Therapeutic Communication in Patients Low Self-Esteem

Therapeutic communication in patients: Low Self-Esteem a. Case A 40 year old male patient was admitted to a mental hospital for the first time. The client feels he has failed as head of the family. The family said that they had not worked since a year ago because they were laid off and since then they have often been gloomy and daydreaming about themselves. Clients often say that they have failed as head of the family and father to their three children. b. Material review Self-esteem is all the thoughts, beliefs and beliefs that are known about oneself that influence an individual in relating to other people (Keliat, 2010). Self-concept develops well if culture and experiences in the family can provide positive feelings. The complete self-concept is body image, selfideal, self-esteem, role appearance, and personal identity, the individual's response to his self-concept. Throughout the range of adaptive to maladaptive self-concept responses. Low self-esteem is an individual's assessment of self-achievement by analyzing how far behavior corresponds to self-ideals or ideals or hopes that directly produce feelings of worth. Low self-esteem disorder (HDR) can be described as negative feelings towards oneself, loss of sense of self, feeling like a failure in achieving one's desires. Low self-esteem disorders can occur situationally if a sudden trauma occurs. Chronic HDR means negative feelings towards oneself that last a long time, namely before illness/treatment. Clients have a negative way of thinking. Incidents of being sick and being treated will increase the negative perception of him. This condition results in a maladaptive response. Signs and symptoms : - Feelings of shame towards oneself, the illness and the consequences of treatment while in hospital. - Feelings of guilt towards oneself, because of the failures experienced. - Putting yourself down, for example: I can't, I'm not capable of anything, I'm stupid. - Disturbances in social relationships, such as withdrawal. Clients prefer to be alone. - Lack of self-confidence. - Self-injury, due to low self-esteem accompanied by gloomy expectations, perhaps the client will end his life. Individuals with a healthy personality will experience: a. Positive body image b. Realistic ideal self c. Positive self concept d. High self-esteem e. Satisfying role performance f. Clear identity. Implementation Strategy: Low Self-Esteem SP Patient Family SP 1 1. Identify the patient's ability to carry 11. Identify the patient's ability to carry out activities and positive aspects out activities and positive aspects (make a list of activities) (make a list of activities) 2. Help the patient assess the activities 2. Help the patient assess the that can be done now (choose from the activities that can be done now list of activities): make a list of activities (choose from the list of activities): that can be done now 3. Help the patient choose one activity that can be done now to practice 4. Practice the selected activity (tools and how to do it) 5. Put on the activity schedule to practice twice per day make a list of activities that can be done now 3. Help the patient choose one activity that can be done now to practice 4. Practice the selected activity (tools and how to do it) 5. Put on the activity schedule to practice twice per daypatient: guide and praise 6.Encourage helping patients according to schedule and giving praise SP 2 1. Evaluate the first activity you have 1. Evaluate family activities in guiding practiced and give praise the patient to carry out he first activity the patient chooses and trains in. Give 2. Help the patient choose the second activity to practice SP 3 praise 2. Together with the family, train the 3. Practice the second second activity patient in carrying out the second (tools and methods) activity chosen by the patient 4.Include in the activity schedule for 3. Encourage helping patients practice: two activities each twice per according to schedule and giving day praise 1.. Evaluate the first and second 1. Evaluate family activities in guiding activities that have been trained and the patient to carry out the first and give praise second activities that have been 2. Help the patient choose the third activity to practice 3. Practice the third activity (tools and methods) 4. Include in the activity schedule for practice: three activities, each twice trained. Give praise 2.Together with the family, train the patient to carry out the third selected activity 3.Encourage to help patients according to schedule and give praise per day SP 4 1. Evaluate the first, second and third 1. Evaluate family activities in guiding activities that have been trained and the patient to carry out the first, give praise second and third activities. Give praise 2. Help the patient choose the fourth 2.Together with the family, train the activity to practice patient to carry out the four selected 3. Practice the fourth activity (tools and methods) activities 3.Explain follow up to RSJ/PKM, signs 4. Include in the activity schedule for practice: four activities each twice per day of relapse, referrals 4.Encourage helping patients according to schedule and giving praise