Helping Relationships Flashcards
(285 cards)
1
Q
Founder of Analytic Psychotherapy
A
Jung
2
Q
Individual (Adlerian) Psychology
A
Alfred Adler
3
Q
Neo Freudians
A
Eric Fromm, Karen Horney, Harry Stack Sullivan
4
Q
Integrative Psychotherapy
A
Uses related therapy eg Gestalt or Object therapies
5
Q
Psychodynamic Psychcotherapies
A
psychoanalysis Jung analytic psychotherapy Individual (Adlerian) psychology The Neo-Freudian Integrative psychotherapy
6
Q
Phenomenological/humanistic approaches
A
Client centered Gestalt Transactional analysis Reality Therapy Existential Therapy Multimodal Therapy Narrative Therapy
7
Q
Client-centered therapy
A
Carl Rogers
8
Q
Gestalt
A
Fredrick Perls
9
Q
Transactional analysis
A
Eric Berne
10
Q
Reality Therapy
A
Glasser
11
Q
Existential Therapy
A
Rollo May
12
Q
Multimodal Therapy
A
Arnold Lazarus
13
Q
Narrative Therapy
A
Payne
14
Q
Cognitive-Behavior Therapy
A
Behavior Therapy
Rational Emotive Behavior Therapy
Becks Cognitive (AKA Cognitive Restructuring)
Self-Control Procedures
15
Q
Behavior Therapy
A
Not a single approach to therapy a collections of therapies used to decrease maladaptive behavior
16
Q
Rational Emotive Behavior Therapy
REBT
A
Albert Ellis
17
Q
Becks Cognitive (AKA Cognitive Restructuring)
A
Aaron Beck
18
Q
Self-Control Procedures
A
Variety of techniques which share the characteristic of being administered increasing desired behavior
19
Q
Neurolinguistic Programing
A
Richard Bandler & John Grinder
20
Q
Problem-Solving Framework
3 Stages
A
Stage One: Clarification
Stage Two: Goal Setting
Stage Three: Experiential Exercise of Insight and Helping Clients Identify Possiblities
21
Q
Family Therapy
A
Built on general system theories. Delineates interrelatedness of family members.
22
Q
Psychodynamic Family Therapy
A
Views individual functioning as a reflection of constant interactions between the individual, his family and society.
23
Q
Psychodynamic Family Therapy
Ackermans Approach
A
Homeostasis is dynamic
Regards social roles as semipremeable membranes- allows interaction both ways.
Roles must be complimentary.
Conflict eventual effects the entire family
24
Q
Communication/Interaction Family Therapy
A
Gregory Bateson Don Jackson Virginia Satir Jules Riskin Jay Haley John Weakland Paul Watzlakick
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Extended Family System
Implies extended family system beyond nuclear for intellectually and emotional functioning
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Structural Family Therapy
Salvador
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Founder of Psychoanalysis
Sigmund Freud
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Structured Family Therapy
Salvador Minuchin
29
Structured Family Therapy
| Approach
Here and now directive and concrete
30
Strategic Family Therapy
Jay Haley
31
Strategic Family Therapy
| Approach
Use of unconventional hypnotic techniques. To manipulate clients and manipulate and control the course of therapy.
