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Group 3

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"Remotivation Therapy"

A. REMOTIVATION TECHNIQUE A therapy of very simple group therapy of an objective nature used in an effort to reach the unwounded areas of the patient’s personality & get them moving back into the reality. Remotivation enhances intrinsic motivation by meeting the person's critical psychological needs of autonomy, competence and relatedness as described in selfactualization theory of human motivation. The purpose of this therapy is generally give to over worked or over exhausted patients to recover the lethargy, muscular pain and mental stress. Individual Remotivation The use of remotivation begins in all cases in a one to one relationship. Remotivation sessions can be conducted individually with one person in their home, in their room at a residential facility or at any comfortable location agreeable to both parties. Individual remotivation is practiced one to one when the person cannot or will not meet with a group. One example is with those who are homebound and receive home health care. Group Remotivation Remotivation is conducted in groups of typically 6-8 persons and up to 15 persons. The size of the group is determined by the remotivation leader who invites members to the group. The size of the group is limited to match the functional ability of the members. People who have servere emotional or neurological problems function best in smaller groups of 4-8 members. The training of the remotivator prepares him or her to adjust the size of the group to best meet the needs of the members. Both individual and group remotivation session are designed with process and content that meets the needs of the persons invited to the group meeting. B. Objectives 1. Stimulate patient to be fellow explorer of the real world 2. Develop the ability to communicate and share ideas and experience with other 3. Develop feeling of acceptance and recognition C. Values of the patient

1. Stimulate patient to think about something and talk about himself 2. Gives him reason to value himself and increase his self-respect 3. Takes him out of the darkness of the world life 4. Makes him part of the group 5. Take the patient out of the vegetable class
D. Steps in Remotivation Therapy The first step is referred to as the “Climate of Acceptance” which is a very important step in the therapeutic context of the session. The clients are set up in a circle of 8-10 people. In the circle the Remotivational therapist goes around to each individual to greet the client. While the Remotivational therapist is doing this, he greets the clients by name. Then the Remotivational therapist compliments the individual on his/her personal appearance, jewelry or clothing. It is okay to touch the client in an appropriate way, such as a hand shake or laying a hand on his shoulder. In so doing, the facilitator is informing the client that I paid attention to you. It also informs the individual that you are important and the Remotivational therapist accepts the person for who they are; including the illness. The second step is called “Bridge to the Real World”. In this step the Remotivational therapist leads the session in a question and answer on the topic. The topic is normally broad then leads to a specific point. Normally there are three to four questions in Step II with four possible answers which the Remotivational therapist writes in advance. This way the answer leads to the next question. If a client chooses not to reply that is acceptable. Also the client may not know the answer to the question. If this is the case than thank the individual and proceed to the next individual asking the same question. The last question in step II leads into the poem which is objective in nature. The poem is provided by the National Remotivation Therapy Organization Inc. When one is certified as a Certified Remotivation therapist , then programs and poems can be written up by the individual. The poem is read the clients or the clients can read it aloud to the group. Do not forget to use visual and audio aids to augment the program. The lower the mental cognition the more visual and audio clues are better. Once this is accomplished the Remotivational therapist leads the session into Step III Third Step is called “Sharing the World in Which We Live”. In this part of the step the Remotivation therapist expands on the topic by asking 8-10 questions about the topic. The questions are not emotionally based but objective in nature. Each person in the group is asked the same question. The questions are asked in newspaper format such as:

What When Where Why How During Step III if the group goes on a tangent or a conversation about the topic that is good. When the group goes off on an tangent it is sharing their experiences. For example, if the topic is camping. One of the questions that could be in Step III is “Where does a family go camping?” Each one in the group replies, a park, the beach or the backyard. Another client could reply that my family camped backyard one time per month. Then others could add to the conversation. Eventually the Remotivational therapist brings the group back to the discussion. However, the Remotivational therapist need not finish step III because the tangent took care of it. The Remotivational therapist moves on to step IV. Fourth step is referred to as “Appreciation of the Work World”. In this step the questions are related to the Work World and again the questions are objective in nature. The question begin with the newspaper format such as: What When Where Why How When moving from Step III to step IV the Remotivational therapist asks a transitional question. For example, to use the transitional question from the previous example about camping. The transitional question could be how many people have gone camping? The rest of the questions center around the work of camping. Such as where does one get camping supplies? What national parks or state parks allow camping? What type of equipment is used for camping? Again the facilitator prepares 8-10 questions to ask the group. The same question is asked from everyone. Remember that as the facilitator, whatever response you receive is okay. If there is no response it is okay. The last step in the Remotivation therapy session is called “Climate of Appreciation”.

This step is a reverse of step I. In this step the Remotivational therapist thanks each person individually for attending the group. Remember, even if the individual does not say a word, choosing to remain silent throughout the session that is perfectly acceptable. This individual is giving you the ultimate gift, the gift of his presence in your session that you’re acknowledging. Inform the group of when the next session occurs and invite the clients to attend. There is no need to tell them the topic. Also the facilitator can sum up the topic of the session that was held for the day.