|  Healthcare Training Institute - Quality Education since 1979 
 Section 22
 Domineering Resident Technique #7
 Counter Your Inner Critic when Your Domineering Resident Gets You Down
 
 Table of Contents | NCCAP/NCTRC CE Booklet
 Face your deficiencies and  acknowledge them; but do not let them master you.  Let them  teach you patience, sweetness, insight... —Helen Keller Domineering residents can sometimes be the most vocal critics of your Activities Program.  Agree?   If you already have a self-critical nature, these criticisms can have a  negative effect on your job performance and feelings of satisfaction at the end  of the day.  The following information  may assist by helping you to overcome your own inner critic when dealing with your  Domineering Residents.
 The inner critic is usually born during parental teachings of right and wrong.  Later in life, it’s that personal, negative,  nagging little judge whose attacks only you hear in your head. Most of us have  a critical inner voice. Some voices are louder and more demanding than others.  Does the following sound familiar?
 
 Your Critic:- blames you for things that go wrong
 - compares you to others, especially achievements and abilities  others have but you want
 - sets impossible standards of perfection
 - beats you up if you are not  perfect
 - sticks to a script that describes how you should live
 - screams that you are wrong or bad if your needs drive you to violate some  mythical, unrealistic "rules"
 - tells you to be the best, and if you’re not the best, it tells you that  you’re nothing
 - calls you names, leading you to  believe they are true
 - reads your friends’ minds to prove to you that they are  bored, turned off, disappointed, or disgusted by you
 - exaggerates your weaknesses by  insisting that you “always say stupid things,” or “always screw up on the job,”  or, “never finish anything on time”
 
 Permission is granted to duplicate this  table for staff use.  Considering using these  ideas as a guide for additional Journaling.  In other words, your inner critic is busy undermining everything you do. If you  listen carefully, you might recognize the voice as that of your mother, father,  another significant other, or yourself.
 The most  important thing you need to know about your very special critic is that no matter how distorted or false the  attacks may be, if you are really "hooked in," you always believe what is said. In  almost every situation, the critic is there to find fault, blaming and judging  you harshly in the process. The critic also reminds you of past failures,  connecting them to the present, forever limiting your ability to start anew or  to soar with newfound wings.  Your critic  examines everything you do and puts its own spin on it. Your critic is always  there, whether tearing you down or helping you solve problems and meet basic  needs.
 Countering  Your Critic Do you agree that perhaps the most painful  criticism of your work may come from your own inner critic, and not your  Domineering Resident?
 
      What portion of your work day do you  spend bombarding yourself with unrealistically high expectations,while also bombarding yourself with  harsh criticisms for the things you feel you don’t do well?
 Do you agree this is a recipe for feeling like a  failure?  If you combine this with the  critical statements from a domineering resident, you cannot help but feel like  you are a failure. Instead of attacking yourself  with criticism, take a moment to stop and catch yourself.  Ask, “Is this self-criticism necessary, and  should I spend any time or effort on it?”  Or, “Would my time be better spent getting support and ideas for solutions?”
 Do not lose sight of all the work you’ve done right on a project just because something has gone wrong. Ask yourself if you could address  the problem without calling on your own critic. Can you put the "thing  that went wrong" in perspective?  Keep  in mind that you have created and conducted many successful programs.  Not to mention the fact that you purchased  and are taking this course to improve you relationship with your Domineering  Residents.  Give yourself credit where  credit is due!
 
 If you notice you tend to talk down to yourself, stop and say to yourself, “I  don’t need to be so hard on myself or anyone else. I don’t need to listen to  the negative remarks from the bully (my inner critic).  I’m doing a good job.”
 
 Be aware of an increased susceptibility to be destructively self-critical in certain  circumstances. You might try a “thought-stopping” technique to disrupt your  train of self-defeating thinking. One way is to wear a rubber band on your  wrist (hidden under your blouse or shirt sleeve, if you’re self-conscious).  When the “self criticism” starts, simply snap the rubber band.  Mindfully switch to another thought.  Deliberately get yourself off the negative  track. With sufficient practice, you can switch mental gears at will. Then, you  can do without the rubber band prop.
 
      
        | You can improve the way you handle    your own inner critic. Answer "yes" or "no" to the    following questions.  A. When I make an error or an oversight at work, do I criticize myself in a    harsh manner?
 B. Before important meetings, events, etc. are my    thoughts negative—do I focus on all that might go wrong?
 C. When I am running late, do I bombard myself with harsh criticism, even    before anyone else notices that I am late?
 D. Do I worry I will be found out and others will discover I'm not really    able to do what is expected of me?
 E. Do I lie awake at night criticizing myself for anything that went wrong    during the day, even though I didn’t have much control over what happened?
 F. Have I ever said or thought to myself that I am my own worst critic?
 If you answer yes to even one of    these statements, your inner critic is working overtime.  On the lines below, write ideas for    alternative thoughts with which you might substitute for these negative ones.
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        |   |  Analyze your self-critical  statements in light of the ten Inaccurate Automatic Thoughts presented in Section #3.   Remember, I suggested that you duplicate these ten Inaccurate Automatic Thoughts, because they have wide applications,  especially for Journaling.  Look at the self critical statement your  wrote above whether it relates to an interaction with a domineering resident or  not and see if you can select on the Inaccurate Automatic Thoughts that would  apply. 
      
        | 1.  Overgeneralization | 5.  Catastrophizing  | 9.  Emotional reasoning  |  
        | 2.     Global    labeling  | 6.  Personalization  | 10. Should statements  |  
        | 3.  Filtering  | 7.  Mind reading  |   |  
        | 4.  Polarized thinking  | 8.  Illusion    of control |   |  |