32
Contextual Therapy
Ivan Boszormenyi-Nagy
33
Contextual Therapy
| Approach
Ethical elements of family development and behavior
34
Effective Therapist Communication
Methods of responding to clients increases exploration, understanding and problem solving- goals whatever therapist primary approach
35
Effective Therapist Communication
| Common Reflection Errors
Timing error
Stereotyping error
Depth error
Language error
36
Community Mental Health Interventions distinguished by
| Characteristics
Emphasizes role of social and environment
Belief in system orientation
Prevention rather than treatment
Community involvement
Reliance on ecological research, epidemiology and program eval
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Community Mental Health
| Stages
Primary
Secondary
Tertiary
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Community Mental Health Stages
| Primary Prevention
Reduce incidence eg prenatal nutrition (SES)
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Community Mental Health Stages
| Secondary Prevention
Early detection
| eg training teachers to recognize the early stages of behavior disorder
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Community Mental Health Stages
| Tertiary Prevention
Reduce duration (rehab program)
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Community Mental Health
| Prevention Substance Use
Universal prevention
Selective prevention
Indicated prevention
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Community Mental Health
Prevention Substance Use
Universal prevention
Prevent or delay use of alcohol
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Community Mental Health
Prevention Substance Use
Selective prevention
Focus on answers who have an above average risk
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Community Mental Health
Prevention Substance Use
Indicated prevention
Identifying individuals who are exhibiting early signs of alcohol and drug use
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Community Mental Health Techniques
Consulting
Use of Paraprofessionals
Deinstitutionalization
Mental Health Educatiob
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Crisis Intervention
| Definition
Cannot cope with regular problem solving methods
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Crisis Intervention
| Types of Crises
Situational
| Maturational
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Stages of Crises
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Hazardous events
Vulnerable state
Precipitating factors
Active Crisis State
Reintegration
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49
Legal and Ethical Issues in Crisis
Confidentiality
Involuntary commitment
Informed consent
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Suicide Assessment
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Intention
History
Demographic factors
Diagnosis
Behavior
Antecedent Events
Physical Conditions
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51
Administrative Models
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Scientific Management
Classic Organizational Theory
Human Relations Movements
Administrative Management Model
Systems Model
Decision Making Model
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Administrative Models
| Scientific Management Taylor's beliefs
Taylor believed management included scientifically 1) analyze jobs 2) selecting training and placing 3) foster cooperation.
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Administrative Models
Scientific Management
Economic Self interest
Money most effective motivator
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Administrative Models
Scientific Management
Formal Organization
Efficiency and productivity is emphasized
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Administrative Models
Scientific Management
Classic Organizational Theory
Human Relations Movements
Administrative Management Model
Systems Model
Decision Making Model
```
Economic self interest
| Formal organization
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Administrative Models
| Classic Organizational Theory
Structure of organization emphasis on structure
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Classical organizational theory
| Bureaucracy
Max Weber, structure of the organization delegation of authority
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Human Relations Movement who and how
Elton Mays research conducted at Western Electric Company's Hawthorne Plant
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Human Relations Movement
| Hawthorn Effect
Performance can be altered by the way they are treated
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Human Relations Movement
| Informal Work Group Norms
Have significant impact on worker productivity. Producing above or below the norm caused social pressure to conform.
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Administrative Models
Administrative Management Model
Create by
Philip Selznick
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Administrative Models
Administrative Management Model
Theory
Believe that bureaucracies are changing due to interactions. Have become too big need to rely on chain of command in order to work on track and in harmony.
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Administrative
Systems Model
Believe
Bureaucracies constantly change due to events inside and outside. Struggle between needs of human and organization.
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Admin
| Systems model
Bureaucracies are a social systems with sub interrelated subsystems. Interest in how acquire energy and money.
