skills and interventions
of your helping profession: - ANSWER -This quality hits on the idea of a 'smart doctor'
vs a 'caring doctor'.
-This is a false dichotomy, because competency lies at the foundation of effective and
balanced caring.
-That's because compassion is what orients clinicians to attain the highest degree of
competence, because that is what will help us achieve the best interests of the patient.
Behavioral Compassionate Caring Qualities: Caring intent is concretely expressed with
balanced emotional involvement. - ANSWER -Showing that you care can manifest itself
in many different ways, both good and bad.
•Excessive expression of caring may overwhelm the patient or appear artificial and
contrived.
•That said, of necessity, concrete actions express a caring attitude.
•Concrete actions occur through the clinician's communication, explicit actions, or
simply relational cues.
•It can be a gentle touch of the shoulder as one delivers bad news or the caring can take
the appearance of toughness with a patient.
Behavioural Compassionate Caring Qualities: Ability to care for a person using
challenge and confrontation. - ANSWER -In my opinion, this will be one of the hardest
qualities to practice because it often requires conflict with the patient.
-When challenging or confronting a patient, it is the way that you do it that will determine
whether it comes across as caring or not.
- For example, a clinician who confronts a patient in a dry, emotionally detached manner
will certainly not come across as caring.
- On the other hand, a clinician who confronts a patient and explains that he/she is doing
this for their good will be digested much better.
Setting limits is another important aspect of this quality. This principally means allowing
the patient to work out their own problems rather than taking all the burden ourselves.
SOLUTIONS 100% CORRECT
Summary of what the Balanced Compassionate Caring Model means: - ANSWER
-Optimum level of emotional involvement yields positive effects for both the patient and
the clinician. -Zone of Balanced Caring lies between being emotionally detached and
being over-involved. -Draw Relationship Between Level of Clinician Emotional
Involvement and Effects on Patient.
Why may the Balanced Compassionate Caring Model be important in a clinician's
career? - ANSWER Anything outside of the Zone of Balanced Caring is simply not
sustainable:
-Being overly-involved leads to emotional exhaustion.
-Being detached also yields downstream emotional problems and can result in a lack of
a sense of personal accomplishment.
Both of these can lead to burnout.
On the other hand, optimal emotional involvement enables clinicians to control their
emotions at the same time as attending to their patients.
Compassionate Caring Attitudes: Caritas Attitude -ANSWER -This core attitude
positions compassionate caring attitude as the driving force in helping relationships.
Whatever you do is based on this compassionate caring focus. When the chips are
down, the attitude of caritas endures beneath.
It means that, in that way, caritas attitude is always guiding and motivating what you are
doing with another person.
We are in touch, in staying grounded in the caritas attitude, with a key force in helping
our patients and also connected to the intrinsic motivation we have for being in this
work.
If we understand the nature of compassion we will then be able to guard against being
overly emotionally involved with patients and know what we need to do to take care of
ourselves in this work.
10 Caritas Processes that facilitate the healing process: - ANSWER -Practice of
,loving-kindness toward self and others.
-Authentic presence.
Instill faith and hope/spirituality.
-Develop and sustain a helping-trusting caring relationship.
Being present and supportive to the expression of positive and negative feelings.
Creativity in caring process.
Engage in genuine teaching-learning experience.
Create a healing environment.
Honor/assist basic human needs
Opening and attending to the spiritual/ mysterious and existential unknowns of
life-death.
Balanced Compassionate Caring Attitudes: Balanced notion of personal responsibility
and outcome:- ANSWER -This attitude basically says that you should accompany people
on their journeys not do their journeys for them.
- The lack of a sense of personal responsibility in helping another person on the part of a
helper will most likely lead to an unsuccessful helping action.
- Excessive sense of personal responsibility is also a problem wherein the clinician feels
he is wholly responsible for what happens to the patient. It is unreal to take
responsibility for all the variables that may affect a patient.
