Comp Exam Flashcards by Leslie Farias

periods of an irrepressible need to sleep, lapsing into sleep, or napping occurring within the same day

Narcolepsy

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The assessment of couples and families has been influenced by the theoretical approach of many marriage and family therapists. This theoretical approach is

SYSTEMIC

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Researcher things there is a difference between groups when there isn’t

false positive

Type I Error

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Concept of Bowen

involvement of third person in a rx of a troubled dyad

Triangle

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Stage of Group Formation

Intimacy stage; the group is beginning to build cohesion.

Norming stage

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Concept of Bowen

1st born - power, authority, confidence/later born - oppression, rebellious, explorers, iconoclasts

Sibling Position

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what an instrument measures & how well it does the task (including various forms)

Validity

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Part of cluster B
pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity; manipulative; mood dysregulation; self-harm, suicide attempts

Borderling Personality D/O

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degree to which the evidence indicated that the items adequately represent the intended behavior domain
E.g., does a test of a third-grade spelling contain words that educators would expect third graders to know how to spell

Content Related Validity

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4 main categories of PTSD

Intrusion Symptoms
Avoidance Symptoms
Alterations in Cognitions and Mood
Alterations in Arousal and Reactivity

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Severity based on number of symptoms for SUD

2-3 = Mild

4-5 = moderate

6+ = severe

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Observational tasks and techniques in the assessment of couples and families tend to

Low reliability

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Cluster A personality D/O (ODD/ECCENTRIC)

P S S

Paranoid
Schizoid
Schizotypal

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One of the General Ethical Principles

Fairness to all, equality, minimal bias, recognition of boundaries

Justice

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Intervention of _____
Impact q’s for problem description→ take curious/non-blaming stance to have family members describe the problem, its causes, and effects

Relational Reframing/normalizing→change meanings about the problem as relational

CBT interventions: communications/assertiveness trainings, anger management, parenting

Connecting family w/external resources to ensure continued success.

Finding noble intentions behind the each family members (ex. Mother nagging about client’s grade → Mother cares about client’s future or for client to have what she didn’t have).

Functional Family Therapy

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ROT Structural

Expert, slightly MANIPULATIVE ,

DIRECT but caring.

Therapist’s bx becomes part of the system in therapy.

Facilitate the RESTRUCTURING of the system.

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Systems dealing with EMOTIONAL INTENSITY

Smoke detector (amygdala)

- Watchtower (medial prefrontal cortex [MPC])

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Principle of Group Dynamics: An informal leader generally arises when a team member shows leadership qualities that others see as critical for a specific situation.

Leadership Dynamic

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Concepts of SFBT

Philosophy: If it isn’t broken, then don’t fix it.
Solutions are not necessarily related to the problem,
change is constant and inevitable

CLT’s are experts of their own lives

Problem vs. Solution talk

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the increased probability that one partner’s negativity will instigate another’s negativity. This is the most consistent correlate of marital satisfaction and dissatisfaction.

Negative affect Reciprocity

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Legal age of consent

12 years old

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The parent is there sometimes but not all the time

Tries to get the parents attention and when they get the attention they don’t know how to calm down

“FEELING BUT NOT DEALING”

Constantly draw attention to themselves by crying, yelling, clinging or screaming.

They seem to have concluded thart unless they make a spectacle, nobody is going to pay attention to them

Are not comforted or relieved when their mother returns.

Anxious

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Type of Group Leadership Style

the group leader’s efforts to facilitate group member’s expression of affect, values, and personal belief and attitudes

Emotional Stimulation

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Interventions of Solution Focused

Goal setting
Exceptions
Miracle Question
Scaling questions
Highlight Strengths

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How many people in phenomenology research

5-25 people

Part of cluster B | pattern of excessive emotionality/attention seeking

Histrionic Personality D/O

Basic coping mechanism to reduce anxiety by isolating and repressing undesirable features of caregivers Concept associated with ____

Splitting Object relations/psychodynamic

main premise of attachment theory

Goal: increasing or maintaining proximity to attachment figures to feel safe and/or comforted Ex. Kid playing on the playground peeking over his shoulder to make sure mom is watching. Once mom is gossiping with her friend, kid will walk over to make sure mom is still paying attention to him.

Similar to PTSD; lasting 3 days to 1 month; 9+ sxs from ANY 5 categories (intrusion, negative mood, dissociation, avoidance, and arousal) Exposure to traumatic event (experienced, witnessed, learn of someone else, and repeated exposure) o not through media

Acute Stress D/O

o Specially the frontal lobe. Youngest part of our brain. o Rational thinking, impulse control, abstraction, symbolic ideas, planning, coordination with others, language o The most complex structure. o Not as active in times of threat. o The newest part of the brain

Neocortex

Interventions of Experiential | H, H and N, F, 5, EE

- use of Humor - Her and Now experiences - Family Sculpting/ TOUCH - 5 freedoms/ingredients of interaction - Facilitating emotional expression

Conceptualization of Solution Focused

Focus on present/future except for the past in terms of exceptions not focused on the past in terms of changing the past. All clients have strengths and resources to change/cope with problems.

ROT of CBT D C E

Directive, teaching family that emotional problems are caused by UNREALISTIC BELIEFS coaching, empathizing.

Type of delusion: the world is going to end tomorrow

Nihilistic

One of the General Ethical Principles Do not harm

Nonmaleficence

Concept associated with EFT How individuals process their experiences, their key attachment-oriented emotional responses

Intrapsychic

Stage of family life cycle Exit of the first child/ dependent from intrafamilial world to larger world (school) Shift from dependence to facilitation of beginning separations/ partial independence

Entrances

Stage of family life cycle arrival and subsequent inclusion/incorporation of first child/ dependent member Shift from interdependence to incorporation of dependence

Becoming 3

- physical safety of private information that is collected - Maintain confidentiality of info & ensure integrity and availability of that info. - There must be two locked mechanisms protecting client files. Ex. Locked filing cabinet & locked office door. Ex. Phone with passcode and locked filing cabinet

Security

_____ Stressor predictable and unpredictable current events. Ex. life threatening illness, divorce, death, job loss, etc.

Horizontal

historical Figures of Object Relations/Psychodynamic

Freud, Erikson, Ackerman, Scharff, Schnarch, Siegel, Bowlby

ittle by little shutting down Person doesn't have a sense of will Dissociation is more common in babies and infants Dopamine, Endorphins Dissociative D/0 Depression More common in females Lower than normal heart rate

Dissociative Continums

Mandated reporting for child abuse

- Phone call immediately | - File report within 36 hours (including weekends)

Principle of Group Dynamics: Defined norms, established during the norming phase, assist the group in clarifying thinking and determining which behavior patterns are acceptable. Norms also keep the group functioning as a system and measure the performance of group members.