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Admin
| decision making model
Satisficing through acceptability rather than optimization
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Criteria for Program Evaluations
| Who
Gilbert & Specht
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Criteria for Program Evaluations
| What
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Effort
Impact
effectiveness
efficiency
quality
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Blooms 4 steps evaluation research
Specify objective
Define relevant parameters
Specifying techniques and procedure
Collecting relevant data
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Program Evaluation Process according to Tripod, Fellin and Meyer
Stage 1 initial planning
Stage 2 Select and implement a research design AB OR ABAB
Stage 3 Report and Implement Evaluation Results
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Cognitive Ability Test
Consistently the highest predictors of job performance
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Personality Tests
Considered poor predictors of job performance useful measure specific characteristics linked to demands of job
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Interest Test
Assumes Applicants whose interest coincide with job makes them successful
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Biodata (Biographical Data)
Best predictor of future behavior is past behavior. Cannot ask question not related about the job- must be job related same questions of each applicant
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Interviews
Lower level of reliability and validity than many other
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Contrast Effect
Interviewers Assesment of applicant is influenced by impressions of previous applicants. Most useful in assessing info relating to work motivation
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Letters of Reccomendations
Useful to select higher staff
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Civil Rights
Equal opportunity Commission can only ask questions job related
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BFOQ
Bonafide occupational question - necessary for the job
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Training
Cannot substitute for poor selection procedures
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Objective Measures
Measure job performance quantitatively
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Subjective Measures
Reflect judgement of the rater
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Leniency/strictness bias
Occurs when a rater tends to avoid the middle range of rating scale rates either high or low
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Central tendency
Uses only middle range of the rating scale
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Halo Effect
Raters eval on one aspect of the job rather positive or negative
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Supervision
Improve quality
| Maintain counsellors ability to cope with their work
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Supervisors functions
Administration-provide structure
Education-achieve their objective
Supportive- proved psychological and interpersonal resources
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Supervision vs Consultation
Supervision = educational, supportive, administrative
Consultation = educational and; problem solving
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Clinical Audit
Jones & Cawthorn
89
clinical audit: the process
Stage one prepare - methodology and protect management
Stage two select criteria and standards - structure, process, outcome
Stage three- Measuring performance
Stage four Making improvement - make an agreement
Stage five - repeat audit to see improvement
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ID
Present at birth consists of the individuals unconscious instincts
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Ego
Developed at about six months in response to the ids nability to gratify all its needs
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Anxiety according to Freud
A conflict between the examples in the demand of either reality or the super ego
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Repression
Materials in the preconscious is accessible to the conscious but the materials in the unconscious is not repression occurs as a defense mechanism
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Fixation
According to Freud a particular developmental stage that the person remain stuck in or fixated and
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Regression
Retreats into an earlier say for stage of development according to Freud
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Introjection
Freud's process of assimilation
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Protraction
Attributing one's own unacceptable instinctual needs to another person
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Reaction formation
Defense mechanism a person avoids and anxiety evoking instinct according to Freud
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Rationalization
According to Freud a defense mechanism explaining ones unacceptable behaviors in a way which makes them appear rational
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Displacement
Transfer of instinctual drives from its original target to illustrate and target
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Sublimation
Unacceptable impulses is diverted into a socially acceptable even at buyable activity
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Freudian therapeutic goals
Alleviate pathology cold symptoms by making the unconscious conscious and re-integrating previously repressed material into the total personality structure
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Freudian therapeutic techniques
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Free association
Dream analysis
Resistance
Transference
Countertransference
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Free association
The foundamental a rule of cycle analysis requires a client to say whatever comes to mind without censure
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Dream analysis
