Clinical Interviewing Final Part 1 Flashcards

(61 cards)

1
Q

What were the six common factors discussed by Frank & Frank (1991)?

A

1) Therapeutic Relationship
2) Instillation of Hope
3) New Learning Experiences
4) Emotional Arousal
5) Enhancement of Mastery/ Self-Efficacy
6) Opportunities for Practice

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2
Q

What are some facilitative aspects of helping?

A
  • Healthy, nondamaging, intimate relationship
  • Support and relief
  • Insight and understanding self in a new way
  • Deal with existential concerns
  • Teach clients new life skills
  • Making decisions about life direction
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3
Q

What are the problems with helping?

A
  • Providing just enough relief to enable someone to stay in maladaptive situations or relationships
  • Creating dependency on helpers
  • Imposing personal/societal values on clients
  • Cost
  • Time
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4
Q

What are two factors necessary for people to seek help?

A

1) People must become aware that they are in pain or facing a difficult situation and perceive their feelings or situations as problematic.
2) The pain must be greater than the perceived barriers to seeking help.

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5
Q

What are ethics?

A

Principles and standards that ensure that professionals provide quality services and are respectful of the rights of the people with whom they work.

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6
Q

What are ethical principles?

A

Aspirational guidelines

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7
Q

What are ethical standards?

A

Enforceable through sanctions or professional censure as stipulated by the relevant organization/association.

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8
Q

What is autonomy?

A

Right to make choices and take actions, provided the results do not adversely affect others.

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9
Q

What is beneficence?

A

Intent to ‘do good’ by helping and promoting growth in others.

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10
Q

What is nonmaleficence?

A

‘Above all, do no harm.’

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11
Q

What is justice?

A

Fairness or equality of opportunities & resources for all people.

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12
Q

What is fidelity?

A

Keeping promises & being trustworthy in relationships with others.

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13
Q

What is veracity?

A

Telling the truth.

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14
Q

What variables contribute to the helping process?

A
  • Client contributions
  • Helper contributions
  • Therapeutic relationships
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15
Q

What are the five stages of change (Prochaska, Norcross, & DiClemente, 1994)?

A

1) Precontemplation
2) Contemplation
3) Preparation
4) Action
5) Maintenance

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16
Q

What are the facilitative conditions required from helpers?

A
  • Empathy
  • Compassion
  • Unconditional positive regard/ being nonjudgmental
  • Being genuine, authentic, and present.
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17
Q

What is the difference between sympathy & empathy?

A

Sympathy is feelings of pity or sorrow for someone else’s misfortune; empathy is genuine caring, nonjudgmentally accepting, predicting clients’ needs, and communicating experiences to your clients.

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18
Q

How do people change?

A

Strong therapeutic relationship.

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19
Q

What are the three parts to the therapeutic relationship?

A

1) Real relationship: Genuine, authentic, non distorted connection
2) Working Alliance: Bond, Agreement on goals, Agreement on tasks
3) Transference/ Countertransference: Client distortions of the helper based on experiences, helper distortions of the client based on experiences.

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20
Q

What are the three stages of therapy?

A

1) Exploration stage (Client-centered therapy)
2) Insight Stage (Psychodynamic therapy)
3) Action stage (Behavioral therapy)

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21
Q

What is the exploration stage?

A

1) Facilitate clients in talking about their thoughts and feelings related to their concerns.
2) Provides an opportunity for helpers to learn more about their client.

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22
Q

What is the insight stage?

A

1) Faster awareness and facilitate insight into reasons for thoughts, feelings, and behaviors.
2) Allows helpers and clients to construct meaning.

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23
Q

What is the action stage?

A

1) Focus on changes to facilitate action, including considering which changes to pursue.
2) Sometimes the helper teaches the client the skills needed to create change.

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24
Q

What is the relationship among the stages?

A

1) The stages are not rigid and often not sequential.
2) All the skills are used in all three stages, but to varying degrees.

