Clinical Interviewing Final Part 1 Flashcards
(61 cards)
What were the six common factors discussed by Frank & Frank (1991)?
1) Therapeutic Relationship
2) Instillation of Hope
3) New Learning Experiences
4) Emotional Arousal
5) Enhancement of Mastery/ Self-Efficacy
6) Opportunities for Practice
What are some facilitative aspects of helping?
- 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
What are the problems with helping?
- 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
What are two factors necessary for people to seek help?
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.
What are ethics?
Principles and standards that ensure that professionals provide quality services and are respectful of the rights of the people with whom they work.
What are ethical principles?
Aspirational guidelines
What are ethical standards?
Enforceable through sanctions or professional censure as stipulated by the relevant organization/association.
What is autonomy?
Right to make choices and take actions, provided the results do not adversely affect others.
What is beneficence?
Intent to ‘do good’ by helping and promoting growth in others.
What is nonmaleficence?
‘Above all, do no harm.’
What is justice?
Fairness or equality of opportunities & resources for all people.
What is fidelity?
Keeping promises & being trustworthy in relationships with others.
What is veracity?
Telling the truth.
What variables contribute to the helping process?
- Client contributions
- Helper contributions
- Therapeutic relationships
What are the five stages of change (Prochaska, Norcross, & DiClemente, 1994)?
1) Precontemplation
2) Contemplation
3) Preparation
4) Action
5) Maintenance
What are the facilitative conditions required from helpers?
- Empathy
- Compassion
- Unconditional positive regard/ being nonjudgmental
- Being genuine, authentic, and present.
What is the difference between sympathy & empathy?
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.
How do people change?
Strong therapeutic relationship.
What are the three parts to the therapeutic relationship?
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.
What are the three stages of therapy?
1) Exploration stage (Client-centered therapy)
2) Insight Stage (Psychodynamic therapy)
3) Action stage (Behavioral therapy)
What is the exploration stage?
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.
What is the insight stage?
1) Faster awareness and facilitate insight into reasons for thoughts, feelings, and behaviors.
2) Allows helpers and clients to construct meaning.
What is the action stage?
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.
What is the relationship among the stages?
1) The stages are not rigid and often not sequential.
2) All the skills are used in all three stages, but to varying degrees.