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Clinical Interviewing Final > Final > Flashcards

Final Flashcards

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1
Q

what are the 3 stages of the transtheoretical model?

A

exploration, insight, action

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2
Q

exploration stage

A

goal: facilitate clients in talking about their thoughts and feelings related to their concerns

provides an opportunity for helpers to learn more about their clients

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3
Q

insight stage

A

goal: foster awareness and facilitate insight into reasons for thoughts, feelings, and behaviors

allows helpers and clients to construct meaning together

action stage

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4
Q

what are the three components of evidence-based practice?

A

client characteristics, therapist and relationship, and data

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5
Q

what is Prochaska’s model of change?

A

precontemplation, contemplation, preparation, action, maintenance

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6
Q

pre-contemplation stage of change

A

unaware/no desire to change; lack info about their problems, engage in denial, blame others

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7
Q

contemplation stage of change

A

aware of and accepting responsibility for problem, begin thinking about changing but have not actively decided to change (usually due to fear of failure)

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8
Q

preparation stage of change

A

commitment to change is made, preparing to begin change process (prepare mentally, public announcement)

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9
Q

action stage of change

A

actively modify behavior and surroundings

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10
Q

maintenance stage of change

A

have changed, trying to consolidate changes and deal with lapses

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11
Q

6 common factors across psychotherapies

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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12
Q

facilitative aspects of helping

A

healthy, nondamaging, intimate relationship

support and relief

insight and understanding self in a new way

teach new life skills

making decisions about life direction

offer feedback about how they are perceived by others

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13
Q

problematic aspects of helping

A

providing just enough relief to enable someone to stay in maladaptive situations

creating dependency on helpers

imposing personal/societal values on clients

cost/time

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14
Q

ethical principles: guidelines that help people make fair and just decisions, and encourage good behavior

A

autonomy (right to make choices), beneficence (obligation to act for the benefit of others), nonmaleficence (do no harm), justice (treated fairly), fidelity (keep your word), veracity (honest)

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15
Q

what is the best predictor of treatment outcome?

A

therapeutic relationship

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16
Q

three parts of the therapeutic relationship

A
  1. real relationship
  2. working alliance
  3. transference/countertransference
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17
Q

aspects of the working alliance

A

bond, agreement on goals, agreement on tasks

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18
Q

outcome conceptualization (3)

A

remoralization: enhancement of well-being

remediation: achievement of symptom relief

rehabilitation: reduction of maladaptive behaviors

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19
Q

conceptualization of self-awareness

A

stable characteristic (self knowledge or self-insight)

state of heightened self-focus (sensitivity in the here and now)

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20
Q

bracketing

A

bracket or set aside personal events to focus on the client

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21
Q

structure of a clinical interview (Ivey)

A

relationship: establish rapport and make a connection

story and strengths: explore strengths and personal narrative

goals: identifying and formulating goals

restory: reformulating client narratives in more positive frame

action: helping clients take action to make life changes

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22
Q

structure of a clinical interview (Shea)

A
  1. introduction
  2. opening
  3. body
  4. closing
  5. termination
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23
Q

