Brief Therapies

Question 1

Brief Therapies

goals of this brief therapy are to reduce symptoms & improve interpersonal functioning
treatment explores current roles & relationships while focusing on role disputes, role transitions, interpersonal deficits, and/or unresolved grief

goals,

Answer 1

Interpersonal Process Therapy (IPT)

Question 2

Brief Therapies

list 6 interventions used in IPT

Answer 2

1. psychoed
2. psychiatric medication
3. encouragement of affect
4. communication analysis
5. decision analysis
6. role playing

Question 3

Brief Therapies

focus of the initial stage of IPT

Answer 3

determine the interpersonal context of client’s symptoms & diagnosis
* this info informs treatment focus & identifies the primary problem area

Question 4

Brief Therapies

focus of the middle stage of IPT

Answer 4

address identified problem area using IPT interventions

Question 5

Brief Therapies

focus of the final stage of IPT

Answer 5

address issues related to termination & relapse prevention

Question 6

Brief Therapies

this brief therapy approach incorporates 6 stages of change; name the approach & list these stages

Answer 6

Transtheoretical or Stage Model of Change
Stage 1: precontemplation
Stage 2: contemplation
Stage 3: preparation
Stage 4: action
Stage 5: maintenance
Stage 6: termination

Question 7

Brief Therapies

a person in Stage 2 of the Transtheoretical/Stage Model of change is likely to start changing their behavior within what timeframe?

Answer 7

6 months

Question 8

Brief Therapies

a person in stage 3 of the Transtheoretical/Stage Model of change is likely to start changing their behavior within what timeframe?

Answer 8

1 month

Question 9

Brief Therapies

a person in Stage 5 of the Transtheoretical/Stage Model of change has maintained changes in their behavior for what timeframe?

Answer 9

6 months

Question 10

Brief Therapies

a person in Stage 6 of the Transtheoretical/Stage Model of change has maintained changes in their behavior for what timeframe?

Answer 10

5 years

Question 11

Brief Therapies

list interventions used in Stage 1 of the Transtheoretical/Stage Model

Answer 11

• consciousness raising
• dramatic relief (experiencing & expressing emotions)
• environmental reevaluation (examining how the environment affects behavior)

Question 12

Brief Therapies

list interventions used in Stage 2 of the Transtheoretical/Stage Model

Answer 12

self-reevaluation (evaluating how they feel about a situation)

Question 13

Brief Therapies

list interventions used in Stage 3 of the Transtheoretical/Stage Model

Answer 13

self-liberation (believing change is possible & committing to it

Question 14

Brief Therapies

list interventions used in Stage 4 of the Transtheoretical/Stage Model

Answer 14

• contingency management
• stimulus control
• counterconditioning

Question 15

Brief Therapies

the Transtheoretical/Stage Model of change assumes what 3 factors affect motivation to change?

Answer 15

1) decisional balance
2) self-efficacy
3) termination

Question 16

Brief Therapies

in the Transtheoretical/Stage Model of change, what is the most important determinant of motivation during Stage 2, contemplation?

Answer 16

decisional balance

Question 17

Brief Therapies

in the Transtheoretical/Stage Model of change, what is the most important determinant of whether a person transitions from the contemplation stage (stage 2) to the preparation stage (stage 3) and then to the action stage (stage 4)?

Answer 17

self-efficacy

Question 18

Brief Therapies

goal of this brief therapy approach is to help find solutions to problems

Answer 18

Solution-Focused Therapy

Question 19

Brief Therapies

characteristics of Solution-Focused Therapy

Answer 19

collaborative
goal-directed

Question 20

Brief Therapies

list interventions used in Solution-Focused Therapy

Answer 20

• miracle question
• scaling questions
• providing feedback to client
• assigning tasks for client to complete between sessions

Question 21

Brief Therapies

this brief therapy approach is often paired with the Transtheoretical/Stage Model of Change approach and goals include helping clients overcome ambivalence and resistance

Answer 21

Motivational Interviewing (MI)

Question 22

Brief Therapies

Motivational Interviewing is an integration of these 4 theories/concepts

Answer 22

Roger’s Person-Centered approach
Prochaska & DiClemente’s Transtheoretical/Stages of Change Model
Bandura’s notion of self-efficacy
Festinger’s cognitive dissonance

Question 23

Brief Therapies

Motivational Interviewing is considered most effective for reducing the resistance & ambivalence of clients in what stage(s) of change?

Answer 23

precontemplation OR contemplation

Question 24

Brief Therapies

list 5 interventions used in Motivational Interviewing

Answer 24

evoking hope & confidence
eliciting & strengthening change talk
reducing sustain talk
resolving discord
decisional balance

Question 25

# **Brief Therapies** this MI intervention refers to **developing discrepancy** by helping clients see **differences between** their **behaviors** & their **values & goals**

Answer 25

evoking hope & confidence

Question 26

# **Brief Therapies** this MI intervention refers to statements that **favor change** (e.g., I'd probably feel a lot better if I stopped smoking")

Answer 26

eliciting & strengthening change talk

Question 27

# **Brief Therapies** this MI intervention refers to statements that **maintain the status quo** (e.g., "I'm not ready to stop smoking" or "I don't know why everyone else wants me to stop smoking. It doesn't effect them.")

Answer 27

reducing sustain talk

Question 28

# **Brief Therapies** this MI intervention refers to statements that **signal dissonance in the therapist-client relationship** (e.g., "You just don't understand what I'm going through.")

Answer 28

resolving discord

Question 29

# **Brief Therapies** this MI intervention is most useful when the clinician's goal is to **maintain a neutral position** about the direction of change while **assessing client's readiness for change** and refers to making a **pros & cons list** of behavior change

Answer 29

decisional balance (DB)

Question 30

# **Brief Therapies** when is using the intervention decisional balance contraindicated and why?

Answer 30

to **resolve ambivalence ** because identifying the negative consequences of a behavior **may lead client to be less willing to take steps to change**

Question 31

# **Brief Therapies** list 3 ways that the versions of Brief Psychodynamic Psychotherapy differ

Answer 31

* their **explanations for development** of psychological problems * their **focus in therapy** (unconscious conflicts VS dysfunctional interactional patterns) * their **specific techniques**

Question 32

# **Brief Therapies** list 3 **similarities between all versions** of Brief Psychodynamic Psychotherapy

Answer 32

* all assume **change can occur during brief therapeutic process** OR that **therapy can begin a change process** that will continue after therapy ends * **collaboratively** develop & focus on **limited goals** * all believe that this approach is only appropriate for clients who: a) can **benefit from insight-oriented therapy** b) are **able to form a therapeutic relationship**

Question 33

# **Brief Therapies** **characteristics of practitioners** across all versions of Brief Psychodynamic Psychotherapy

Answer 33

* all adopt an **active role** to quickly establish rapport & **goal-oriented** * all **emphasize** development of positive (vs. negative) **transference** * all may **rely more on exploration or education** than on interpretation * all **address issues related to termination early** in treatment (e.g., loss, separation)