Diagnosis, Families, Advanced Concepts

Question 1

Waxy flexibility

Answer 1

Psychomotor behavior associated with schizophrenia/catatonia
-client maintains position initiated by someone else

Question 2

Posturing

Answer 2

Client voluntarily assumes or abnormal or bizarre positions/postures

Question 3

Anergia

Answer 3

Abnormal lack of energy

Question 4

Pathway to develop treatment plan

Answer 4

1. Assessment
2. Diagnosis
3. Case conceptualization
4. Treatment plan

Question 5

Blunted affect

Answer 5

Individual shows little expression
OR
expressions respond slowly to mood or situation

Question 6

Restricted affect

Answer 6

Individual shows only one facial expression

Question 7

Stages of substance abuse

Answer 7

1. Experimentation
2. Regular use
3. Problem use
4. Dependence
5. Addiction

Question 8

Addiction

Answer 8

Physical and psychological need for the substance, despite problems its causing, exhibits cravings and substance seeking seeking behaviors

Question 9

“V” Code (DSM)

Answer 9

What is being treated is not classified as a mental disorder but the focus of treatment (ex. uncomplicated bereavement)

Question 10

Cyclothymic Disorder

Answer 10

301.13 (F34. 0)

Mood disorder that causes emotional highs and lows.

Mood shifts not as extreme as bipolar and can function (may be difficult)

Depressive and hypomania episodes do not meet criteria for other dx.

Question 11

Anhedonia

Answer 11

The inability to experience joy or pleasure

Question 12

conversion disorder

Answer 12

when an individual displays symptoms (generally neurological) which cannot be accounted for via medical exams/medical dx shows no reason for individual’s condition

Question 13

la belle indifference

Answer 13

individual does not seem bothered/concerned by their condition

Question 14

morphostasis

Answer 14

ability of the family to balance stability

Question 15

morphogenesis

Answer 15

family’s ability to change

Question 16

Satir (Experiential)

Answer 16

experiential conjoint family therapy

major goal = improve intrafamily communication
4 basic patterns prevent this:
1. placating
2. blaming
3. being overly reasonable
4. being irrelevant

family sculpting: experiential/expressive technique in which a family member places other family members in positions that symbolize their relationships with other members of the family

Question 17

Whitaker (Experiential)

Answer 17

“the dean” of experiential family therapy

interactions= joining the family and experiencing it as if he were a family member

psychotherapy of the absurd (ex: couple in power struggle might be asked to play tug of war)

Question 18

Premack’s Principle or Law

Answer 18

behaviorist

a family member must complete an unpleasant task (known as a low- probability behavior; LPB) before they would be allowed to engage in a pleasant task (known as a high-probability behavior; HPB)

Question 19

Theory of Psychodynamic Family Counseling (Ackerman)

Answer 19

recommended studying the family not just the identified patient

true beginning of the family therapy movement (?) 1930s-1940s

concerned with internal feelings and thoughts of each individual as well as the dynamics between them

object = a significant other with whom a child wishes to bond (if not anxiety manifests)

introjects = the client unconsciously internalizes the positive and negative characteristics of the objects within themselves / taking in personality attributes of others that become part of your own self-image)

Question 20

first order change
vs
second order change

Answer 20

1rst = changes that are superficial

2nd = actual change in the family structure that alters an undesirable behavioral pattern

Question 21

protective systems (Skynner)

Answer 21

psychoanalytical

kids who had poor role models as children possess it

these individuals harbor unrealistic expectations of people in current relationships carried over from childhood

Question 22

Haley (Strategic)

Answer 22

strategic school of family counseling
-design a strategy for each specific problem

directive/prescriptions = when therapist tells family what to do

double blind = a no-win situation characterized by contradictory messages such as never smoke again and then smoke as much as you want

pragmatic and often focuses on abating symptoms

solution/symptom focused

action-oriented

restraining helps overcome resistance by suggesting that it might be best if the family does NOT change

Question 23

positioning

Answer 23

occurs when a counselor accepts the client’s predicament and then exaggerates the condition

Question 24

Bowen (Intergenerational Family Therapy)

Answer 24

triangulation

differentiation = the extent that one can separate one’s intellect from one’s emotional self

nuclear family emotional system = current system is influenced by previous generations whether they are alive or dead

Question 25

Minuchin (Structural)

Answer 25

structural family therapy enactment boundaries = physical and psychological entities that separate individuals and subsystems from others in the family often mimic the family's style = mimesis / helps JOIN

Question 26

mean

Answer 26

only measure of central tendency which reacts to every score in the distribution

Question 27

left hemisphere of the brain

Answer 27

is dominant in most people

Question 28

main purpose of career group

Answer 28

to provide information to participants

Question 29

4 process of motivational interviewing

Answer 29

1. engaging 2. focusing 3. evoking 4. planning

Question 30

must know meta-analysis

Answer 30

psychotherapy had a strong or so-called big effect, checking in at .85

Question 31

attribution theory (gestalt psychologist Heider)

Answer 31

attribution theorists assign a cause, explanation, or reason for behavior outcome of an event when the cause or outcome is generated by the person = DISPOSITIONAL/INTERNAL ATTRIBUTION when the cause is attributed to factors outside the individual = SITUATIONAL/EXTERNAL ATTRIBUTION fundamental attribution error occurs when a person attempts to look at somebody's negative behavior, failure, or undesirable event and come up with an explanation. tendency to put more stock in DISPOSITIONAL explanations than situational ones aka problem is attributed to the person *most people attribute their own negative outcomes in life to situational/external attributes but assess other people's as dispositional/internal BUT depressed people usually blame themselves

Question 32

downward arrow technique (Burns)

Answer 32

highly recommend to understand what client is truly upset about/ make client aware of the issue real issue=core belief

Question 33

telelogical approach

Answer 33

future oriented