Psychotherapy Flashcards
(65 cards)
How do terms such as manipulation, malingering, Med-seeking, borderline etc affect our interactions and decision making processes with clients?
Negative/hater talk generates disgust. Clients will sense disgust and may become aggressive of refuse to participate.
What are two possible reasons for why clients and referral sources request specific interventions versus telling us about their problems and goals from treatment?
- They don’t have the words for it.
- It is an invisible part of the healthcare flow.
What are the four expectations of medical and behavioral health patients?
- Whats wrong?
- What’s causing it?
- How much is it going to cost?
- How long is it going to take?
What is the EVT for working with teens with conduct disorder?
Multi systemic therapy
How does multi systemic therapy help teens with conduct problems?
The community wraps around the client imposing more and more boundaries on the client. This pens in the client and makes his pain vectors turn inward so he will accept help.
How does MCOT assist with clients with conduct problems?
MCOT can encourage collateral to enforce boundaries on client, in a mini MST fashion with the idea of changing the client’s pain vectors.
What is normalization?
Normalization is a process by which the clinician can help reduce the stigma about certain issues. This lets the client know that what they are experiencing is normal.
How can normalization help segue into difficult or sensitive topics?
Clients may be more willing to talk about sensitive topics if they feel it is normal.
What is the template for normalization?
Given who you are, and what you’ve experienced, how you are feeling makes sense.
What is the technique of paraphrasing?
The clinician summarizes, but adds implied information while removing the irrelevant.
How can paraphrasing be used to shift the focus of the assessment or intervention from irrelevant to relevant material?
Clinician summarizes, but deletes irrelevant information while adding relevant but implied information.
What are some appropriate ways therapists can teach people to distract using intense discomfort?
- ice cubes
- hot or cold shower
- Tabasco on the tongue
- rubber band snapping
What does DBT say about avoiding self-harm?
You can replace self-injury with other intense sensations so long as it is legal, within your religious framework, doesn’t harm others, and doesn’t cause permanent body injury.
Who is Linehan?
Linehan is the psychologist credited with developing dialectical behavior therapy.
What are the components of DBT?
Mindfulness, acceptance, distress tolerance, emotional regulation, and interpersonal effectiveness.
How do we help make accepting help more tolerable for the client?
Tell a version of the truth that may be more tolerable for the client.
What is the therapeutic alliance?
An emergent quality of partnership and mutual collaboration that is built principally on a positive emotional bond between client and therapist and their ability to achieve consensus.
On what things must the therapeutic alliance encourage consensus?
Problem definition, goals of treatment, and tasks to achieve such as goals.
What questions must a counselor ask about the therapeutic alliance?
Is there something I like/respect about the client; can the client tell; are we collaborating?
Why is the therapeutic alliance more difficult when working with a family?
Clinician must maintain multiple simultaneous alliances with people with different needs, expectations, and abilities
What is critical to establishing a strong therapeutic alliance?
Responding in a non-defensive manner to a client’s hostility and negativity.
What is Robert Plutchik responsible for?
Theory of emotion
What are the 5 aspects of Plutchik’s theory of emotion?
- stimulus event
- cognitive appraisal
- affective reaction
- behavioral reaction
What is an emotion according to Plutchik?
Emotion is the cognitive appraisal, affective reaction and behavioral reaction
