Pages 159179 Chapter 9: Self Concept in Professional Interpersonal Relationships Self concept represents peoples complex reflection of their cultural heritage, their environment, their upbringing and education, their basic personality traits, and cumulative life experiences. o Consists of personal beliefs, values and attitudes (schemas and possible selves) which a person holds about who he or she in relation to selfperceptions and others o Has personal physical, emotional, social, and spiritual dimensions, linked to functional wellbeing and quality of life o Mirrors personal life experiences and incorporates the reflected appraisals of important people in a persons life o A healthy selfconcept reflects attitudes, emotions, and values, which are realistic, congruent, with each other, and consistent with a meaningful purpose in life o Significance: When people experience a major health disruption, it stimulates a significant alteration in the way they think, feel, and value their sense of self and the way they communicate with others in their immediate environment. o Features and Functions of Self ConceptSelfconcepts help people make sense of their past, experience who they are in the present, and imagine what they are capable of becoming physically, emotionally, intellectually , socially, and spiritually in relationship with others in the future. o How SelfConcept DevelopsSocial environment plays an important role in shaping and supporting personal selfconcepts. Stable, nurturing environments foster the development of positive selfconcept, while adverse life events contribute to the development of negative selfconcept. How can nurses help support a clients selfconcept during devastating medical situations? They can help clients revisit personal strengths, consider new possibilities, incorporate new information, and seek out appropriate resources as a basis for making good clinical decisions and taking constructive actions. Gender is socially constructed and enacted roles and behaviors that occur in a historical and cultural context, and that vary across societies and over time. Selfconcept clarity is the extent to which the contents of ones selfbeliefs are clearly and confidently defined, internally consistent, and temporally stable. The 5 nursing diagnoses related to selfconcept and selfesteem are body Image disturbance (physical), Personal Identity disturbance (cognitive and perpetual awareness), Altered Role Performance (functional capacity and self efficacy), SelfEsteem disturbance (emotional valuing), and Spiritual Distress (connectivity with a higher purpose or God) Body Image... o The meaning of body image differs from person to person. Identity is an interpersonal psychological process consisting of a persons perceptions or images of personal abilities, characteristics, and potential growth potential. It develops and changes over time related to stage of life, situational factors, and diverse life experiences.