Psychology for Exercise Rehabilitation

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Psychology for Exercise Rehabilitation

• Semester 1, 2009

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Staff

• Subject Staff
• Ms Stephanie Tibbert Professor
  Tony Morris
• Room L 204 Room L208D
• Tel [phone] Tel
  9919 5353
• stephanie.tibbert_at_live.vu.edu.au
  Tony.Morris_at_vu.edu.au
• Guest lectures
• Dr Felicity Morris
  Garry Kuan
• Tel [phone] Tel
  0433 252 606
• felicityamorris_at_optusnet.com.au
  garry.kuan_at_live.vu.edu.au

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Aim of unit

• Recognise and deal with adaptive and maladaptive
  psychological processes of rehabilitation
• Learn strategies to improve relationships in
  rehabilitation
• Learn and practise mental skills in applied
  settings

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Outcomes and Attributes

• Learning Outcomes
• Understand psychological processes in
  rehabilitation
• Understand the importance and influence of
  client-practitioner relationships in
  rehabilitation
• Practice and learn to use mental skills in
  applied settings
• Acquire in-depth knowledge of one aspect of
  psychology and rehabilitation (the paper)
• Key Graduate Attributes
• effective problem solving in professional
  practice
• locate, evaluate, manage and use information
  effectively
• effectively work in settings of social and
  cultural diversity

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Books

• Kolt and Andersen (2004).
• Psychology in the Physical
• and Manual Therapies.
• French (1997) Physiotherapy
• A Psychosocial approach,
• 2nd ed.

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Integrated approach

• Integrating basic
• psychological approaches into
• existing management strategies.
• Rehab specialists are in ideal
• position to provide some form
• of psychological assistance

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Why should rehab specialists learn psychology?

• Closely involved with client and
• tend to spend more time with client
• than any other health practitioner.
• Use of touch means people
• are more likely to disclose
• psychosocial matters (Nathan, 1999).

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Why should rehab specialists learn psychology?

• There are so many psychological
• reactions to injury, it is logical
• that such issues are discussed
• concurrently with the physical
• aspects of rehab.
• Injured athletes reported physical
• therapists were best positioned to
• provide basic psychological and
• counselling support (Pearson Jones, 1992).

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Psychology in exercise rehabilitation

• no experience in the mental health fields, but
  most medical personnel will treat some patients
  suffering from major symptoms of anxiety and
  depression within the first year of practise

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• Physical therapists reported that managing
  behavioural problems in their clients, and
  managing clients expectations during
  rehabilitation were the two most difficult areas
  to deal with.
• More experienced practitioners were able to
  distinguish between clients with diagnosed
  psychological problems and clients with
  psychosocial concerns, less experienced
  practitioners could not.
• (Potter 2003)

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Physical therapists reported that

• using sincere and positive communication,
• having knowledge about setting realistic goals,
  understanding stress, anxiety, and motivation,
• being able to encourage positive self-thoughts
  and self-confidence,
• being able to reduce symptoms
• of depression
• ,
• ...were important skills when working
• with injury.
• (Francis et al., 2000)

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• Behaviour modification techniques and
  communication skills were identified as the two
  areas that health care professionals would like
  to learn more about to assist with difficult
  patients.

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In-depth

• coping with injury dealing with grief and loss
• personality factors interfering with
  rehabilitation
• counseling and interviewing skills - verbal and
  non-verbal, listening skills, body language,
• human interaction human behavior and
  development,
• coping with acute and chronic pain
• stress management, anxiety and depression
• self-confidence, self-efficacy, particularly in
  the transitions which occur during
  rehabilitation
• motivation, intrinsic-extrinsic, goal
  orientations, goal setting.

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Unit Outline

• Week 1 (26/02) Topic Introduction to
  psychology and rehabilitation TM
• Essential Reading Chapter 1, Kolt and Andersen
  (2004)
• Week 2 (5/03) Topic Injury, sport injury, and
  illness TM
• Essential Reading Chapters 3 16, K A
• Week 3 (12/03) Topic Client-Practitioner
  relationships Guest Lecture FM
• Essential Reading Chapters 5 6, K A
• Week 4 (19/03) Topic Relaxation Guest Lecture
  GK
• Essential Reading Chapter 9, K A
• Week 5 (26/03) Topic Imagery
  
  TM
• Essential Reading Chapter 10, K A
• Week 6 (02/04) Topic Pain Management
  TM
• Essential Reading Chapter 11, K A
• University Teaching Break 6-17 April 2009

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Unit Outline

• Week 7 (23/04) Topic Recognising
  Psychopathology ST
• Essential Reading Chapters 7. K A
• Week 8 (30/04) Topic Personality Disorders
  ST
• Essential Reading Chapters 19, K A
• Week 9 (07/05) Topic Brain Spinal injury
  ST
• Essential Reading Chapters 13 14, K A
• Week 10 (14/05) Topic Cognitive and behavioral
  Interventions ST
• Essential Reading Chapter 8, K A
• Week 11 (21/05) Topic Student Choice in Week 1
  ST
• Reading to be determined
• Week 12 (28/05) Topic Student Choice in Week 1
  ST
• Reading to be determined
• SWOT VAC 1-5 June 2009
• EXAMINATIONS 9-27 June 2009

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Assessment

• Essay 50
• Any current topic in the field of psychology and
  rehabilitation.
• Review current literature and research and
  reflect on how this is related to current
  practice.
• Between 3000 5000 words.
• Paper due in beginning of class on Week 10.
• Penalised 10 points out of 100 per day late.
• Discussion session Week 5 on topics, have to
  check with Tony regarding area of research for
  paper.

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Assessment continued

• 2. Take home exam 50
• 6 questions, students will pick 4 to answer in
  short essay style.
• Due in at end of first week of exams, delivered
  to Tonys mailbox near L122.

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APA style

• For both assessments American Psychological
  Association style will be expected.
• Books that can help -
• APA style 5th edition
• Elements of Style Strunk White

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Topics for Weeks 11 12

• Cardiovascular Respiratory Conditions
• Arthritides
• Functional Somatic Syndromes
• Terminal Illness
• Injury from Sport, Exercise PA
• Other.