Flashcards in Clinical Psych Glossary Deck (53)
1)integration 2)assimilation 3)separation 4)marginalization
Illness is do to blockage of qi (life energy). Efficacy may be related to release of chemicals near the needle site as body fights perceived pain.
Adler's Individual Therapy
Stresses unity of the individual; belief that behavior is purposeful and goal related. Inferiority feelings / strive to be superior. Maladaptive = mistaken style of life, poor social interest. Teleological approach motivated by future goals not past events.
Alloplastic Vs Autoplastic Interventions
Refers to the focus of intervention with regards to environment. Alloplastic = change environment to change individual; Autoplastic = change environment to change individual.
Black Racial ID Development Model
1)Pre-encounter: race and race ID have low salience. 2) Encounter: greater awareness; interested in developing a black ID 3)Immersion/emersion: race and ID have high salience and moves from intense black involvement to strong anti-White attitudes. 4) Internalization: race has high salience, person becomes Afrocentric / multiculturalist
Communication/ Integration Family Therapy
Symmetrical vs Complementary Communication
focuses on impact of communication on family and individual function. Symmetrical communication: members are equals but may escalate into competitive game; Complementary: members are unequal but cover each other's deficits.
Sue & Sue 2003
3 Competencies: 1) awareness of own belief's, assumptions, values. 2) Knowledge about the differences in worldviews, etc 3) Skills that enable Tx to provide appropriate treatment.
Culturally encapsulated counselors interpret everyone's reality through their own cultural assumptions and stereotypes; disregard cultural differences
Cultural vs Functional Paranoia
describes non-disclosure by African Americans in therapy being due to 2 types of paranoia: 1) cultural (healthy) which is in response to racism in he community; 2) functional (pathology) if the reasons aren't based in racism.
Positive Feedback Loop: Amplifies deviation or change resulting in challenge to system; Negative Feedback Loop: status quo.
Attribute all mental health Sxs to a more serious Dx that may be unconnected (originally prevalent with mental retardation).
Though of as etiological factor for schizophrenia; involves conflicting negative injunctions > "do that and you'll be in trouble" "Don't do that and you'll be in trouble" Not always the same medium of communication (i.e. verbal / nonverbal)
Efficacy Vs Effectiveness Research
in other words: does the treatment have an effect on the subject? vs is the cost/time/etc worth it for the outcome?
Emic vs Etic Orientation
Emic is inclusive of cultural awareness, Etic is cultural-general, not so good approach
Extended Family Systems Therapy
Differentiation, Emotional Triangle, Genogram
Bowen's approach; system includes larger picture than the nuclear family. Differentiation is separation of emotional feelings and intellect, which helps people avoid becoming fused in relationships. Triangulation; see grad school!
Emphasis on personal choice and responsibility for developing a meaningful life. Maladaptive behavior results in inability to cope with the ultimate concerns of existence.
Douschcanoe Brit reviewed cases from early 1900's and found that therapy is no better than spontaneous remission.
Findings indicate untreated patients are better off.
The personal is political. Focus on empowerment, social change and acknowledges and minimizes power differential of Tx vs Cx. Different than non-sexist therapy which focuses on personal causes of behavior and personal changes.
Defense Mechanisms, Analysis
When the Ego is unable to ward of danger (anxiety) through rational, realistic means, it may resort to a defense mechanism: repression, reaction formation, etc.)They operate on an unconscious level and work to distort or deny reality. Use of analysis; free association, dreams, resistances, confrontation, clarification, ...
General Systems Theory
A system is maintained by the mutual interactions of its components and are best understood in context. Homeostsis: system will tend to do what it is doing to stay in balance. Systems are open to change.
Awareness; full understanding of ones thoughts, feelings and actions in the here and now. abandonment of self-image due to a boundary disturbance(introjection). Transference is counter-productive.
stages: 1) orientation; participation, search for meaning, and dependency. 2) Conflict, dominance & rebellion 3) development and cohesiveness. >>> Cohesiveness is most important; Tx can pre-screen to lower attrition rates.
Health Belief Model
behaviors are influenced by: 1) person's readiness to take action (which is related to perceptions of possible illness and consequences). 2) Person's evaluation of the benefits and costs of a particular response. 3) the internal and external cues that trigger the reponse
High vs Low- Context Communication
culturally diverse groups tend to rely on various forms of communication whereas anglo therapists tend to stress verbal. Can lead to misunderstandings in cultural work.
Homosexual (gay and lesbian) ID Development Model
Troiden's 4 stages: 1) sensitization / feeling different; 2) self-recognition / identity confusion; 3) identity assumption; 4)commitment/identity commitment
Dose Dependent Effect; Phase Model
Howard and Collegues
75% of patients show measurable improvements at 26 sessions; at 52 sessions the number only 85%; suggests that there are 3 phases in therapy: remoralization, remediation & rehabilitation.
experiencing 'alteration of memory, perceptions and mood in response to suggestions. Does not seem to enhance the accuracy repressed memories, and may create psuedomemories
IPT is brief 'manual-based' therapy orig designed for depression but since has been applied to a number of other conditions. interpersonal role disputes / role transitions and interpersonal deficits.
Jung's Analytical Psychotherapy
Behavior determined from both conscious and unconscious factors; collective unconscious > repository of latent memory traces from previous generations; Archetypes > primordial images that cause similar reactions in different people.