Group Norms

Type of Group Leadership Style Concern for the well-being of group members and an investment in the leadership skills and interventions used

Caring

Clang

rhyming

Concept of Strategic | increasing family's ability to love and nurture rather than dominate and control

Strategic Humanism

Neologisms

made up words

Oral Stage of Freuds PsychoSexual Stages

birth -18 mo. mouth is principal area of activity during infancy (weaning)

" Limbic system. " Thalamus, hypothalamus, amygdala, and hippocampus " Manages the emotions " Emotional Regulation, Emotional Functioning " Monitors danger, discriminates between pleasurable and scary (amygdala) " How do we respond? " Contributes to memory (hippocampus)

The mammalian brain

Erickson stages of development | TM, ASD, IG, II, IR, II, GSA, ID

- trust & mistrust - autonomy vs. shame, doubt - initiative vs. guilt - industry vs. inferiority - identity vs. role confusion - intimacy vs isolation - generity vs. self absorption - integrity vs. dispair

Ecological model of human development

- Microsystem (You) - Mesosystem (Family Peers School) - Exosystem (Society) - Macrosystem (beliefs, culture) - Chronosystem

o Doesn't show social desire; focus on objects more so than people o Deficits in social communication and social interaction across multiple context: - Failure to initiate or respond to social interactions " Nonverbal communicative behaviors - Developing, maintaining, and understanding relationships - Restricted, repetitive patterns of behavior, interests, or activities, at least 2: - Repetitive motor movements, use of objects, or speech - Insistence on sameness - Highly restricted, fixated interests that are abnormal - Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment

Autism Spectrum D/O

Underlying of _________ Family members often perpetuate problems by their actions (attempted solutions)-- the problem is the problem maintenance (positive feedback escalations). Directives tailored to specific needs of a family can sometimes bring sudden/decisive change. People can resist change. People are ALWAYS communicating→ look at the process.

Strategic

Alogia

Speech difficulties

Concept associated with EFT nag/withdrawal, pursuer/distancer, criticize/defend

Negative Interaction Style

If a person is the hospital for an extended period of time (18+), they are considered . . .

A dependent adult

pattern of social/interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive/perceptual distortions and eccentricities of behavior -Magical thinking, odd beliefs/thinking/speech/bx

Schizotypal Personality d/o

Concepts of Contextual | R L L L E D

-Relational Effects Focuses on roles of connectedness - Legacy we behave in ways we have been programed to behave - Loyalty when attachment in a relationship is preferred over another - Ledgers accounting, who still owes - Entitlement amount of merit based on persons trustworthyness -Destructive Entitlement you were given a bad ledger so its okay for you to hand it to the next person

Concept of Bowen | emotional/affective concept that refers to a person's ability to separate intrapersonal and interpersonal distress

Differentiation

Concerns the ability to generalize the results of the research to the population of interest

External Validity

Underlying of ____ It is a contextually based behavioral treatment designed to help distressed couples achieve improved satisfaction and adjustment. ``` Behavior Exchange (BE) seeks to increase the ratio of positive to negative couple behaviors and is intended to produce rapid decreases in couple distress " Skills-based, change-oriented treatment that relies on two primary intervention components: (1) behavior exchange (BE) and (2) communication and problem-solving training (CPT). " Effective in short term, a humanistic component emphasizing acceptance of one's partner to improve long-term outcomes. ```

Integrative Behavioral Couples Therapy

ROT Solution Focused

Offers hope, cheerleader, non-directive, client-centered

Blind Agression adrenaline ADHD, PTSD, CONDUCT DISORDER, More common in Males Higher than Normal heart rate

Arousal continnums

Ethical decision making

Law Trumps Ethics Trumps Morals

What is the primary treatment goal when seeing a couple experiencing DV?

Violence Prevention

Stages of Group Formation and Treatment (FSNPM)

- Forming - Storming - Norming - Performing - Mourning (Adjourning)

mental images of self/others built from experience/expectation Concept associated with ____ theory