Freud you dreams as the royal road to the end conscience and use dream analysis to help uncover conflicts and motives
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Resistance
The client begins to be aware of previous unconscious material may resist for the confrontation with the material to avoid anxiety
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Transference
Projection onto the therapist feelings he or she originally had for a parent or significant person in the past
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Countertransference
Therapist inappropriate emotional reaction to the client
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Jung therapeutic goals
To help the individual move toward individuation and self-realization
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Jung techniques
Word association test
Analysis of dreams
Symptom analysis
Life history
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Jung Word association test
Identify complexes that might have control over the personality
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Jung Analysis of dreams
Used to uncover on conscience element of the personality
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Jung Symptom analysis
Focuses on expressed symptoms and the clients free association on those symptoms
114
Jung Life history
Extensive life history was developed to define developmental patterns which may have contributed to the individuals current neurotic behavior
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Individual at Aldlerian psychology
| Therapeutic goals
To help the client replace any steak and life with a healthier life style more adaptive one
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Adler therapeutic techniques
```
Lifestyle investigation
Study of dreams
Interpretation of resistance and transference
Role-playing
Giving encouragement and advice
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Neo Freudians therapeutic goals
According to Sullivan one achieves mental health to the extent that one becomes aware of one's personal relationships
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Integrative psychology
Highlights the value inherent in each individual human being
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Integrative psychology
| Therapeutic goal
Do you Role of integrating the personality integrating the psych cold therapy has several related objectivitydefense mechanisms are discouraged and there are encouraged to engage and interact with people in the world around him
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Client centered therapy Carl Rogers
Based on the assumption that all people have an innate self-actualization tendency
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Client centered therapy Carl Rogers
| Therapeutic goals
Primary goal of client centered therapy is to help the client to congruence between self and experience
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Client centered therapy techniques
Unconditional positive regard
Accurate empathetic understanding
Genuineness congruence
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Gestalt therapy Frederick pearls
Assumes that each individual is capable of sending responsibility you personally and living fully and as an integrated person
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Gestalt therapy
The self is created part of the personality which promotes the individuals inherited tendency for self actualization
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Gestalt therapeutic goals
Help a client achievement maturity
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Gestalt therapeutic techniques
Awareness of the here and now thoughts
Direct awareness to encourage clients to stay in here and now
Using island which assumes responsibility for their actions
No questions due to the believe the intelligence is masking in the true feelings
Assuming responsibility are asked to add the phrase and I take responsibility for it
Games of dialogue use of role-playing psychodrama to help clients express her feelings
Dream work parts of the self that are not fully excepted
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Transactional analysis Eric Berne personality theory
Life position ego states and Scripts are all affected by the childrearing practices of the individual parents
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Transactional analysis Eric Berne
| Life's positions
1) I'm okay, you're okay
2) I'm okay you're not okay
3) i'm not okay you're okay
4) i'm not okay you're not okay
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Transactional analysis Eric Berne
| Therapeutic goals
Transactional analysis emphasize the role of childhood experience on the personality development it also proposes that children are not entirely bound by the past
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Transactional analysis Eric Berne
| Therapeutic techniques
Structure analysis
| Transactional analysis
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TA Structure analysis
Client is familiarized with the concepts of TA and given permission to express all three Ego
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TA Transactional analysis
Whatever happens between people involves a transaction between ego states
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Complementary transaction
Sent from a particular ego state of one person evokes a response from the appropriate Ego state of the other person
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Crossed transaction
Occurs when a communication receives a response from and or to an inappropriate ego state
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Ulterior transactions
Involves two ego states with two different messages
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Game analysis
Games are repetitive old cheerier transactions help people avoid getting closer to each other
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Script analysis
The Clients current script is defined often with the aid of a script checker helped client develop autonomous scriptless behavior
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Reality therapy by Glassner
Regards the need for identity as a universal psychological need