Those you help may hold you more responsible for their progress than you really can be
and lay that expectation on you. Important in this frame of mind are mistakes: Blow to
clinician self-confidence; disturbing to exacerbate suffering of patient who sought them
out-and trusted-them. Need each other to process what happened in mistakes and how
we should proceed; have to support and help colleagues when they make mistakes.
Balanced Compassionate Caring Attitudes: Compassionate empathic concern vs.
emotional detachment or emotional engulfment. - ANSWER -Empathic arousal
increases the intrinsic motivation to help another person. Empathy leads to helping
behavior because it increases our internalized values of what's important to do, which
we call 'autonomous motivation'. Emotional detachment removes this empathic arousal
and thus reduces the motivation to offer help.
,-the perspectives help keep the balance with this attitude, in particular a balance
between the 'self' perspective and the 'other' perspective, the key distinction being
"Imagining what I would feel if I were my patient" vs. "imagining what my patient feels"
-the key to balanced empathy is maintaining clear distinction between Self and Other
-self-other merging leads to becoming emotionally overwhelmed and distressed
-good self-other distinction underlies empathy-based altruism.
Balanced Compassionate Caring Attitudes Being Centered: - ANSWER This attitude
does not mean a relaxed calm.
-Instead, an emotionally collected, focused awareness while doing something:
-Having the ability to concentrate even with distractions.
-The ability to manage strong emotions (yours, patient's, colleagues', etc.).
-Ability to shift mental state smoothly.
-Emotionally present; not preoccupied.
-Mental state of optimum emotional management and problem solving; fully present with
the patient in the situation before us (not rushing to move on the next thing).
Balanced Compassionate Caring Attitudes: Lifetime of caring as a story with succession
of awakenings: - ANSWER -This attitude is based on the assumption that individuals
develop more compassion, first for themselves and then for others, as they mature.
Arriving at that destination is not easy though. It takes many trials and many ups and
downs.
As such, periods of emotional detachment or severe over-attachment are seen as
temporary steps that are taken within the transformation process.
Balances Compassionate Caring Attitudes: Awareness of the Wounded-Healer
Archetype: - ANSWER -We often hear physicians mention specific experiences in their
lives that set them on the journey towards medicine. Give personal example.
Within this posture, each one has a "wound" that can be healed. The way to heal the
wound is first to become aware of what your wound is, then understand and learn from
it. This works because clinicians get grounded in their own humanity once they are able
to connect with their own suffering.
, This allows the clinician to be more understanding and empathic and less judgmental,
which in turn yields great effects on the patient.
Behavioral Compassionate Caring Qualities: Competence in the skills and interventions
of your helping profession: - ANSWER -This quality hits on the idea of a 'smart doctor'
vs a 'caring doctor'.
-This is a false dichotomy, because competency lies at the foundation of effective and
balanced caring.
-That's because compassion is what orients clinicians to attain the highest degree of
competence, because that is what will help us achieve the best interests of the patient.
Behavioral Compassionate Caring Qualities: Caring intent is concretely expressed with
balanced emotional involvement. - ANSWER -Showing that you care can manifest itself
in many different ways, both good and bad.
•Excessive expression of caring may overwhelm the patient or appear artificial and
contrived.
•That said, of necessity, concrete actions express a caring attitude.
•Concrete actions occur through the clinician's communication, explicit actions, or
simply relational cues.
•It can be a gentle touch of the shoulder as one delivers bad news or the caring can take
the appearance of toughness with a patient.
Behavioural Compassionate Caring Qualities: Ability to care for a person using
challenge and confrontation. - ANSWER -In my opinion, this will be one of the hardest
qualities to practice because it often requires conflict with the patient.
-When challenging or confronting a patient, it is the way that you do it that will determine
whether it comes across as caring or not.
- For example, a clinician who confronts a patient in a dry, emotionally detached manner
will certainly not come across as caring.
- On the other hand, a clinician who confronts a patient and explains that he/she is doing
this for their good will be digested much better.
Setting limits is another important aspect of this quality. This principally means allowing
the patient to work out their own problems rather than taking all the burden ourselves.