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25
What is interactional sequence?
Helpers formulate intentions for what they want to accomplish and then decide on specific helping skills to reach goals. Helper intervention is met by the client reactions. Clients engage in specific behaviors on the basis of their reactions, feelings about the therapeutic relationship.
26
What is remoralization?
Enhancement of well-being.
27
What is remediation?
Achievement of symptom relief.
28
What is rehabilitation?
Reduction of maladaptive behavior.
29
What are intrapersonal changes?
Changes within the client.
30
What are interpersonal changes?
Changes in the client's intimate relationships.
31
What is social role performance?
Client’s ability to carry out responsibilities.
32
What is a stable characteristic?
Self-knowledge or insight.
33
What is a state of heightened self-focus?
Sensitivity in the here and now.
34
What is the goal of self-awareness?
1) Facilitate self-awareness 2) Decrease hindering/interfering self-awareness.
35
What is awareness of bias?
1) We all have biases based on the stereotypes of others. 2) Hot buttons reflect problems that can be triggered in the helping setting.
36
What are hot buttons?
1) Clients who have committed crimes 2) Clients who express hostility 3) Based on our own personal backgrounds.
37
What are the three strategies to increase self-knowledge and self-insight?
1) Psychotherapy 2) Self-reflection 3) Increase self-compassion.
38
What is psychotherapy?
1) Resolve personal problems and learn about yourself. 2) Recognize personal issues that could interfere with the ability to help. 3) Enable you to work on your growth. 4) Teach you about the process of helping.
39
What is self-reflection?
1) Mindfulness 2) Meditation 3) Relaxation.
40
What are some strategies to use in sessions with clients?
1) Pause 2) Use positive self-talk 3) Return focus to the client 4) Return to the use of basic techniques.
41
What is bracketing?
1) Set aside personal events to try and focus. 2) Need to maintain boundaries.
42
What is culture?
The customs, values, attitudes, beliefs, characteristics and behaviors a group shares.
43
What is the ADDRESSING model?
A= Age and Generational Influence D/D= Developmental or other Disability R= Religion and Spiritual Orientation E= Ethnic and Racial Identity S= Socioeconomic status S= Sexual orientation I= Indigenous Heritage N= National Origin G= Gender
44
What is intersectionality?
The interaction of multiple identities of systematic oppression. Originally used to understand the experiences of Black women, whose experiences were often not represented in the feminist theory and antiracist politics.
45
What is race?
A socially constructed idea. Racial identity is often more important than race/ethnicity itself because it is more indicative of how people define themselves.
46
What is enculturation?
Retaining norms of one’s Indigenous culture.
47
What is acculturation?
Adapting norms of dominant culture.
48
What is acculturative stress?
When familial hierarchies are disrupted because children acculturate faster and can use the new language better than their parents.
49
What is individualism?
Focusing on rights of the individual, seeing people as independent and autonomous.
50
What is collectivism?
Focusing on family, viewing people as interdependent.
51
What is egalitarianism?
How much power and authority is considered (some cultures value everyone equally, and some have hierarchical power structures).
52
What is a tight culture?
Cultures that have many rules and restrictions but are relatively safe.
53
What is a loose culture?
Cultures that have more freedom and individuality but are more chaotic.
54
What are the problems in the helping process as it relates to culture?
1) We will not always get it 'right'. 2) Helpers lack knowledge about cultural differences/ power differences.
55
What are microaggressions?
Intentional or unintentional verbal, nonverbal, and environmental oversights, snubs, or insults that communicate hostile, derogatory, or negative messages to target persons based solely on their marginalized group membership. We need to become aware of our privileges, biases, and stereotypes and apologize when we commit microaggressions.
56
How do we discuss cultural differences in helping?
1) Helpers should learn as much as possible about the person’s cultural group. 2) Helpers should be open to talking about similarities and differences. 3) Helpers should be sensitive to their client’s responses.
57
What are some difficulties related to cultural issues?
1) It is not possible to be an expert on all cultures. 2) Some clients value matching on demographic variables more than others. 3) Difficulties can arise when working within our own cultural groups as well. 4) Making cultural mistakes with clients is inevitable.
58
What are the factors of Rodgers’s Client-Centered Theory?
1) Rooted in phenomenology or an emphasis on the experiences, feelings, values, and inner life of the person. 2) Everyone has the potential for healthy and creative growth. 3) People are guided by their internal experience. 4) Need to enter another’s world. 5) Basic motivational force= tendency toward self-actualization. 6) Each person has an innate blueprint that can be developed. 7) People are resilient and can bounce back from adversity.
59
What is Rodger’s Theory of Personality Development?
1) Organismic valuing process- internal guide everyone has at birth to evaluate an experience based on whether it makes them feel good or bad. Leads to self-trust and self-actualization. 2) Unconditional Positive Regard-when children feel accepted and loved by significant others, they experience self-love and self-acceptance. 3) Conditions of worth (COD)- The more COWs, the more distorted the person becomes from experiencing and the more the person will have a conflicted sense of self. 4) All needs cannot be met because the world is not perfect. 5) Manner in which parents socialize their children is crucial. 6) Children can come not to trust their inner experiences. 7) People feel emptiness or a lack of genuineness when they cannot allow themselves to have their feelings. 8) Split/ incongruence between real and ideal self leads to the source of anxiety, depression, and defensiveness.
60
What are defenses?
Split between real and ideal self, the person feels threatened, responds with anxiety, and invokes defenses. Defenses reduce the incongruity between experience and sense of self.
61
Can defenses be harmful?
YES, excessive use can be harmful due to incongruency with external reality, the development of a rigidity of perception in areas in which they have had to defend against perceiving reality, real self can become incongruent with the ideal self.