Internal Objects Object relations/psychodynamic

``` Erickson stages of development (young adult, 18-35) love " Care about someone without losing sense of self in the process " Acceptance of self → success " Lack of self-acceptance → isolation ```

Intimacy vs. Isolation

Conceptualization of Experiential

Help individuals and families get a sense of their wholeness, become more fully evolved as human beings. The problem is not the problem; the way people COPE with problems is the problem. Expanding the individual's experience opens them up to their experiences and helps to improve functioning of the family

Ordeal

Part of strategic make sxs harder to keep than to give up do something they dont want to do but will benefit them in the end

Concept associated with EFT anger, frustration, withdrawal

Secondary Emotion

Part of Gottman's 4 horseman righteous indignation. Defensiveness usually leads to blaming.

Defensiveness

Independent Variable

cause, predictor, controlled, or manipulated by researcher Ex. HOW LONG YOU SLEEP (IV) affects your test score (DV) Researcher manipulated the participants hours of sleep

quickly assesses whether stimuli means danger (smoke detector)

Amygdala

Accelerator. Arousal, activates fight/flight response

Sympathetic Nervous System

giving the identical instrument twice to the same group of individuals and comparing the performance on both occasions

Test-retest reliability

Stages of family life cycle (C B En Ex Ex B En)

- Coupling - Becoming Three - Entrances - Expansion - Exits - Becoming Smaller/Extended - Endings

Concept of ______ Decrease antisocial behavior and other clinical problems; improve family functioning in family relations; improve functioning in school/work; minimize out-of-home placements, including incarceration, residential tx, and hospitalization.

Multi Systemic

Historical figures of STRATEGIC

Jay Haley, Madanes

Type of Group Leadership Style Manner is which group leader helps members develop understanding of not only themselves but also of one another in the group

Meaning-Attribution

ROT of Experiential

- Therapist is the most important TOOL . - Be congruent with actions and self. - Uses own personality. - We grow as our clients do. Must be open/spontaneous, empathic, directive. INCREASE STRESS w/in family. - Teach family EFFECTIVE COMMUNICATION in order to CONVEY THEIR FEELINGS.

Conceptualization of ____ Listen for problem-saturated stories, dominant alternative and gender discourses, and unique and sparkling events. Help clients become aware of how these different discourses are impactful, increase sense of agency, and enact preferred realities.

Narrative

Conceptualization of ____ assess problem behavior and how it functions in the family, assess the function of the symptoms, the interdependence of family members, community and cultural contexts, relational hierarchy (parent/adolescent up/down)

Functional Family Therapy

When the ____ and ____ have been BLOCKED, implicit memories DO NOT become explicit

Hippocampus; Dorsal Lateral Prefrontal Cortex

Exceptions of Confidentiality

1. Hurting Self 2. Hurting Others 3. Child Abuse 3. Elder Abuse

If an instrument measures consistently but does not measure what it was designed to measure the instrument is

Reliable not valid

CBT Interventions

- Creating contingency/token economies/Operant conditioning - reward behavior in the direction of the desired behavior - Parent training - use behavioral concepts of reinforcement and consistency to help improve parental efficiency - Compliments - coach families to increase expressions of appreciation to increase positive reinforcement - Challenging irrational beliefs, thought records - Behavioral homework tasks - Socratic questions - open ended questions to encouraged CLT to question own beliefs

Attachment quality effect on Information processing

Mediated by IWM Secure attachment helps to have a better assessment of danger Tendency to process information in a way that confirms IWM For people with severe trauma history, the world is filled with danger Emotional dysregulation (both excessive activation or detachment/dissociation) can affect processes like memory, planning, openness to new evidence, etc. (implicit memories, the abuse did happen)

Piagets Stages of Cognitive Development (SPCF)

- Sensori-Motor - Pre Operational - Concrete Operational - Formal Operation

Conceptualization of Object Relations/Psychodynamic

- increase autonomy by making unconscious processes conscious. - Decrease interactions based on projections. - Increase capacity for intimacy without loss of self (fusion w/ others). - All human beings have the capacity for self-actualization.

when parents show understanding and accepting Concept associated with ____ theory

Mirroring Object relations/psychodynamic

SEVERE, UNESCAPABLE if we can't get away, Unescapable, doesn't make sense to fight We feel as little as possible and spend little energy Reduced metabolism, heart rate plunges, gut empties, low air, brain shuts down Least present as possible We are conserving energy to possible fight after the danger is over Other people and ourselves cease to matter, awareness shuts down, and we might not even register pain. Ex. Cat and mouse, the mouse gets caught and shuts down, but when the cat lets go he has the energy to run away

Freeze or collapse

Anal Stage of Freuds PsychoSexual Stages

18 mo. -3 /4 yrs. toilet training, restricting & expelling feces

What test can you administer with a masters degree?

Both A and B

Avolition

Lack of interest

Gottmans's "Four Horsemen" C D S C

Predictor of Divorce - Criticism - Defensiveness - Stonewalling - Contempt

Concept of Strategic | therapist takes hopeless stance to allow the client to be motivated to find hope

One-down stance

1 MANIC episode and NOT major depressive episode - Manic episode: elevated mood at least lasting 1 week, can include psychosis, micro depressions, can be preceded/followed by hypomanic episode (4 days)/major depressive episode (2 weeks) - Most popular delusion: GUILT - Mood disturbance is severe and causes social/occ fx impairment * rapid cycling: more than 4 episodes per year

Bipolar I

I know you are not going to come Why am I going to cry if you're not going to come? They don't cry when their mother goes away, and they ignore her when she comes back Increase heart rate, constant state of hyperarousal. DEALING BUT NOT FEELING"

Avoidant

Attachment quality effect on communication

Securely attached people are more able to: o Read vocal and facial cues from others without being over sensitive or dismissive oSending cues to others as well o Reach out o Clearly communicate their needs o Trust o Be empathic, attune to others o Be assertive, o express themselves (opinions, interests) o Problem-solve and collaborate with others

Stage of Group Formation Separation stage; occurs when members terminate, especially long-term members; the facilitator gets a new job and the entire group ends; in substance abuse groups this phase needs to be handled well, as many clients relapse around issues of loss; the leader may need to be quite active in this phase-facilitating feelings around separation.

Mourning (adjourning) Stage

Conceptualization of Structural

Problems reside within a FAMILY STRUCTURE (not necessarily caused by the structure). Changing the structure CHANGES the experience the client has. Children's problems are often related to the BOUNDARY between the parents (marital vs. parental subsystem) and the boundary between parents and children.

One of the General Ethical Principles Commitment to keep promises, uphold truth, and maintain loyalty; confidentiality

Fidelity

What happens to the MPFC when the peritraumtic stress is high?

The MPFC is NOT activated and we CAN NOT take a second look at the info sent from the thalamus. We just continue in fight or flight mode

3 clusters of personality d/p O/E D/E/E A/F

Cluster A: Odd/Eccentric Cluster B: Dramatic/Emotional/Erratic Cluster C: Anxious Fearful

1+ delusions from 1+months - No impairment in functioning - Delusion types: erotomanic, grandiose, jealous, persecutory, somatic

Delusion D/O

Concepts of _____ Dominant discourses→ beliefs, values, and practices based on dominant social culture alternative/local discourses→ story that's there but not noticed Deconstruction→ take apart problem saturated story in order to externalize and reauthor it problem-saturated stories→ bogs client down, allowing problem to exist Unique outcomes→ exceptions; pieces of the deconstructed story

Narrative

Stage of Child Development Babies begin to understand that other people share their thoughts and emotions with one another. Object permanency.

9-12 months

Starts at 18-24 when hippocampus starts developing Conscious memory that we can recall or retrieve, more aware of it, different level of awareness These memories include a sense of self and a sense of context

Explicit Memories

1 day to 1 month | -1 positive sx: Delusions, hallucinations, disorganized speech, or grossly disorganized/catatonic

Brief Psychotic D/O

Ethical decision making 8 steps | P I G P A C E D

1. Describe the parameters (whats going on) 2. define the potential ISSUES (what issue am i dealing with) 3. Consult guidelines (legal, ethical, moral) 4. Evaluate welfare of all PARTIES involved (who do i keep safe?) 5. Generate ALTERNATIVES 6. Enumerate CONSEQUENCES (PROS/CONS) 7. Present any evidence 8. make a decision

negative symptoms of Schizophrenia | (things it takes away) - 5 things

- flat affect (lack of emotional expression) - Avolition (lack of interest/enthusiasm) - Anhedonia (seeming lack of interest in the world) - Alogia (speech difficulties) - Asociality (social/relational difficulties).

Bowen Intervention stories about other families that are similar to the family - gives distance from problem to see more clearly

Displacement stories

o When amygdala gets info from thalamus it does a quick check for danger " Ex. Hear a loud noise, think it could be danger, first response is shock, comes from amygdala comes quickly from little information we have, but then we see outside and someone just dropped something

Low Road

