安徽医科大学护理学院思维与沟通课件 第三章.ppt

3 Self-Concept  in the Nurse-Client Relationship Basic concepts ＊Definitions How self develop ＊Characteristics Dynamic Process Holistic Construct Unique Construct Social and Cultural Norms Psychological Centrality Applications ＊ Functions of Body Image Types of Alteration How Body Image Develops Assessment Strategies Planning and Intervention Evaluation Objective At the end of the class, the student will be able to: 1.Define self-concept 2.Identify the psychosocial stages of self-development 3.Apply the psychosocial stages of self-development to assess different clients’ psychosocial problem. * * 指个体在怎样感觉、怎样思考或怎样看待自己方面处于有危险或处于消极变化的状态。这种状态可以包括自我形象、自我理想、自尊、角色行为和自我认同等方面的变化。 NAHDA对该诊断的定义是： Self-concept Disturbance （自我概念紊乱） 引自《护理诊断手册》 自我形象紊乱（Body image Disturbance） 自我认同紊乱（personal identity Disturbance） 自尊紊乱（Self-esteem Disturbance） 长期自尊低下（Chronic low self-esteem） 情景性自尊低下（Situational low self-esteem） 自我概念紊乱 （Self-concept Disturbance） 引自《护理诊断手册》 ＊Functions of Self-Concept Outline Trust Versus Mistrust Autonomy Versus Shame and Doubt Initiative Versus Guilt Industry Versus Inferiority Identity Versus Identity Diffusion Intimacy Versus Isolation Generative Versus Stagnation and Self-Absorption Integrity Versus Despair ＊Erikson’s Model of Psychosocial Development Body image Summary Perception Cognition Self-talk Emotions Spiritural Aspects of Personal Identity Self-Esteem Self-Awareness Self-Recognition ＊ Personal Identity The greatest gift I can conceive of having from anyone is to be seen by them, heard by them, to be understood and touched by them. The greatest gift I can give is to see, hear , understand and to touch another person. When this is done, I feel contact has been made. Virginia Satir,1976 引 言 The self, self-concept, or self-s