Final Flashcards
(48 cards)
Characteristics of psychotherapy
- interactions between a licensed professional that helps client with problems that may be related to disorders of thinking, emotional suffering, or problems of behavior.
- modes of treatment: individual, couples, group, family
- doesn’t include help lines, self help groups
Trans-theoretical model of change (know the stages of change)
- precontemplation: no intent to change
- contemplation: intent to change in the foreseeable future
- preparation: intent to change in the immediate future(i.e. next month)
- action: made specific changes in their lifestyles within the past six months
- maintenance: working to prevent relapse.
Motivational Interviewing
- Strategies to help at different stages of change
- used to reduce resistance and promote change behaviors
- Asking Permission – “Do you mind if we talk about your smoking?
- Eliciting Change Talk – “What would you like to see different about your current situation?”
- Explore Importance - “Why did you say taking your medication is an 8 out of 10 and not a 5?”
- Affirmations – “You showed a lot of strength to stick with your plan.”
Common factors among psychotherapies
- all psychotherapy techniques are rooted in a theory of motivation and change
- licensed professional
- therapeutic relationship
- ritual space
What is a theoretical orientation, and why is it important to have one?
- a conceptual framework used by a counselor to understand client therapeutic needs
- helps a client because each one is different and a framework may work better for one individual compared to another
Dodo bird hypothesis
- common factors support the general effectiveness of most “bona fide” treatments(basically that all approaches produce similar affects)
- however very controversial because research has showed that some treatments are more effective in treating specific disorders
- also some treatments are harmful
Transference
- when client transfers information about their relationships to clinician and they start talking about it.
- reliving old relationships and transferring that onto the therapist.
classical conditioning
Classical: Pavlov-pairing stimuli and making associations
○ Ex paired bell with food.food causes salivation Once paired these two, the bell will also cause salivation.
○ Relates to anxiety because people will pair something with fear which causes anxiety
- ex little albert
-Emotional reactions can be trained through classical conditioning
-This relates to Anxiety and avoidance towards fear
-Video of baby and furry animals
-Would bang a loud noise above child head so now paired every time they see a fury animal
-Only rang bell for the rabbit
-But there was still a fear of response on the other animals
Dog, bunny, monkey
Operant Conditioning
-B.F. Skinner
-We learn based on the consequences of our behavior (behavior is controlled by consequences)
-Reinforcement: Consequences that lead to an increase in behavior
-Punishment: Consequences that lead to a decrease in behavior
behavior is controlled by consequences followed by reinforce frequency will increase punisher will decrease
What makes reinforcers effective?
-Immediate
-Contingent
-Tailored to the individual
-Powerful enough to motivate
-Shaping:
Reward successive approximations to desired behavior
Can be used to teach complex behavior
Potential negative effects of using punishment
- Can lead to negative emotional responses and aggression
- Use of punishment may reinforce the person providing the punishment
- Teaches what not to do rather than what the individual should do
- Models undesirable behavior
Behavioral techniques (Exposure therapy, shaping, behavior activation)
*Exposure Therapy:
-Based on classical conditioning
*Systematic desensitization:
-Using progressive steps
-Exposing from less to more instances and have to sit through it in a step like manner
This helps unpair the anxiety stimulus
*Exposure:
-Feared stimulus is not associated with the worst case scenario
-Anxiety will reduce (or can be tolerated)
-Gain a sense of mastery
*Flooding:
-is throwing the person in the situation they are scared of.
-May be rather traumatic
-ex throwing someone who is scared of dogs into a dog park
-Flooding has high rates of dropout
*shaping:
-reward successive approximations to desired behavior
-can be used to teach complex behaviors
*Behavior Activation
-Depression related to:
Lack of environmental reinforcement
-Increase previously enjoyable activities
Pivotal Response Treatment (Identify components of PRT)
- Utilizing client choice:
- use client-preferred materials, topics, and toys
- loosely structured sessions
- follow client’s lead during interactions - Presenting a balance of easy and difficult tasks:
- intersperse numerous, previously learned tasks with occasional new skills the client has not already learned
- allows opportunities for client to experience success
- decreases exposure to failure - using immediate and natural reinforcers:
- use rewards that are directly and functionally related to the task, - Reinforce attempts:
- if trying is reinforced, we will get more trying in the future
- decreases frustration on the part of the client
- helps client to understand that their behavior control their environment
ABC model in cognitive therapy
- Antecedent: something that happens in our environment. Ex. Imagine coming home and front door is open.
