Puji Sutarjo

Continuum of self concept

responses
Self concept
Body image
Self esteem
Role performance
Personal identity
Healthty Personality
 Self concept
Developmental influences
interpersonal and cultural experiences
perceived competence in areas valued by
individual and society
self actualization
Significant others
the self concept is learned in part trough
accumulated social contacts and experiences
with other people
Self perception
ones needs, values, and beliefs strongly
influences perception
 Body Image
Body image is the sum of the consious
and unconsious attitudes the person has
toward his/ her body.
A persons feelings that his/her body is big
or small, atratctive or unatratctive,weak or
strong also reveal something about the
self concept
Self Ideal
Is the persons perception of how to
behave, based on certain personal
standards
Ones self ideals may be clear and
realistic and thus facilitate personal
growth and relations with others, or may
be vague, unrealistic and demanding.
Self esteem
Is a persons personal judgement of his
or her own worth, based on how well
behavior matches up with self ideal.
Self esteem comes from two primary
sources: the self and others.
Role Performance
Role are sets of socially expected
behavior patterns associated with
persons functioning in different social
groups.
Personal identity
It is organizing principle of the
personality.
Identity is the awareness of being
oneself, as derived from self observation
and judgement
Healthty Personality ??
This description may help give
perspective to the many aspects of self.
A person with healthty personality would
create a feeling of harmony and inner
peace
Continuum of self concept
responses
Adaptive response Maladaptive response

Self Positive Low self Identity depersonali

actualization self Diffusion zation
esteem
concept
Assesment
Behaviors
Critism of self or others
Decreased productivity
Destructiveness
Disruptions in relatedness
Feelings of inadequacy
Guilt
Irritability or excessive anger
Negative feelings about ones body
Perceived role strain
Pessimistic view of life
continued..
Phisical complaints
Rejection of personal capabilities
Self destructiveness
Social withdrawl
Substance abuse
Withdrawl from reality
worryng
Predisposing Factors
Affecting self esteem
genetics and environmental influences are
very important ( Roy 1995)
Affecting role performance
gender roles
work role
Affecting personal identity
parental distruss
war,religion,personal etc
Precipitating stresor
Trauma
Role Strain
Developmental transitions
Health-Illness transition
Coping resources
Sports and outdoors activities
Hobbies and craft
Expressive arts
Health and self care
Education or training
Vocation or position
Intellegence
Creativity
Interpersonal relationships
Nursing diagnosis
Body image disturbance
Communication, impaired verbal
Personal identity disturbance
Role performance altered
Self esteem disturbance
Outcome identification
The patient will obtain the maximum
level of self actualization to realize his or
her potential
Planning
Expand Self awareness
- establish an open, trusting relationship
- work with wathever ego strength the
patient has
- maximize the patients participation in
terapeutic relationship
 Encourage the patients self exploration
- help patient to accept his own feelings
and thought
- help the patient to clarify his concept of
self and others
- Respond emphatically
 Assist the patients self evaluation
- help the patient to define the problem
clearly
- explore the patients adaptive and
maladaptive coping responses to the
problem
 Help the patient formulate a realistic
plan of action
- help patient identify alternative
solutions
- help the patient develop realistic goal
evaluation
How effective was nurse in promoting full
and pertinent self disclosure
Was the nurse able to show authentic
behavior in the relationship and share
thoughts and reaction?
What intervention were used and which ones
were helpful
Was the patient able to transfer his new
perceptions into possible solutions or
alternative behavior?
Matur Nuwun