Principle of Group Dynamics: Evidence shows that there is no quality of the group relationship for the therapist school of thought; "Presence of positive attachment to benevolent, supportive, and reassuring authority figure". Absence of a positive bond renders technical interventions ineffective or harmful. _______broadly defined as; the result of all the forces acting on all the members such that they remain in the group. A potent therapeutic force and considered a precondition for other therapeutic factors to function optimally. Sharing one's inner world and seeing acceptance by others Assists with group members with reinforcing trust-self disclosure- empathy-acceptance-trust Strengthens interpersonal skills that can be long lasting after group adjourning

Group cohesiveness

3 primary tasks of EFT C M A A F E Rest Inter

Task 1: Creating and maintaining alliance Task 2: Assessing and formulating emotion Task 3: Restructuring interaction

Part of Ecological Model Refers to the institutions and groups that most immediately and directly impact the child's development including: family, school, religious institutions, neighborhood, and peers.

Microsystem

Freuds PsychoSexual Stages | O,A,P,L,G

- oral - anal - phalic - latency - genital

Stage of family life cycle Entrance of first child/dependent member into the community Support of facilitation of continuing separations/ independence

Expansion

Historical figure of Contextual

Ivan Boszormenyi-Nagy: studied psychodynamic then made his own

Types of data

- Nominal - Ordinal - interval - Ratio

What should be included in informed consent ?

- treatment process and procedures (what im going to do to you) - potential risks and benefits of treatment - here freely and without influence - have power to withdraw - fees - Limits of confidentiality

contextual concept you were given a bad ledger and it wasn't fair so it's ok to hand it to the next person by acting out/neglecting important others

Destructive Entitlement

Concept of Bowen | inability to separate emotions from cognition

Emotional Fusion

Two primary intervention components of Integrative behavioral couple therapy

1. Behavioral Exchange | 2. Communication and problem solving training (CPT)

Empathic attunement

ATTUNES to each partner's emotions

Eating non-nutritional/nonfood substances.

Pica

Historical Figures of Bowen

Murry Bowen | Carter, Fogarty, Friedman, Guerin, Kerr, McGoldrick, Papero

Erickson stages of development (middle adult-35-55/65) care Working to establish stability → generativity

Generativity vs. Self-Absorption

Bowen Intervention encourage clt to "go home" and experience their nuclear family w/out emotional reactivity by researching cutoffs, finding lost relatives, identifying triangles, and identifying habitual family interactions

Going home againg

Cluster A symptoms of Schizophrenia - 5 things

- Delusions - Hallucination - Disorganized Speech - Abnormal Motor Bx - Negative sxs

Main concept of integrative behavioral couple therapy

Acceptance (EMOTIONAl acceptance) Couples who succeed often make some CHANGE to accommodate the needs of the other

Bowen Intervention | therapist uses self in the face of family projecting process to dissolve dysfunctional triangles and reduce fusion

Detriangulation

ABC Model for assessment of Trauma

A: achieving rapport (following the client) B: Boiling problem down to basics (identifying the problem) B 1/2: Transition to coping C: coping (resources and referrals)

1. Irritable behavior and angry outbursts (with little or no provocation). 2. Reckless or self-destructive behavior. 3. Hypervigilance. 4. Exaggerated startle response. 5. Problems with concentration. 6. Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep)

Alteration in arousal and reactivity

Law and ethics: fees

Required to disclose in informed consent | Tx with minors: parents are NOT responsible for payment

Principle of Group Dynamics: " Clients will communicate differently from one another in group settings: monopolizer, quiet, advice-giver,etc..

Communication styles within formal or informal groups

Key concepts of EFT | SE, RISSSC, I, I, P, S, NIS

- Softening Emotions - Expression of RISSC - Intrspsychi - Interpersonal - Primary Emotions - Secondary Emotions - Negative Interaction Style

Historical Figures of Functional Family Therapy

Thomas L. Sexton, James F. Alexander

1. Inability to remember an important aspect of the event(s) (due to dissociative amnesia and not to head injury, alcohol, or drugs). 2. Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world. 3. Persistent, distorted cognitions about the cause or consequences of the event(s) that lead to blame self or others. 4. Persistent negative emotional state (fear, horror, anger, guilt, or shame). 5. Markedly diminished interest or participation in significant activities. 6. Feelings of detachment or estrangement from others. 7. Persistent inability to experience positive emotions.

Alterations in Cognition and Mood

Dependent Variable

effect of outcome, measure of the effect Ex. how long you sleep (IV) AFFECTS YOUR TEST SCORE Test score is what is being mesaured

Roberts 7 stage of crisis intervetion

1. Crisis and Biopsychosocial assessment 2. build rapport 3. Identify major problems and crisis precipitants 4. Explore feelings and emotions 5. Generate alternatives 6. develop and implement action plan 7. agreement and follow up

Part of Ecological Model Describes the culture in which individuals live. Cultural contexts include developing and industrialized countries, socioeconomic status, poverty, and ethnicity. A child, his or her parent, his or her school, and his or her parent's workplace are all part of a large cultural context. Members of a cultural group share a common identity, heritage, and values. The ___ evolves over time, because each successive generation may change the ___, leading to their development in a unique ___.

Macrosystems

Stage of family life cycle Starts with the death of one spouse/partner and continues up to the death of the other partner Facilitation of family mourning; working through final separation

Endings

Exceptions for elder abuse

- Elder tells you about the abuse - There's no evidence - Diagnosed with dementia or mental illness - Therapist does not believe it happened Child can NOT stop the investigation but an adult CAN!

Concept associated with EFT | Expression of RISSSCw

Repeat, Images, Simple, Slow, Soft, Clients' words

Concept associated with EFT stem from attachment fears and needs (sad, helplessness)

Primary Emotion

Memories from birth and even before " Memories we store but we are not conscious about " Emotions, perceptions, bodily actions, bodily sensations, schemas (mental models of experiences), priming (the nervous system gets ready to respond in a certain way)

Implicit memories

Encoding of EXPLICIT memories

Hippocampus

Interventions of Object Relations/Psychodynamic Listen, dont add anything, interpretation, FA

- LISTENING and empathy: - the objective of the therapist is to listen to the client's story WITHOUT offering advice, reassurance, validation, or confrontation - INTERPRETATION and promoting INSIGHT: - encourage insights into interpersonal dynamics by offering INTERPRETATIONS to the client, such as by analyzing self-object relations or analyzing ledgers of entitlement and indebtedness - Working through: - translating insight into new action in family and other relationships. Changing one's behavior. - FREE ASSOCIATION , analytic neutrality.

Concepts of Structural B R H

- BOUNDARIES (rigid-chaotic/closed, diffuse-enmeshed, clear, disengaged) → targeting over- or under involvement to help families soften rigid boundaries or strengthen diffuse boundaries. - ROLES, family rules (who interacts with whom, how, when, etc) - HIERARCHY alliances, cross-generational coalitions, subsystems, parentified child.

One of the General Ethical Principles one must actively attempt to benefit another in a positive manner

Beneficence

depressed mood most of the day for 2 years

Persistent Depressive D/O (Dysthymia)

Historical Figures of Structural

Minuchin, Fishman

part of cluster B pattern of disregard for and violation of the rights of others; need signs of conduct d/o before age 15; impulse control problems

Anti-Social Personality D/0

Historical figures of Narrative

Michael White and David Epston, Freedman, Combs

to project the bad object (not onto) another person so it becomes a part of that person. associated with ___ theory

Projective ID | Object relations/psychodynamic

One of the General Ethical Principles all human beings have the right to make decisions and act independently

Autonomy

Advertising how do you display your name and license number

Full name, license #, supervisor's license #, complete title

type of road o The neocortex gets engaged, conscious awareness. " Not too high peritraumatic stress o Ex. After you scram and gasp, you realize its fake rat and you calm down and then talk it out o Medial prefrontal cortex (MPFC), the watchtower further assesses if it is false alarm, takes a second look at what the thalamus sent

Medical Pre frontal cortex

Interventions for narrative

- Externalizing | - Mapping the influence of the Problem on the Person

Cluster B (DRAMATIC,EMOTIONAL ERRATIC) A H N B

- Antisocial - Histrionic - narcissistic - borderline

Latency Stage of Freuds PsychoSexual Stages

5 /7 yrs - puberty, quieted sexual needs, child puts energy into learning

Erickson stages of development (aging 55/65+) wisdom Looking back on life with satisfaction → integrity Regrets --> despair

Integrity vs. Despair

Founder of Ecological Model of Human Development

Brofenbrenner

Erickson stages of development (4-6) purpose, bodily control, learning social skills " If child is told their activities are senseless/futile → guilt

Initiative vs. Guilt

Concept of Bowen when people cut off from their FOO to reduce discomfort created by being in emotional contact with family

Emotional Cutoff

Erickson stages of development (adolescents 12-18) fidelity " Stage of maturity, need to establish ID & require good role models " Identity is not found → preoccupation with appearance in the eyes of others, conforming, feeling of failure

Identity vs. Role Confusion

Concepts of Object Relations/Psychodynamic S, Io, A , Si, M, C, T, F and R

- Splitting - Internal Objects - Attachment - Seperation-individuation - Mirroring - Countertransference - Transference - Fixation and Regression

Most couples criticize, defend, and stonewall to a certain extent but the diff btwn those who stay together and those who do not lies in the ratio of positive to negative interactions during conflict interactions. Stable couples have 5 times as many positive interactions as negative during conflicts.

Gottman 5:1 ratio