- Belief: background, what are my schemas about the world? Also includes what emotions may be there Ex. If I have the belief that the world is a scary place, or I live in an unsafe place, reaction would be to run out of my house. Emotions could be fear, feeling cautious about going in. another belief could be that I forgot to lock the door, or maybe a family member left the door open.
- consequences: reaction to door being open, ex run away
Cognitive distortions, core beliefs, and automatic thoughts
*All or nothing thinking:
-Sometimes called black and white thinking
-If I’m not perfect I have failed
-Either I do it right or not at all
*Mental Filter:
-Only paying attention to certain types of evidence
-Noticing our failures but not seeing our successes
-Negativity environment imposed to the positive seeing our failures not the accomplishments
*Jumping to conclusions
There are two key types of jumping to conclusions:
-Mind reading:
Imagining we know what others are thinking
-Fortune telling:
Predicting the future
*Magnification (catastrophizing) and minimizing:
-Blowing things out of proportion catastrophizing or inappropriately shrinking something to make it seem less important
Automatic thought record
- Situation: recall the problematic situation ex I waved at my friend on the street but he did not wave back when he saw me wave
- Automatic Negative thought: the first negative reaction to the situation ex why did he ignore me? He must be mad at me
- emotion: how were you feeling? How intense was each emotion ? scale 1-10 ex angry -9 sad-9 confused-10
- challenge automatic negative thought: what do you know about yourself and the situation that could challenge the automatic negative thought? Ex this is a busy street he may have not realized it was me
- new balanced thought: the more balanced thought after the challenging automatic negative thought ex he and I have been friends for some time now its not like him to ignore me, there must be a reasonable explaination
- emotion: how instense are the previously stated emotion? What new emotions are you feeling? Ex angry-5 sad-3 confused-7
SMART goals
S-specific M-Measurable A-achievable R-realistic T-time sensitive
Genograms
family tree, used to understand different relationships in the family
The identified patient
-Individual’s functioning is a manifestation of the way the family functions
advantages of group therapy
- advantages:
- provide social atmosphere that mirrors the real world
- cost effective
- normalizing
- accountability
- members provide and receive support and challenges that help to facilitate growth
- diversity of perspectives
disadvantages of group therapy
- confidentiality
- less control for the therapist
- excludes certain individuals ex social phobia
- personality clashing
- less individual attention
- harder to build trust and safety
types of group therapy
- support/process
- psychoeducational/skills training. ex:anger management, mindfulness, social skills, dialectical behavior therapy skills
- expressive: art/dance/music therapy
Yalom’s group therapeutic factors
-Universality: Normalizing other people facing experience that are universal human concern.Being achieved in the group project
-Altruism: The members can help each other. Lift self-esteem.Problem solving
-Instillation of hope:Having others achieve and actually make changes in their life provides hope to other members that they can also change.
-Imparting information: Help provide services.Provide pragmatic information
-Corrective emotional experience: Group can take the same role as family and correct experience process on transcript corrective feedback individual can identify their own pattern by working with the group.
-Cohesiveness: Togetherness/closeness
Need to belong for individuals
-Development of socializing techniques: Developing new ways to interact with the world
-Imitative:Group members can model these behaviors
Also serve as a negative model
Ppl engaging maladaptive coping responses
Ex drugs cutting
-Existential factors:Taking responsibility in one’s own action
Provide support and expectation in the group context
-Catharsis:Being to share story emotion,
Leading to relief
-Interpersonal learning:
Learning from modeling
-Self-understanding:
being able to understand through the group connect from mirroring group content
Couples therapy principles
-Alter the view of the relationship:
Objective and shared view rather than one-sided and blaming
-Modify dysfunctional interactional behavior:
Help to develop new, positive methods of interaction
-Eliciting avoided private behaviors: Having clients express emotion during session
-Improving communication:Developing communication that is not abusive or ridiculing
-Promote strengths:
Build resilience and increase enjoyment