chapter 1 - Therapeutic factors

Question 1

does experience mean effectiveness

Answer 1

no

Question 2

what 5 qualities lead to an effective therapist

Answer 2

practice, reflection, feedback, empathy, and attunement to relationship

Question 3

what do therapeutic factors cause

Answer 3

they are the source of change in therapy

Question 4

what are the 11 primary therapeutic factors

hint: huiarsiicce

Answer 4

1- hope 2- universality 3- imparting info/psychoeducation 4- altruism 5- recapitulation of the primary family group. 6- developing socializing techniques. 7- imitative behavior 8 - interpersonal learning 9 - group cohesion . 10 - catharsis 11- existential factors.

Question 5

are these factors independent of one another

Answer 5

no, they are interdependent.

Question 6

is interpersonal learning more affective or cognitive

Answer 6

cognitive

Question 7

is the development of socialization techniques a matter of affect, cognition, or behavioral change

Answer 7

behavioral change

Question 8

is catharsis cognitive, emotional or behavioral

Answer 8

emotional/affective

Question 9

what is the allegiance effect

Answer 9

bias towards one’s school of thought or theory

Question 10

whose experience matters the most in terms of research and growth in the field

Answer 10

the client’s experience matters the most.

Question 11

what strategy of research is best used to study therapeutic factors

Answer 11

systematic research

Question 12

how does systematic research work

Answer 12

relating in therapy variables to the outcomes.

Question 13

are these 11 factors considered definitive

Answer 13

no. there are many others but these are the primary ones.

Question 14

what is a high expectation of help from a client correlated with

Answer 14

positive outcome.

Question 15

where does the instillation of hope start

Answer 15

in the prescreening whereas the goals and abilities and motivations of the group can be shared.

Question 16

what kind of continuum could group members be seen in regarding their coping capabilities

Answer 16

they are on a spectrum of coping - collapse.

Question 17

how can hope be instilled by the group

Answer 17

demonstrating succcesses of past groups and current/past group members through their work in the group.

Question 18

how can hope be instilled by the therapist?

Answer 18

by believing in themselves and the efficacy of the group (you make hope by being hopeful)

Question 19

how does univerality bring about change

Answer 19

before group, a person can feel deeply isolated by their issue(s), by seeing that others suffer the same, they can find a sense of peacefulness and decrease in isolation/estrangement.

also, it brings about validation of experience, intimacy/closeness/connection/acceptance.

Question 20

should universality be present in the early or late stages of group

Answer 20

early stages

Question 21

when clients are asked to share what they are fearful of in groups in secret, what is the most common theme? 2nd most common? 3rd?

Answer 21

1- the fear of not being enough/inadequate. 2- interpersonal alienation - they are incapable of caring for another. 3- sexuality secret.

Question 22

what are 2 universal concerns for clients

Answer 22

their sense of self-worth and their ability to relate to others (we prize others above ourselves - as a form of validating our own worth - it is a kind of esteem that we cannot give ourselves, hence why it is so prized).

Question 23

what therapeutic factor work well against shame and stigma

Answer 23

universality (especially victims of sexual assault support groups).

Question 24

what kind of instruction is given in group therapy

Answer 24

didactic info (one person teaches, others listen - like a teacher in a classroom - 2 separate entities)

Question 25

what kind of intelligence is increased from using group therapy in clients

Answer 25

emotional intellgience

Question 26

is psychoeducation used in the early or late stages

Answer 26

early.

Question 27

how does imparting info/psychoeducation promote change

Answer 27

knowledge promotes mastery which increases self-efficacy

Question 28

what kind of coping assists with anxiety/fear in terms of time and space

Answer 28

active coping - coping in the here and now/immediacy/living experience.

Question 29

what is the difference between didactic instruction and direct advice

Answer 29

didactic instruction comes from the therapist, and direct advice comes from group members.

Question 30

is direct advice seen more in early or late stages

Answer 30

early stages

Question 31

why might advice giving reflect a lack of intimacy

Answer 31

it is a problem solving step, not a processing or exploration step.

Question 32

what is a yes...but client

Answer 32

a client that seeks advice or assistance but counters every beneficial suggestion.

Question 33

what form of advice is the least effective

Answer 33

direct suggestion: "You should do x" as it can be seen as judgemental, controlling, demeaning, etc.

Question 34

what is the most effective form of direct advice?

Answer 34

list of possible alternative choices/suggestions for a person to make.

Question 35

how does altruism bring about change

Answer 35

a person can see themselves as a force that can offer benefit to another and there is a give and take to altruism which causes role versaitlity (one must be a person that is capable of playing the role of someone receiving, and also giving help).

Question 36

what is a person really saying when they think a group cannot offer them any benefit

Answer 36

that they feel like they have nothing to offer, so why would group have anything to offer them? hence, why altruism is so vital.

Question 37

how does meaning in life manifest

Answer 37

not in the purposeful approach, but when we are lost in something outside of ourselves (transcension of hte self). giving of ourselves to others

Question 38

why are therapy groups often led by a male and female therapist

Answer 38

to simulate the mother-father presence.

Question 39

how does recapitulation of the primary family in group therapy cause change

Answer 39

the group becomes a pseudo-family that allows for them to heal through the trauma of their actual primary family. unfinished business involving their family can be revisisted, safely, and healed through the experience.

Question 40

how does development of socialization bring about change

Answer 40

a person learns about their interpersonal impact, which brings about knowledge to make changes, should they so choose.

Question 41

what is vicarious or specter therapy

Answer 41

witnessing another work through similar problems in group

Question 42

how does imitating behavior cause change

Answer 42

it is is similar to social learning theory as well as operant conditioning. we can adapt the techniqes of others to our own life to bring about change.

Question 43

is imitation of behavior seen more in early or late stages

Answer 43

early stages