chapter 1 - Therapeutic factors Flashcards

1
Q

does experience mean effectiveness

A

no

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2
Q

what 5 qualities lead to an effective therapist

A

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

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3
Q

what do therapeutic factors cause

A

they are the source of change in therapy

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4
Q

what are the 11 primary therapeutic factors

hint: huiarsiicce

A

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.

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5
Q

are these factors independent of one another

A

no, they are interdependent.

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6
Q

is interpersonal learning more affective or cognitive

A

cognitive

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7
Q

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

A

behavioral change

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8
Q

is catharsis cognitive, emotional or behavioral

A

emotional/affective

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9
Q

what is the allegiance effect

A

bias towards one’s school of thought or theory

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10
Q

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

A

the client’s experience matters the most.

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11
Q

what strategy of research is best used to study therapeutic factors

A

systematic research

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12
Q

how does systematic research work

A

relating in therapy variables to the outcomes.

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13
Q

are these 11 factors considered definitive

A

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

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14
Q

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

A

positive outcome.

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15
Q

where does the instillation of hope start

A

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

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16
Q

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

A

they are on a spectrum of coping - collapse.

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17
Q

how can hope be instilled by the group

A

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

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18
Q

how can hope be instilled by the therapist?

A

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

19
Q

how does univerality bring about change

A

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.

20
Q

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

A

early stages

21
Q

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?

A

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

22
Q

what are 2 universal concerns for clients

A

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).

23
Q

what therapeutic factor work well against shame and stigma

A

universality (especially victims of sexual assault support groups).

24
Q

what kind of instruction is given in group therapy

A

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

25
Q

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

A

emotional intellgience

26
Q

is psychoeducation used in the early or late stages

A

early.

27
Q

how does imparting info/psychoeducation promote change

A

knowledge promotes mastery which increases self-efficacy

28
Q

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

A

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

29
Q

what is the difference between didactic instruction and direct advice

A

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

30
Q

is direct advice seen more in early or late stages

A

early stages

31
Q

why might advice giving reflect a lack of intimacy

A

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

32
Q

what is a yes…but client

A

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

33
Q

what form of advice is the least effective

A

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

34
Q

what is the most effective form of direct advice?

A

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

35
Q

how does altruism bring about change

A

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).

36
Q

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

A

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

37
Q

how does meaning in life manifest

A

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

38
Q

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

A

to simulate the mother-father presence.

39
Q

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

A

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.

40
Q

how does development of socialization bring about change

A

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

41
Q

what is vicarious or specter therapy

A

witnessing another work through similar problems in group

42
Q

how does imitating behavior cause change

A

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.

43
Q

is imitation of behavior seen more in early or late stages

A

early stages