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Success identities
Sees them selves as competent and capable worthwhile and loved
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failure identities
Feel helpless hopeless unworthy and unloved
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reality therapy's therapeutic goals
Help the client become responsible and there by develops successful identity
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Reality therapy's therapeutic techniques
Rejects the concept of mental illness
Focuses on present behavior rather than past behavior attitudes
Use transference as detrimental to therapy progress and encourages clients to relate realistically to the therapist
Stresses conscience rather than unconscious process
Emphasizes value judgments especially the clients ability to judge what is right or wrong in his daily life
Seeks to teach client specific behaviors that will enable them to for fill their basic needs
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Existental therapy Rollo May
| Personality theory
Approach to philosophy which emphasizes the human subject
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Therapeutic goal of existential therapy
Achieve an authentic existence
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Multimodal therapy Arnold Lazarus
Personality is divided into seven major areas of functioning called BASIC ID
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BASIC ID
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Behavior
Affective response
Sensations
Images
Cognitions
Interpersonal relationships
Drugs
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Multimodal therapy Arnold Lazarus
| Therapeutic goal
Identification of specific problems and areas where improvement in the client is the need for more disturbed clients according to Corsini and Wedding use of the modiolus therapy they focus on actualization and self-determination rather than pathology
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Therapeutic techniques in multimodal therapy
Conflicting or ambivalent feelings the client may have
Maladaptive behaviors of the client
Miss information provided by the client
The interpersonal pressure and demands the client is experience
External stressors outside the clients immediate personal network
Severe to medic experience suffered by the client
Biological dysfunction experience by the client
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Narrative therapy
Assume that a person's identity is shaped by the accounting of their life story in the form of the narrative
150
Narrative therapy's therapeutic goals
Help a person re-author or restore his or her life narative
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Counterconditioning
Is based on the premise that a maladaptive response can be reduced or illuminated by the SW spent of another unusually incompatible response
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Joseph Wolps technique a reciprocal inhibition
Claimed could be used to illuminate the specific maladaptive responses of anxiety
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Classical conditioning
| Systematic desensitization
Competently used to treat phobias but has been found effective for the treatment of recurring nightmares insomnia chronic alcoholism and interpersonal problems involving fears such as fear of rejection and intimacy
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Classic conditioning
| Aversive counterconditioning
An unconditional stimulus which produces a noxious response is repeatedly paired with an undesirable behavior such parent even Schlie leads to a conditioned response of avoidance or a version
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Classical conditioning
| Assertiveness training
Maladaptive responses are replaced with incompatible self assertive responses
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Classic conditioning operant conditioning
BFF Skinner
156
Positive reinforcement
| Classic conditioning
Situation in which an infant cries when he or she is hungry because in the past he's crying has been positively reinforced with food
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Shaping
| Classic conditioning
Reinforcing successive approximations to the desired response
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Token economy
| Classic conditioning
Involves double shooting an environment in which appropriate desirable behaviors are consistently reinforced by a conditioned reinforceror
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Time out
| Classic conditioning
Is a procedure in which access to various forms of reinforcement are removed for a specific period of time when a person has performed an undesirable behavior
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Extinction
| Classic conditioning
Reinforcement for behavior is discontinued the right of that behavior decreases eventually ceases
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PreMack principle
| Classic conditioning
A high probability behavior is used to reinforce a low probability behavior to increase the frequency
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Contingency contract
| Classic conditioning
Formal written agreement between two or more people clearly defined behavior to be modified and the consequences
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Flooding implosive therapy theory
Person develops and Zaidi reaction to a neutral stimulus as a result of both classical and operant conditioning
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Flooding
Client is exposed to a high anxiety arousing stimulus for a prolonged period of time usually 30 to 60 minutes
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Implosive therapy
Always conducted in imagination and involves presenting the feared stimulus vividly enough so as to arouse a high level of anxiety
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Rational emotive behavior therapy
Brief therapy used with individuals couples groups and families idea is the primary cause of neurosis is a continual repetition of certain, and irrational ideas
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REBT
| Irrational belief system Self-defeating components
Demands
Awfulizing
