Intro to Child Therapy- Ryst Flashcards

1
Q

What are common factors of good psychosocial therapy?

A
Alliance (relationship)
Empathy
Acceptance (Non-judgmental)
Boundaries
Confidentiality
Special issues in Kids:
PLAYFULNESS!!!
CREATIVITY
FAMILY
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2
Q

What are types of child therapy?

A
Parent Training
-Collaborative Problem Solving
Behavior Therapy
Cognitive Therapy
-Trauma-Focused CBT
Psychodynamic Therapy
Family Systems Therapy
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3
Q

What are ways to “coach” parents?

A

Behavior monitoring
Reinforcement
Effective use of “time out”
Teaching parents how to play

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4
Q

What is the cognitive conceptualization of explosive/noncompliant behavior?

A

-behavior is byproduct of bad (inept) parenting and child learned this behavior is effective to get what he/she wants
OR
Can be a learning disability

require very different tx

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5
Q

How do you approach the treatment of explosive/noncompliant behavior?

A

Identify deficits in child

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6
Q

What are the 6 categories of deficits?

A
Executive Skills
Language Processing Skills
Emotion Regulation Skills
Cognitive Flexibility Skills
Social Skills
Sensory/Motor Skills
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7
Q

What are meltdowns?

How can you prevent these?

A

cognitive demands are too high for the coping capacity of the individual
-identify and avoid triggers

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8
Q

What is collaborative problem solving?

What are its goals?

A

an approach to teach explosive/inflexible children the skills they lack
3 goals:
-Reduce explosive outbursts (stabilize)
-Pursue adult expectations
-Teach skills (flexibility and frustration tolerance.)

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9
Q

What are the three strategies parents can enforce? What is the best?

A

Has them:

  • impose adult will
  • problem solve (work it out) (BEST)
  • drop it to prevent meltdowns
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10
Q

What will imposing adult will do?
What will problem solving do?
What will dropping it do?

A
  • help kids pursue expectations
  • help kids pursue expectations, reduce outbursts and teach skills
  • reduce outbursts
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11
Q

How can you problem solve with your child?

A

utilize empathy
define the problem
invite

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12
Q

CBT is based on (Blank) theory

A

social-learning theory

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13
Q

What are the points of the social learning theory?

A
  • person’s environment, characteristics and situational behavior all reciprocally determine each other
  • behavior is dynamic and evolving
  • blend of techniques based on operant and classical conditioning
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14
Q

Cognitive therapy believes that (blank) influence behavior which in turn shapes (blank)

A

context

context

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15
Q

Sometimes context is the most powerful and at other times (Blank), (blank) and (blank) determine behavior

A

personal preferences
disposition
characteristics

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16
Q

What are the 5 elements involved in psychological difficults?
How do these interact?
What do they do?

A

Physiology
cognition
behavior
emotional functioning and interpersonal/ environmental context.

Dynamically
-intervene at cognitive and behavioral levels to influence thinking, acting, feelings and bodily reactions

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17
Q

How children interpret their experienes shapes their (blank)

A

emotional functioning

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18
Q

Children create (blank) “mental packages” about themselves, relationships, past experiences, and the future

A

schemata

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19
Q

Children activing (blank) info rather than passively responding to environmental stimuli

A

construct

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20
Q

What is this:

  • Stream-of-consciousness, thoughts and images that are situation specific and pass through a person’s mind during mood shifts.
  • Include “automatic thoughts”

ex. If someone is rude or mean the automatic thought is, “he doesn’t like me” rather than “he’s in a bad mood” or “he’s having a bad day.”

A

Cognitive products

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21
Q
What is this:
-Include cognitive distortions
-Distortions transform incoming information through assimilation processes to maintain homeostasis so cognitive schemata stay intact
-By product of cognitive schemata
Ex: Anxious child doing well on a test.
A

Cognitive Operatins (processes)

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22
Q

What is this:

  • Represent core meaning structures that direct attention encoding and recall.
  • Drive cognitive products and operations
  • Reflect the most basic beliefs the individual holds
  • “The cognitive unit that will store experience in a form so faithful a person can recognize a past event.”
A

Cognitive Structure (schemata)

23
Q

What is this:

  • Relatively inaccessible and often latent until activated by stress.
  • May represent a vulnerability factor that predisposes children to emotional distress
  • Develops early in life and is reinforced over time
A

Cognitive Schemata

24
Q

What is the cognitive triad of depression?