Part of Ecological Model Involves links between a social setting in which the individual does not have an active role and the individual's immediate context. For example, a parent's or child's experience at home may be influenced by the other parent's experiences at work. The parent might receive a promotion that requires more travel, which might increase conflict with the other parent and change patterns of interaction with the child.

Exosystem

Conceptualization of ____ Therapist considers risks and protective factors in the individual, family, peer, school, and neighborhood/community domains

Multi systemic

Underlying of _____ Theory " integrates individual psychotherapy, interpersonal, existential, systemic, and intergenerational dimensions of individual and family life and development. - Values/ethics are transmitted across generations. - Relational ethics fundamental in holding families and communities together. - Relationships naturally create conflict. Dimensions, all are intertwined and drive people's bxs/relationships.

Contextual

part of cluster c pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation; extremely shy (ie, wallflower)

AVOIDANT personality d/o

Criterion A for substance use

- Impaired control (Criteria 1-4) - Social Impairment (Criteria 5-7) - Risky Use (Criterion 8-9) - Pharmacological Criteria (Criteria 10-11)

- Depressed mood majority of menstrual cycles for 1 year; 5 sxs present in week before onset of menses, then goes away during/post menses

Premenstrual Dysphoric D/O

Tarasoff v. Regents of CA established a therapist's _______ an intended victim of a client when the client communicates a serious threat of violence against a reasonably identifiable victim. This duty is discharged by making a reasonable effort to warn the victim and a law enforcement agency.

Duty to Protect

Concept of Bowen 2 counterbalancing life forces - if not balanced person becomes polarized

Togetherness and Individuality

o Perception-like experiences w/out stimulus. (ex. Bugs crawling on me) o False sensory experience (seems real); worse when alone. o Can be involve any of the senses (i.e. tactile, auditory, olfactory, visual, taste) o Auditory most common in schizophrenia

Hallucinations

Piagets Stages of Cognitive Development (11+): Can think logically about abstract propositions & test hypotheses. Concerned with hypothetical, future & ideological problems. Can accurately draw conclusions, distinguish between realistic & unrealistic possibilities.

formal operational

Part of Gottman's 4 horseman attacking the character of your partner

Criticism

ROT integrative behavioral couple therapy

Active Directive Expert: helping the partners COMMUNICATE more OPENLY, directly, and clearly, helping them identify the PATTERNS that get them stuck, and assisting them finding ALTERNATIVE ways of interacting

Reasons for attachment activcation

1. Distance from caregiver 2. External Cues for danger Ex. A dog is coming, I need to run to my mom from protection 3. Internal cues of discomfort (e.g., getting sick, hunger) Feeling hungry or pain, get moms attention to help Can you attend to me? If not activated, child would explore and engage with others. Secure dependence complements autonomy

Structural Interventions | E R B R I M C

- Enactments - Reframes - Boundary Making - Restructuring - Raising intensity - Mimesis - Compliments

Stage of family life cycle Starts with first complete exit of a dependent member from the family by establishment of an independent household Shift from partial separations to first complete independence

Exits

Concepts of Bowen Theory

- Differentiation of self - Triangles - Sibling Placement - Emotional Cutoff

PART OF CLUSTER A distrust/suspiciousness of others such that their motives are interpreted as malevolent

Paranoid

ROT Functional Family Therapy

Provide hope/support collaborative don't allow negativity, acknowledge FUNCTION of problem bxs, motivate to find more EFFECTIVE bxs, TEACH skills

Interventions of EFT | RoE, V, Evo Res, H, EC, T and R, E, R

- Reflection of Emotions - Validation - EVOCATING RESPONDING -reflection and questions - Heightening - Empathetic conjecture - TRACKING and reflecting interaction patterns - Enactments, restructuring

_____ Stressor emotion norms and rules transmitted down generations. Ex. family secrets, attitudes, myths, SES, beliefs

Vertical

Stage of Child Development Tremendous exploration for babies. Discovering new ways to express and share feelings.

6-8 months

Piagets Stages of Cognitive Development (7-11): learns to use reason & deductive logic to arrive at conclusions. Child is able to imagine what people think/feel → their thinking becomes more flexible. However, this must involve concrete objects or real life situations (not hypothetical)

concrete operational

Piagets Stages of Cognitive Development (birth-2): Child learn & experience world through their senses & motor skills. Child is egocentric (believes world revolves around him). Child learns complex bx, begins to experiment, problem solve, & pretend. Achieves object permanence, differentiates self from object

Sensori-motor

Contextual Concept split, invisible; when attachment in a relationship is preferred over another; force organizing hierarchy/priorities in family

Loyalty

Types of disorganized speech in schizophrenia La, N, P, C, Ws

- loose association (rapid topic switch) - neologisms (made-up words) - preservation (repetition) - clang (rhyming) - word salad

1 hypomanic episode and 1 major depressive episode - Hypomania: 4 days, not severe enough to cause occ/soc fx impairment, no hospital visit, observable mood change. * More common than cyclothymia/bipolar 1

Bipolar II

the result of all the forces acting on all the members such that they remain in the group.

Group Cohesivness

- legal term, the right of a client to keep you from testifying in court about their therapy ex. if a client doesn't consent to release info, the therapist may refuse to give the info (asserting privilege) - if an attorney subpoenas a clinical record→ therapist usually must assert that his/her duty to preserve client privacy is more important than the duty to provide the court with confidential client info

Privilege

Positive Symptoms | (things it adds) - 4 things

- Delusions - hallucinations - disorganized speech - grossly disorganized/catatonic

ROT Multisystemic

Engaged, collaborative

part of cluster c preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency

OBSESSIVE- COMPULSIVE personality d/o

Four Types of Attachment styles

1. Secure 2. Anxious 3. Avoidant 4. Disorganized

Historical Figures of Experiential S & W

Satir, Whitaker

" Ethical issue, consists of all activities that an individual has appropriate training, education, and experience to do on their own. SOC can be expanded through continuing education.

Scope of Competence

A reliability coefficient provides a measure of

unsystematic reliability

pattern of detachment from social relationships and restricted range of expression of emotions in interpersonal settings

Schizoid Personality D/O

Key Figures in EFT

Sue Johnson, Les Greenburg (*co-developer)

Common Trauma Treatments

- EMDR - TFCBT - ABC MODEL - Robert's 7 stages

Interventions of Strategic | P P O

- Paradoxes→ prescribe the sx (eg, wake up late Pretend techniques→ (eg, fake getting along 1 hr) Ordeals→ make having the sx harder than not having it

Part of cluster B Patternof grandiosity (in fantasy/bx), need for admiration, and lack of empathy Types: grandiose/malignant, fragile, high-functioning/exhibitionistic, somatic, cerebral

Narcissistic Personality d/o

connection w/ important others Concept associated with ____ theory

Attachment Object relations/psychodynamic

- family relationships, cognitions, emotions, and bx mutually reinforce one another. - Focus on present cognitive inferences that evoke emotions and bxs which make the situation a problem. Modify specific patterns of thinking and/or bx to alleviate presenting sx.

Conceptualization of CBT

1-6 months; 1 positive sx, criterion A) - Mood episode must be brief if present - No impaired functioning

Schizophreniform D/O

Reporting Timeline for Elder Abuse

Call ASAP, file within two working days | *Weekends don’t count*

Stage of Group Formation -The power and control stage; members vie for the pecking order, try to take some power from the leader, so that it can become their group; the leader should be quite active in managing conflict so the group continues to feel safe; flexibility is of the utmost importance in this stage.

Storming Stage

Conceptualization of _____ Help the family develop a new set of interaction patterns (problem-free homeostasis). Reducing intrusion or increasing engagement by changing a parent's or partner's level of involvement. Target the attempted solution rather than the presenting problem.

Strategic

Historical Figures of Solution Focused

Steve de Shazer & Insoo Kim Berg, Yvonne Dolan, Eve Lipchik

Stage of family life cycle - establishment of common household by two people - shift from individual independence to couple/dyadic interdependence

Coupling

Stimuli (images,sounds) gets sent to the ______ which then sends it to the two roads

Thalamus

Concepts of Strategic | S are M, SH, 1D, Inter, Cv.sP

- Symptoms are Messages - Strategic Humanism - One-down stance - Interactions - Content vs. Process

Cluster C personality D/O (ANXIOUS/FEARFUL) A D O-S

- AVOIDANT - DEPENDENT - OBSESSIVE- COMPULSIVE

Two parts of the Autonomic Nervous System

1. Sympathetic | 2. Parasympathetic

Concepts of ______ - Honest emotion→ fun/laughter are signs of health family functioning - Communication stances (congruent, placating, blaming, super reasonable-based on logic/rules, irrelevant/relevant) - Battle for structure/initiative→ therapist creates structure, but sometimes needs to let the tensions/crisis build until client develops incentive/motivation to make changes

Experiential

ROT Narrative

Co-author investigative reporter Meet the person APART from the problem reflexivity (be aware of your own socialization/assumptions/beliefs.

Parenting Model treat child's feelings as unimportant; disengages or ignores child's feelings; may ridicule child's emotions; focuses on how to get over emotions; emotions are harmful or toxic

Dismissing

How the personal data collected for approved social purposes shall be held and used by the organization that originally collected it Dialogue and contents remain between the discussions and only they have a right to know about it. Keep it private. There are exceptions. Client needs to understand via informed consent

Confidentiality