Low frustration tolerance
People rating
168
REBT
| Therapeutic goals
Dysfunctional behaviors are the result of rational thoughts and beliefs goal is to replace individual irrational thoughts ideas and verbalizations with rational healthy ones
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REBT
| Therapeutic techniques
AB and C
A is the external event
B is the thought and
C is the response or emotion
Major assumption an emotional behavior is the response to external events dude thoughts and beliefs about the events rather than the event itself
D and E forceful disputing therapist points out rationally help client learn how to dispute
170
Becks cognitive therapy
Emotional disorder results from irrational thoughts about oneself and external world
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Becks cognitive therapy
| Therapeutic goal
Help client become aware of his or her logical errors and irrational automatic thinking
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Self control procedures
Include self-monitoring self- stimulus control self reinforcement and self punishment
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Becks cognitive therapy
| Therapeutic technique
Keeping a daily log of dysfunctional automatic thoughts
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Stimulus control
Behavior is often under stimulus control
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Self reinforcement and punishment
Training client to stop administer the consequences following target behavior so that the behavior can become modified
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Neurolinguistic programming
Consists of three components
Nero referring to process of information through five senses
Linguistics meaning the way verbal and nonverbal communications Programming or the ability to organize neurolinguistics of systems to accomplish specific therapy goals
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Neurolinguistic programming
| Client looked up or down when speaking
Incongruency's in communication behavior of the therapist and client
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Neurolinguistic programming
| Determine clients preferred sensory mode by speech
Visual mode I see
Auditory more I hear you can
Kinesthetic mode feeling pressure
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Ludwig Von Bertalanffy
General systems theory
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General systems theory
Family as an Open versus closed system
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General systems theory
| Concepts
HomeostasisThe tendency for family to act in ways which maintain the families equilibrium
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George Bateson
Cybernetics
183
Cybernetics
Feedback loops
negative feedback reduces deviation
positive feedback amplifies deviation and disrupt system
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Application of family therapy
| Generally preferred
When individual therapy has been ineffective
| Improvement in one family member is likely to cause distress family is making One member a scapegoat for sure a problem
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Application of family therapy
| Not appropriate
Key family members are unavailable or unwilling to participate
One family member so severely disturbed behavior makes family treatment possible
One members disturbance is related to issues outside the home
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Formats of family therapy
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Conjoint therapy
Concurrent family therapy
Collaborate family therapy
Network family therapy
Multiple couple or family therapy
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187
Nathan Ackerman
Psychodynamic family therapy
188
Psychodynamic family therapy
| Assumptions
Use individual functioning as a reflection of constant interactions between the individual and his family and society
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Psychodynamic family therapy
| Homeostasis
Is dynamic rather than static used to all the family system to adopt in a controlled way to change
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Psychodynamic family therapy
| Social roles
Bridge between the processes of intrapsychic life and those of social participants
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Psychodynamic family therapy
| Roll complementarity
Mutual support dependence and intimacy among family members allow family members to accommodate to new experience
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Psychodynamic family therapy
| Conflict
Can occur within an individual or between family members affects the entire system
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Psychodynamic family therapy
| Therapeutical goals
Create a new way of living helping family members adopt social roles sufficiently flexible to permit roll complementarity
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Psychodynamic family therapy
| Therapeutic techniques
Therapist must act as catalysts for shaking up pre-existing pathogenic relationships and alignments to open the family for a healthier family bond
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```
Gregory Bateson
Don Jackson
Virginia Satir
Jules Riskin
Jay Hayley
Johan Weakland
Paul Watzlakick
```
Communication/Interaction family therapy
196
Communication/Interaction family therapy
| Assumptions
Behavior is communicative people are always communicating all communication has a both report function and command function problem arise when report and command functions are contradictory
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Communication/Interaction family therapy
| Family rules
Not explicitly defined used to maintain family homeostasis
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Communication/Interaction family therapy
| Communication patterns
Symmetrical communications reflect the quality
| Complementary communications reflect inequality
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Communication/Interaction family therapy
| Principle of equafinality
No matter where in a system change occurs the result will always be the same
200
Communication/Interaction family therapy
| Circular model of causality
```