A
  1. Explain unfavorable events through self critical view
  2. Have a negative view of experiences/other people
  3. Have a pessimistic view of the future
25
Q

What is anxiety?

A

Catastrophizing and predictions of future danger common

26
Q

What is the difference between adults CBT and Child CBT?

A
  • child arent requesting tx
  • child are concrete thinkers (live in here-and-now)
  • need to account for environment
  • need to include parents
  • must take developmental level into account
  • reinforcement (rewards) are important
27
Q

What age is this:

simple self-instruction and behavioral techniques

A

young children

28
Q

What age is this:

use rational analysis

A

adolescence

29
Q

What is the therapeutic approach to children?

A
  • rectify distortions
  • provide new skills
  • provide opportunites to practice skills
30
Q

What is the tx strategy?

A
  • define problem and teach child to recognize, label and self monitor physioloic and emotional cutes
  • teach relaxation skills
  • cognitive restructuring
  • problem solving
  • contingent reinforcement
  • modeling
  • role playing
31
Q

What is cognitive restructuring?

A
  • Help child to identify his/her self talk (thought bubbles)
  • Replace maladaptive cognitions with more adaptive ideas
  • Attribution re-training
32
Q

What are the components of problem solving?

A
  • Describe the problem and major goals
  • Generate alternative solutions
  • Weigh each alternative- pros/cons
  • Evaluate the degree of success of the outcome
33
Q

What is contigent reinforcement?

A

Teach child to evaluate his behavior and provide appropriate rewards

34
Q

What are the types of modeling?

A

symbolic
live
participant

35
Q

What is this;

Watching a videotape of someone else

A

symbolic modeling

36
Q

What is this:

directly observing another person coping with a difficult situation

A

live modeling

37
Q

What is this:

actively copying a model

A

participant modeling

38
Q

What is the most import thing to get across with modeling?

A

how to handle errors

modeling success is less important

39
Q

(blank) approach examines distortions or deficiencies

A

cognitive

40
Q

(blank) approach examines environmental experiences for limited learning experiences or potential pathological experiences

A

Behavioral

41
Q

What cognitive variables do you assess?

A
  1. automatic thoughts
  2. core schemata
  3. cognitive distortions
42
Q

What behavioral variables do you assess?

A
  1. Antecedents
  2. Behavior
  3. Consequences
43
Q

What are the four types of consequences?

A
  • Positive Reinforcement
  • Negative Reinforcement
  • Punishment
  • Schedules of reinforcement
44
Q

What is this:
Occurs within an accepting, noncoercive environment dedicated to an empathic appreciation of the child’s internal experience, while maintaining a reliable and safe setting.

A

Psychodynamic play therapy

45
Q

What does psychodynamic play therapy show a therapist who is good at it?

A

the child’s pre-existing faculty for dealing with conflict, trauma, and powerful emotion using the vehicle of play

46
Q

(blank) is a vehicle of formulating symbolic representations of implicit meanings. It is a “window” into unconscious meanings.

A

Play

47
Q

(blank) is a compromise between frustrated wishes and prohibitions.

A

Play

48
Q

What are these components of:
Repetition in the service of mastery
Turning passive experiences into active control
A way to find other solutions to unresolved conflicts.
Communication with a partner
Wish fulfillment
Reworking of past difficulties
Reconstruction of the past into a different (? More positive) framework

A

play therapy

49
Q

What are the techniques you should implement with play therapy?

A
  • Development of a therapeutic alliance
  • Providing a holding environment
  • Development of a narrative
  • Integration of affect within the narrative
  • Construction of Meaning within the relationship
  • Analysis of defense
  • Clarification and interpretation of the transference
  • Tolerance of powerful affects
50
Q

What is this:

Theoretical perspective that views the individual as inseparable from their family context.

A

family systems therapy

51
Q

(blank) tend towards homeostasis. That means that change in one individual will have effects throughout the system, and the system will resist that change.

A

family systems

52
Q

What is the technique used in family systems therapy?

A

Re-framing, externalizing the problem, “prescribing the problem”.

53
Q

T or F

Therapies work at different levels: behavioral, cognitive, emotional, contextual (parents/family).

A

T

54
Q

The therapeutic use of (blank) is extraordinarily powerful as it represents the natural medium through which humans learn and construct meaning from experience.

A

play