``` 9 steps of EFT (easy version) A Neg C Un E R Deep S A A B NEW S to old P C ```

1. Alliance and assessment 2. Identify negative cycle 3. Access underlying emotions 4. Reframe into the context of the cycle and the underlying emotions 5. Go deep… and own and share 6. See and accept 7. Ask and bond 8. New solutions to old relationship problems 9. Consolidate and bye bye

Conceptualization of _____ theory - Choosing an ethical alternative rather than acting on old bx in order to have a balanced ledger. - We have a natural inclination to give. - We can hurt the people we love. - People unconsciously "keep track" of these exchanges. - These factors provide the context.

Contextual

6 months, sxs present PIOR to age 12, 2 or more settings, 5sxs for age 17 + o Persistent pattern that interferes with functioning or development; 6+ sxs of inattention and/or hyperactivity/impulsivity

ADHD

When can you do conjoint therapy if DV has been reported?

1) VIctim can be equal partner 2) Victim is not in serious danger 3) Abuser is taking steps to reduce danger 4) You have done an individual assessment

_______ helps to integrate implicit memories to build explicit memories of an episode of you in a place and a time.

Hippocampus

MILD THREAT "Can happen all the time, even in times of no danger, constantly sending messages, reading body cues Is this going well or is this turning into a dangerous situation? Communicate emotional state and respond to other's emotional state through facial and vocal cues Helps us decide if we are safe Synchronize with other members of the tribe. Respond to other people, Coordinate together Working together, dancing Being seen and heard by the people important in our lives can make us feel calm and safer

Sociasl Engagement

Contextual Concept we behave in ways we have been programmed to behave

Legacy

when families become stuck they revert back to lower levels of functioning associated with ___ theory

Fixation/regression | Object relations/psychodynamic

Concept associated with EFT how partners organize their interactions into pattern cycles

Interpersonal

Founders of Integrative Behavioral Couples Therapy

Andrew Christensen | Neil S. Jacobson

Attachment quality (security or insecurity) affects:

1. Affect regulation and expression 2. Information processing 3. Communication

" Brain stem (without thalamus) " All the things a baby can do: eating, sleeping, waking, crying, breathing, peeing, pooping… " Where the RAS and Locus Coeruleus are (Pons) " Regulates the energy levels of the body, the endocrine and immune systems

The reptillian brain

Philosophy of _____ - Adult Attachment theory and secure relationships. - Evidence-based/empirically-validated approach to couples therapy that uses experiential, systemic-structural, and attachment theories. Therapists focus on the emotional system of the couple and use heightened affect to help couples restructure their interactional patterns, increase emotional intimacy, and address attachment needs. - Primary emotions draw partners closer. Secondary emotions push partners away; distressed couples get caught in negative repetitive sequences of interaction

EFT

Parenting Model freely accepts all emotional expression from the child; offers comfort to the child experiencing negative feelings; offers little guidance on bx; does not teach the child about emotions; is permissive, does not set limits, help children solve problems or teach problem solving methods to the child; believes there is little you can do about negative emotions other than to ride them out; believes that managing negative emotions is a matter of hydraulics-release the emotion and the work is done

Laissez Faire

General Ethical Principles (ABFNJ)

- Autonomy - Beneficence - Fidelity - Non-maleficience - Justice

Persistent or recurrent experiences of feeling detached from, and as if one were an outside observer of, one's mental processes or body (e.g., feeling as though one were in a dream; feeling time moving slowly). Ex. I don't feel like myself

Depersonalization

Polyvagal Theory and Three Psychological Stages

1. Social Engagement 2. Fight or Flight 3. Freeze or Collapse

Brain Spinal cord

Central Nervous System

" A repetitive pattern of (severe) bx in which the basic rights of others/major age-appropriate societal norms/rules are violated including: aggression to people/animals, destruction of property, deceitfulness/theft, or serious violation of rules

Conduct D/O

legal issue, applies equally to everyone in the field & is defined by state law. restrictions on psychotherapeutic techniques o psychological testing requires training o test must be case-specific and within context of therapeutic rx

Scope of Practice

> 1 month; manic/depressive episode at same time as criterion A - Delusions/hallucination for at least 2 weeks w/out depressive/manic episodes

Schizoaffective (mood) D/O

systems dealing with CONTEXT, MEMORY how we store it

- Time dimension (dorsolateral prefrontal cortex [DLPC]) | - Encoding explicit memory (hippocampus)

Two functions of a mother during attachment

1. secure base | 2. safe haven

Interventions of ____ Finding the fit: assess how youth's problems systemically fit within broader family, peer, school, and community culture Focus on positives and strengths (in child and family) Increase responsibility (in all family members): includes parental involvement and teen's responsibility for own choices Focus on the Present, on action, and on clarity: interventions target easily defined, tracked, and measured problems Targeting sequences: sequences of behaviors between family members, peers, larger social systems are the target of change Developmentally appropriate: promoting step-by-step development of skills needed for success as an adult Continuous effort: interventions by design, require daily/weekly effort from the family Evaluation and accountability: don't blame family if intervention doesn't work; assess and adjust as needed Generalization: Design treatment to help child and family generalize skills/abilities to solve problems in other life areas

Multi Systemic

Underlying of ______ People come to therapy with problem-saturated identity stories that are embedded within the dominant discourse, social context, and past experiences. Identity stories often reflect the dominant discourse.