Blaming and criticizing
Mind reading
Incomplete sentences
Statements which imply that events are on unalterable
Overgeneralization
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Communication/Interaction family therapy
| Therapeutic technique
Point out family members problematic interactions
Teaching family members the rules of clear communication
Interpreting interactional patterns
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Murray Bowen
| Bowenians
Extended family systems therapy
203
Extended family systems therapy
| Assumption
Extended family systems therapy extends General systems theory be on nuclear family
204
Extended family systems therapy
| Differentiation of self
A person's ability to separate his intellectual and emotional functioning
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Extended family systems therapy
| Emotional triangles
When in two-person system such as husband and wife experience instability a third person maybe recruited into the system to increase its stability
206
Extended family systems therapy
| Nuclear family emotional system
Emotional distance between spouses chronic over to marital conflict and psychological impairment a one or more of the family members are example of dysfunctional nuclear family emotional system
207
Extended family systems therapy
| Family projection process
Process by which parental conflict and emotional immaturity are transmitted to the children
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Extended family systems therapy
| Emotional cutoff
Dysfunctional methods used by children to free themselves from emotional ties to the family
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Extended family systems therapy
| Multi generational transmission process
Severe dysfunction is dude as a result of the transmission and escalation of family dysfunctional emotional system through several generations
210
Extended family systems therapy
| Sibling position
Oldest child usually expected to assume responsibilities for the younger child likely to choose a younger child for a spouse
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Extended family systems therapy
| Society emotional process
Emotional factors in society affect the emotional functioning of the family
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Extended family systems therapy
| Therapeutic goals
Increase the differentiation of all family members
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Extended family systems therapy
| Therapeutic techniques
Use of triangles therapist becomes the therapeutic triangle therapist remains objective in neutral
214
Extended family systems therapy
| Genogram
Assessment of an extended family usually includes the construction of the Gina Graham of the intergenerational emotional process
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Salvador Minuchin
Structural family therapy
216
Structural family therapy
| Underlying assumption
Using it here and now directive and concrete approach
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Structural family therapy
| Family system
Family is more than an individual bio psychodynamic of its members
218
Structural family therapy
| Family structure
Families are believed to have implicit structure determines how relate to one another
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Structural family therapy
| Subsystems
Members join to form subsystems on the basis of family function
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Structural family therapy
| Boundaries
Barriers or rules which determine the amount of contact allowed between family members
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Structural family therapy
| Disengaged
When boundaries are over rigid family members isolate from one another
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Structural family therapy
| Emeshed
One boundaries are to defuse family members are overly dependent and close
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Structural family therapy
| Maladaptive behavior
Results of an inflexible family structures
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Structural family therapy
| Therapeutic goals
Restructuring of the family relief of symptoms including techniques drawn from other forms of therapy
225
Structural family therapy
| Joining the family therapeutic technique
Therapist joins the family in position of leadership
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Structural family therapy
| Evaluating the family structure
Once therapist has joined the family he can evaluate the family structures including transactional patterns power hierarchy system is a boundaries
227
Structural family therapy
| Restructuring the family
Therapist restructure the family which may deliberately cause I'm going to the families homeostasis to facilitate transformation
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Jay Haley
Strategic family therapy
229
Strategic family therapy
| Assumptions
Combines communication interaction approach with Minuchins structured family therapy techniques used by Milton Erickson and effective therapist needs to be a strategist
230
Strategic family therapy
| Maladaptive behavior
How a person uses communication to increase his control the controlling of a relationship with all other strategies have failed pathological when one or both parties tonight his or her intent was to control
231
Strategic family therapy
| Therapeutic goal
Not understanding the source alleviating current symptoms through altering structure
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Strategic family therapy
| Therapeutic technique
Therapist assumes an active take charge roll shutter geez Taylor to family in particular problems designed to prevent the repetition of district to behaviors
233
Strategic family therapy
| Paradoxical interventions
Use a clients resistance in a constructive wayI resisting therapist directed client ends up abandoned his or her dysfunctional behavior
234
Ivan Bozormenyi-Nagy
Contextual therapy
235
Contextual therapy
| Underlying assumptions
Emphasizes the ethical elements of family development and behavior including trust and loyalty
236
Contextual therapy
| Do you have maladaptive behavior
Lack of consideration of ethical issues such as loyalty and trust
237
Contextual therapy
| Therapeutic goal
