Psychology Five Stages of Grief 7/9/2019

PROPERTY OF PIMA COUNTY JTED, 2010 Think-Pair-Share Based on the video, what types of emotions do you think are going through those athletes’ heads? Be prepared to share your thoughts with the class. 3. Think-pair-share teacher presents a question teacher gives wait time for student to form answer teacher instructs students to share their answer with a partner teacher calls on non-volunteers to share with the class PROPERTY OF PIMA COUNTY JTED, 2010 3

Objectives Analyze the five stages of grief and understand behaviors found in each stage. Respond appropriately to behaviors exhibited in each stage of grief Property of CTE Joint Venture 7/9/2019

Objectives 1. Identify individual reaction to injury. 2. List individual response to injury. 3. Recognize individual response to injury.

Terminology Denial Anger Bargaining Depression Acceptance Reactive phases Reaction to injury Reaction to rehabilitation Reaction to return-to-play Property of CTE Joint Venture 7/9/2019

Reactive Phases Series of responses to injury May or may not happen in order or to every injured athlete! Almost always vary in severity depending on the injury, & the patient’s coping abilities, and overall mental health. Reaction to injury, rehabilitation, & return (or termination) Typically falls along the five phases of grief. Similar to that of a sudden loss! Proportional to how important the sport is to the patient’s personality. 7/9/2019

Other Responses to Injury Many athletes let their injuries have a negative impact on their social lives. Isolation due to depression, teammates don’t want to be reminded that injuries happen, feel unsupported by the coach, etc. Athletes with good mental health tend to maintain a healthy outlook. Most injuries aren’t permanent, positive self-talk, understand that their coaches don’t always have an education about injuries so they can’t always help very much, etc. *The athletic trainer is a huge part in preventing negative psychological problems following injuries! 7/9/2019

Five Stages of Grief Developed by Elizabeth Kuebler-Ross Based on research on terminally ill patients • Denial and isolation: "This is not happening to me." • Anger: "How dare God do this to me." • Bargaining: "Just let me live to see my son graduate." • Depression: "I can't bear to face going through this, putting my family through this." • Acceptance: "I'm ready, I don't want to struggle anymore." Is applicable to athletics and injuries Stages are fluid and some take longer than others Athletes may move backwards and forwards Property of CTE Joint Venture 7/9/2019

Denial/Disbelief Change reality in order to deal with negative Helps decrease anxiety Minimizes threat of situation Mentally decreases pain/discomfort Denies pain and severity Allows time to deal with trauma Should not interfere with health care provider’s job of caring for athlete 7/9/2019

Anger With himself/herself or with others An expression of hurt and rage Normal to strike out at others Internalized anger (self-blame) can lead to depression 7/9/2019

Bargaining Deal-making in order to get what they want Athletes want to be able to play so are trying to come up with quick fix method If you allow athlete to participate, he/she promises to be model rehab patient Minimizes the injury because athlete will be able to participate 7/9/2019

Depression Physiological Weight change Sleep disturbance Constipation/diarrhea Fatigue Cognitive Symptoms Sadness Crying Social withdrawal Guilt Boredom/apathy Hopelessness Self-criticism 7/9/2019

Acceptance Acknowledges severity of injury Acknowledges necessity of rehabilitation Acknowledges new role with team/sport 7/9/2019

What you can do to provide the mental care Focus your attention on athlete; not injury Encourage athlete to talk Show empathy but not pity Do not be judgmental Be a listener! Be supportive/reassuring Be knowledgeable about injury and rehab process Keep it simple Repeat yourself; have them repeat it back to you 7/9/2019

PROPERTY OF PIMA COUNTY JTED, 2010 12 Word Summary 48 37 18 21 14 13 23 In 12 words or less, summarize the most important aspects from today's lesson. 26. 12 Word Summary in 12 words or less, summarize the most important aspects from today's lesson teacher uses a strategy to check all PROPERTY OF PIMA COUNTY JTED, 2010 15