Narrative

Part of Ecological Model Interconnections between the microsystems, Interactions between the family and teachers, Relationship between the child's peers and the family

Mesosystem

Development of emotional (anxiety/depression) or behavioral symptoms (conduct) in response to an identifiable stressor occurring w/in 3 mon of the onset of the stressor; no more than 6 mon

Adjustment D/O

concept of integrative behavioral couple therapy seeks to increase the ratio of positive to negative couple behaviors and is intended to produce rapid decreases in couple distress

Behavioral Exchange

Firmly held belief/can't be persuaded by evidence.

Delusions

contextual concept accounting

Ledgers

Parenting Model values the child's negative emotions as an opportunity for intimacy; can tolerate spending time with a sad, angry or fearful child; does not become impatient with the emotion; is aware of and values emotions; is sensitive to the child's emotional states, even when they are subtle; is not confused or anxious about child's expression of emotions; respect's child's emotions; listens; empathizes; helps problem solving; sets limits

Emotional Coach

ABC THEORY CBT

A - Activating Event B- belief (write negative thoughts that occur; bridge between event to feelings) C- Consequences (feelings)

Underlying Philosophy of Object Relations/Psychodynamic

- unconscious impulses and defenses against them/ego psychology-focus on intrapsychic structure/freudian drive psych-2 drives=libidinal (pleasure seeking) & aggressive. - We see the world through our own experiences- project your own fears and thoughts to other person

contextual concept amount of merit a person has based on trustworthiness

Entitlement

before age 5; present for 1+ yr) Major emotional and behavioral problems oRarely seeks comfort; unable to responds to comfort Limited positive affect and emotional responsiveness o Unexplained irritability, sadness, fearfulness Experienced a pattern of extreme insufficient care: neglect, abuse, etc.

Reactive Attachment D/O

(lasting 6 mon) Excessive anxiety and worry, occurring more days than not, about a number of events/activities (not situation specific). Individual finds it difficult to control the worry

Generalized Anxiety D/O

Part of Gottman's 4 horseman | speaking from a place of superiority

Contempt

Stage of Child Development Beginning to relate to a larger social group and understand social influence. Learning power of intellect over emotion.

8-12 years ol

Stage of Child Development Learning through observation and imitation about how to read and express emotions.

3 months

ROT EFT

- Empathic attunement: ATTUNES to each partner's emotions - Client-centered, COLLABORATIVE , acceptance, Genuineness, - Continues to MONITOR ALLIANCE, Process consultant, - Choreographer of RELATIONSHIP DANCE

Underlying of Experiential

Family problems are rooted in suppression of feelings, rigidity, denial of impulses, lack of awareness, emotional deadness, and overuse of defense mechanisms. Must get in touch w/ REAL feelings.

6-12 people due to not all participants may have the chance to comment

Focus Group

4. In case study research, the appropriate number of cases should be limited to 4 or 5 cases. Why?

c. The more cases studied, the less depth in any single case

Parenting Model *Military Dad; displays many of the dismissing behaviors, but in a more negative way; judge and criticize the child's emotional expression; Over aware of the need to set limits on their children; Emphasize conformity to good standards, reprimands the child for emotional expression; believes expression of negative emotions should be time-limited, negative emotions need to be controlled & reflect bad character traits.