ADDRESSING model

Study These Flashcards
A

assessment tool for diversity

Age and generational influences

Developmental disabilities

Disabilities acquired later in life

Religion and spiritual orientation

Ethnic and racial identity

Socioeconomic status

Sexual orientation

Indigenous heritage

National origin

Gender

24
Q

cultural compentence

Study These Flashcards
A

reflect on problematic unconscious beliefs and attitudes toward culture groups

25
enculturation vs. acculturation
enculturation: retaining norms of one's indigenous culture acculturation: adapting norms of dominant culture
26
cultural humility
commitment to humility as one continually engages in self-reflection and self-critique
27
critical consciousness
when one recognizes social, political, and economic inequities in society and acts to dismantle systemic oppression
28
Roger's client centered theory
emphasis on the experiences, feelings, values, and inner life of the person basic motivational force = tendency toward self-actualization each person has an innate blueprint that can be developed people are resilient
29
Roger's theory of personality development
organismic valuing process: internal guide everyone has at birth to evaluate an experience unconditional positive regard conditions of worth
30
reintegration
reduce COWs increasing positive self regard person must allow experience to occur and accurately perceive the event
31
necessary and sufficient conditions (Rogers)
1. client and helper must be in psychological contact 2. client must be in state of incongruence 3. helper must be congruent or integrated in the relationship 4. helper must feel unconditional positive regard for the client 5. helper must experience empathy for the client 6. client must experience helper's congruence, unconditional positive regard, and empathy
32
3 basic objectives of an intake interview
identifying, evaluating, and exploring chief complaint and associated goals (the problem) obtaining data relating to interpersonal style/skills and personal history (the person) evaluating the client's current life situation and functioning
33
rationale for exploring feelings
affect labeling helps diminish negative emotional experiences can help clients become open to new feelings and experiences
34
intellectual vs. emotional insight
intellectual: objective explanation for a problem emotional: connects affect to intellect and creates a sense of personal involvement and responsibility insight should be both to be effective
35
markers of readiness for insight
clear statement of awareness of problem statement of a lack of understanding stated eagerness/willingness to understand high level of affective distress as a pressure to resolve the problem
36
markers indicating a lack of readiness for insight
telling a story in a nonreflective manner asking for advice blaming others for problems
37
challenges
point out maladaptive thoughts, feelings, or behaviors goal: raise awareness and leads client to understand themselves at a deeper level and become aware of defenses
38
markers of readiness for awareness
ambivalence, contradictions, discrepancies, confusion, feeling stuck, unable to make a decision
39
types of challenges
challenges of discrepancies, two chair work, humor, silence
40
immediacy
inquiring about the client's feelings regarding the therapeutic relationship or disclosing how they are feeling about the client, the self in relation to the client, or the therapeutic relationship used to monitor and understand more about how clients come across in relationship
41
metacommunication
relates to helper's immediate experience of the relationship with the client
42
markers of readiness for immediacy
client seems distraught, particularly quiet, unusually talkative, hostile client mentions references to other people that might be a reference to you might directly confront you
43
case conceptualization
sources of problems patterns defenses transference/countertransference
44
implementing insight stage skills
1. set the stage 2. conceptualize the client 3. engage in collab to facilitate insight 4. return to exploration and follow up 5. ask client for current understanding
45
types of ruptures
withdrawal and confrontation
46
rupture resolution training 4 stages
1. therapist becomes aware of the behavior associated with the rupture 2. therapist initiates collab exploration of the rupture experience 3. therapist helps patient to overcome avoidance of addressing feelings or response to rupture 4. exploration of the emergence of patient's underlying wish or need revealed the coursed of working through the rupture
47
IS PATH WARM
Ideation Substance Use Purposelessness Anxiety Trapped Hopelessness Withdrawal Anger Recklessness Mood Change
48
deterrents to actions
feeling stuck, understanding the situation incompletely or only at an intellectual level, do not take personal responsibility, might not necessary skills to take the next step, lack motivation to change, might have limited talents or resources
49
markers for action
has gained insight, presents a specific problem and wants relief from it, in crisis and needs to make immediate changes, stuck in insight and not making changes
50
action stage skills
open questions/probes for action information feedback process advisement direct guidance disclosure of strategies
51
process advisement vs. direct guidance
process advisement: direct clients to do things within helping sessions direct guidance: making suggestions, giving directives, or providing advice for things to do outside of helping sessions
52
in evaluating research on specific interventions, the APA identifies two dimensions:
treatment efficacy clinical utility
53
evidence based therapy relationship factors - what works?
therapeutic alliance (most important) client feedback goal consensus
54
case conceptualization in the action stage
observations relationship conceptualization treatment plan
55
3 main steps to effective termination
looking back looking forward saying goodbye
56
client conceptualization
what's happening to maintain the thoughts and behaviors 4 action tasks: relaxation, behavior change, behavioral rehearsal, and decision making hypothesize about what gets in the way of the client making changes and what facilitates changing
57
client diversity tells us:
relationship with self relationship with others how they navigate the world

Clinical Interviewing Final (1 decks)

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