Restore the loyalty trust and ethics missing
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Contextual therapy
| Therapeutic techniques
Work through emotional conflicts and loyalty and trust issues that have been avoided developing a sense of fairness among family members
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Therapist responses
| Attending
Simply involves paying attention to the client sitting slightly forward and relaxed
240
Therapist responses
| Paraphrasing
A paraphrase is a restatement usually expressed in fewer words
241
Therapist responses
| Reflection
Restatement of the affective component of the clients message
How the client feels
242
Therapist responses
| Clarification
A response to a vague confusing message by the client
| could you describe what you mean
243
Therapist responses
| Leading
Invites are encouraged client to talk about some aspect of self our experience
please go on
244
Therapist responses
| Summarization
Ties together several ideas and feelings expressed by the client summarizing more than one element of the message and seems to be for referring to past messages as well
245
Therapist responses
| Support
Uses this respond to indicate she has heard the clientusually occur when a clients feelings of concern anxiety frustration or panic are intense
246
Therapist responses
| Approval
Statements which express agreement with the clients ideas
| Good you…
247
Therapist responses
| Confrontation
An honest or constructive reaction by therapist to an element of the clients behavior or situation
248
Therapist responses
| Interpretation
Presenting the clients a hypothesis about the cause and effect relationships or meanings among his or his behavior thoughts or feelings
249
Therapist responses
| Information
The therapist statement which provides information educating
250
Therapist responses
| Instruction
Instruction about appropriate behavior to find that helps clients learn appropriate behaviors
251
Therapist responses
| Assigning tasks and contracts
Involves assigning a performance to a clients outside the session task he or she has learned in therapy
252
Common Reflection errors
| Timing Error
Reflecting every statement
253
Common Reflection errors
| Stereotyping error
Begin every response in the same monotonous way
254
Common Reflection errors
| Depth error
Reading more or less into client statements than is there
255
Common Reflection errors
| Language error
Use language inappropriate to coach her education experience of client
256
Brammer
Common Reflection errors
257
Community Mental Health Techniques
| Consulting
Having a knowledgeable professional trainer advise counselor always problem focused and time-limited
258
Community Mental Health Techniques
| Use a paraprofessional
Use per professional to administer services example using college student volunteers a mental hospitals using inner-city residents in community recreation
259
Community Mental Health Techniques
| Disinstitutionalization
Community should be responsible for the mental health of it citizen halfway houses
260
Community Mental Health Techniques
| Mental health education
Educating the public regarding the nature of mental disorders
261
Stages of Crises
| Hazardous event
Stressful circumstances which disrupts and individuals equilibrium unanticipated
262
Stages of Crises
| Vulnerable state
Individual's reaction to the house or to state
263
Stages of Crises
| Precipitating factor
Event which converts of honorable state to a crisis state
264
Stages of Crises
| Active crisis state
Characterized by disequilibrium involves physical psychological agitation sleep impaired solving problems anxiety depression preoccupation with events then crisis
265
Stages of Crises
| Reintegration
Successful reintegration restoration of equilibrium
266
Legal and Ethical Issues in Crisis
| Confidentiality
Breach of confidentially is mandated by law and ethically permissible in certain circumstances
duty to warn
Suicide
child-abuse
267
Legal and Ethical Issues in Crisis
| Involuntary commitment
When individual is determined to be a danger to him or herself or to someone else
268
Legal and Ethical Issues in Crisis
| Informed consent
1) Informed of the negative and positive consequences of treatment and alternative treatments
2) Be competent to make decision
3) Give The consent voluntarily
269
Suicide Assessment
| Intention
Indirect or direct communication of intent presents a plan
270
Suicide Assessment
| History
Previous attempts family history
271
Suicide Assessment
| Demographic factors
Adolescence and individuals age 45 and older
Male gender
white race
Separated divorced or widowed
Lliving alone lack of social support Unemployed
272
Suicide Assessment
| Diagnosis
Depression
Alcoholism
Schizophrenia
273
Suicide Assessment
| Behavioral patterns
Impulsivity
rigidity
isolation
274
Suicide Assessment
| Antecedent events
Major life change without adequate coping strategy
275
Suicide Assessment
| Physical condition
Persistent insomnia
recent surgery or childbirth
Intractable pain
276
Suicide
| Intervention techniques
Relieve the clients isolation
Remove with the weapons
Help the client develop alternative methods for expressing anger
Encourage the client to delay his or her decision about suicide
Help the client reestablish social ties
Relieve the clients anxiety and C+
277
Suicide
| Intervention issues
Ambivalence
hopelessness
Negative beliefs
278
Factors associated with high risk for violence
| Intention
Specific plan for injuring killing someone
279
Factors associated with high risk for violence
| History
Previous acts
History of homicidal thoughts Antisocial behavior and childhood abuse as a child
Recent provocation
280
Factors associated with high risk for violence
| Demographic factors
Male gender
| Lower social economic status
281
Factors associated with high risk for violence
| Diagnosis
```
Drug and alcohol intoxication withdrawal
Delirium
Paranoid and catatonic
Schizophrenia
Mania
Temporal lobe epilepsy
Antisocial and paranoid personality disorder's
```
282
Factors associated with high risk for violence
| Personality
Excessive aggressiveness
283
Factors associated with high risk for violence
| Characteristics
Poor impulse control
| Extreme or labile affect
284
Factors associated with high risk for violence
| Behavior
Signs of tension agitation pacing
| Loud abusive or bizarre speech