Disapproving

``` " Time dimension of events " Put a time context to a memory " You know the memory happened then and it's not happening now " Beginning and end " Now and then ```

Dorsolateral prefrontal cortex (DLPFC):

Stage of Child Development Great concern w/ questions of identity. Relationships with friends take center stage over family. Focus is usually on self.

Adolescence

children develop distorted perceptions through attributing qualities of someone else to another person Concept associated with ___ theory

Transference | Object relations/psychodynamic

Type of Group Leadership Style how the leader establishes and maintains boundaries, often related to: group rules, expectations and norms

Executive Functioning

Phallic Stage of Freuds PsychoSexual Stages

3 /4 yrs. -5/7 yrs. Development of sexual identity. oedipus/electra complex : sexual desire for the parent of the opposite sex for GIRLS: Electra complex

Bowen Intervention | allows one person to be able to detach from emotions and adopt an "I"-position, taking a personal stance

The "I" position

Attachment qualities effect on affect regulation and expression

Proximity to a responsive caregiver is an affect regulation device Can develop a sense of "I can figure this out" or "I know if I ask I can get help" Securely attached people can acknowledge distress and reach out for help/comfort - Feeling my emotions isn't threatening Insecure/anxious people can become emotionally overwhelmed and might reach out in ways that are not effective - Angry, blaming, ways that make it hard for the other person to respond Insecure/avoidant people can physiologically activate but are emotionally disconnected and do not reach out for help - High heart rate, high blood pressure, doesn't matter how much I express no one care.

Erickson stages of development (2-4) will, freedom, self direction " Parent recognizes child's need to exercise new skills → autonomy " Parents ignore or discourage use of new skills → self doubt

Autonomy vs. Shame, Doubt

PTSD SPECIFIER

Dissociative Symptoms

HIGHER LEVEL OF FEAR if no one comes to our aid, and/or we are in immediate danger, the stress response kicks in.

Fight or Flight

ROT of Contextual

Expert in Assessing Directive, nonjudgmental, spending TIME/EMPATHIZING w/each family member to understand problem in terms of RELATIONAL CONTEXT

IPV assessment

1. Assess for whether there is immediate/serious danger for one of the partners 2. Frequency/severity of violence 3. The willingness of the perpetrator to acknowledge that the violence exists, is a problem, willingness to take steps to prevent the violence Unwilling? do individual

Cycle of Violence D H T A

- Denial - Honeymoon phase/reconciliation - Tension builds - Acute Explosion

Contextual Concept focuses on roles of connectedness, caring, reciprocity, loyalty, legacy, guilt, fairness, accountability, and trustworthiness within and between generations

Relational Ethics

gradual process of child separating from mother Concept associated with ___ theory

Seperation- individuation Object relations/psychodynamic

Genital Stage of Freuds PsychoSexual Stages

onward from puberty: seeking sexual stimulation, satisfaction, love (for altruistic and reproductive motives.)

Two Dissociative Symptoms for PTSD

1. Depersonalization | 2. Derealization

Stage of family life cycle Exit of the last child/dependent from the family Continuing expansion of independence

Becoming smaller

fundamental tension that individuals face - attempting to satisfy opposing needs for familial connection & personal autonomy/evolved from psychoanalytic principles but focuses on parent/child rx and familial rxs. " Insight Oriented

Underlying Philosophy of BOWEN theory

part of cluster c | excessive need to be taken care of that leads to submissive/clinging behavior and fears of separation

DEPENDENT personality d/o

How does the hippocampus get blocked?

Massive release of stress hormones Very HIGH peritraumtic stress

Part of EFT addressing defensive strategies, attachment longings, and attachment fears

Empathic conjecture and interpretation

Children develop on 2 continumm

1. Arousal | 2. Dissociative

Hisotrical Figures of Multisystemic h s b r c

Henggeler, Schoenwald, Borduin, Rowland, & Cunningham

Concepts of CBT

- schemas - ABC Theory - Cognitive Distortions - Reinforcement

ROT of Strategic

Expert, expected to haveCONTROL of the entire process and responsible for creating conditions for change. Work with client's RESISTANCE to change.

Types of elder abuse (PSNAFI)

- Physical Abuse - Sexual Abuse - Neglect - Abandonment (granny dumping) - Financial Abuse - Isolation

Erickson stages of development ((school age; 6-12) competence, discipline Motor skills, language, fantasy, meaningfulness of industry

Industry vs. Inferiority

Researcher thinks there is NO difference between groups but there really is False negative

Type II Error

Persistent or recurrent experiences of unreality of surroundings (e.g., the world is experienced as unreal, dreamlike, distant, or distorted).

Derealization

Part of Gottman's 4 horseman when listener withdraws from the interaction. Men do this more than women.

Stonewalling

Opposite of RAD; present for 1+ yr) Child actively approaches and interacts with unfamiliar adults Inadequate attachment: insufficient care to form stable attachment

Disinhibited Social Engagement D/O

Types of Child Abuse

- Physical - Sexual - Neglect - Emotional (optional)

Erickson stages of development (infancy) hope " Determined largely by the amt of care a child receives. " Love & attention → confidence & trust in people. " Neglect & abuse → insecurity & mistrust

Trust vs. Mistrust

- 5 + sxs of 9 criteria during 2 weeks; at least 1 sxs is either depressed mood or loss of interest/pleasure - Persistent depressed mood, without cause; not tied to specific thoughts - Inability to anticipate any happiness/pleasure

Major Depressive D/O

The practice of starting biases and values by the researcher is known as

bracketing

repressed memories of early caregivers that reflect reality and fantasy associated with ___ theory

Introjection Object relations/psychodynamic

ROT of BOWEN

- COACHING the family by asking Q'S in order to help them figure out FAMILY EMOTIONAL PROCESSES/role. - NEUTRAL role/observer/ EXPERT calm/objective/DIFFERENTIATED

Concept associated with EFT used to create emotional bonding, change interactional positions, redefine the relationship as safe/connected. Softening occurs when a previously blaming, critical partner asks from a position of emotional vulnerability, a newly accessible partner to meet his/her attachment needs. The more critical partner softens his/her stance and words, allowing the more vulnerable/anxious partner to reduce emotional reactivity and defensiveness

Softening Emotions

Right for individuals to choose what others know about them, under which circumstances, what personal info should be collected and stored for a given function

Privacy

Main difference between bipolar I and bipolar II

Bipolar I mania Bipolar II Hypomania

Part of Ecological Model The patterning of environmental events and transitions over the life course, as well as sociohistorical circumstances. For example, divorces are one transition. Researchers have found that the negative effects of divorce on children often peak in the first year after the divorce. By two years after the divorce, family interaction is less chaotic and more stable. An example of sociohistorical circumstances is the increase in opportunities for women to pursue a career during the last thirty years.

Chronosystem

5. You have designed a study and come to the conclusion that phenomenology would be the best methodology to explore your research questions. What is likely the focus of your research study? [What methodology do the other choices describe?]

a. Understanding the essence of the lived experience of your participants

Three parts of the triune brain

1. The reptillian Brain 2. The Mammalian Brain 3. Neocortex

Historical Figures of CBT

Pavlov/Skinner (behaviorists), Albert Ellis and Aaron Beck, Watson, Thorndike, Bandura, Dattilio

Stage of Group Formation -first phase; members may be somewhat uncomfortable with each other; the leader may need to be active in this stage until members trust each other.

Forming Stage

The brakes. Responsible for digestion, wound healing, mating. Resting, things we can do if we are not in action

Para sympathetic

Piagets Stages of Cognitive Development (2-7): still egocentric, learns to use language & represent objects by images & words, form concepts & use symbols, classify objects by single unifying feature (groups all red blocks). Can imitate actions (s)he has seen beforehand

Pre-operation

Stage of Child Development Develops sense of self, explore autonomy.

1-3 years old

Case conceptualization of gottman

take responsibility for the individual needs rather that demand that the other CHANGE to accommodate their needs, wants, and desires

therapist attributing qualities of self onto others Concept associated with ___ theory

Countertransference | Object relations/psychodynamic

Interventions of Bowen Theory

- Genogram - Detriangulation -Process Q - Relationship Experiments the "I" position - Going home again - Displacement Stories

the degree to which a study is truthfully assessing what it claims to assess

Internal Validity

ROT of Object Relations/Psychodynamic

Loving parent expert listener holds validates organizes and guides.

The person we go to for help is the very source of pain Come close then remove themselves Ex. Walking backwards towards the caregiver Seeking closeness and avoiding the parent "FRIGHT WITHOUT SOLUTION"

Disorganized

At least 6 months; sxs from Criterion A - Negative sxs (6 months) in addition to positive symptoms (1 month) - High SI

Schizophrenia D/O

- individuals unable to achieve balance (thoughts/emotions) react to momentary emotion - family contact is excessive or nonexistent - such problems result in multigenerational process. - Change comes from a person's increase in level of differentiation, decrease in emotional reactivity to chronic anxiety in the system, increase in direct communication between dyad (Detriangulation), and keeping a clear sense of self while maintaining a clearer boundary between self and other.

Conceptualization of BOWEN theory

Stage of Child Development Meeting new friends, learning new things. Know how to get along w/ friends.

4-7 years old

extent to which the instrument may measure a theoretical/hypothetical construct or trait E.g., interrelation of the test with other variables

Construct Validity

Bowen Intervention behavioral homework assignments that help family members become aware of systems processes and learn to recognize their own role in them

relationship experiment

Stage of Group Formation | A cohesive group; members are more comfortable and help each other grow.

Performing Stage

- onset 6-18 years old; 12+month, NO period of 3+ month w/o sxs occurring 3x/week - Kids who are particularly moody, intense verbal/physical temper outbursts, irritable most of the day - Side note: Dx was created due to children being over diagnosed and overtreated with bipolar disorder.

Disruptive Mood Dysregulation D/O

(at least 6 mon) A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness w/ emotion, without bx

Oppositional Defiant D/O

Goals of EFT

- Create SECURE attachment - Develop NEW INTERACTION patterns that nurture and support each partner - Increase DIRECT EXPRESSION of emotions

Comp Exam Flashcards

(335 cards)