Week 2 Flashcards

(44 cards)

1
Q

Self awareness

A

Can be thought of as either a stable characteristic or a state of heightened self focus

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2
Q

Characteristics of helpers

A

They listen carefully and empathetically, they are nonjudgmental

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3
Q

Motivations for a helper to help

A

Some want to help to make a difference, some want to because they have experienced therapy themselves, some do it for social change such as legislation

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4
Q

Hot buttons

A

For helpers because they reflect problems that can be triggered or set off in the helping setting (helping someone who has raped or abused)

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5
Q

What do beginning helpers often have trouble with?

A

They have trouble with clients whom they perceive to be different from them

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6
Q

Psychotherapy is the ideal place for?

A

Beginning helpers to learn about themselves is through their own personal psychotherapy

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7
Q

Self-reflection

A

Set aside time for self reflection, journaling, mindfulness is helpful too

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8
Q

When you the helper feels anxious in therapy?

A

Just take a break or pause or speak to a supervisor

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9
Q

Reviewing sessions

A

It can be helpful to playback a session to think about your thoughts or client reactions

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10
Q

Stages of a clinical interview (shea 1998 model)

A
  1. Introduction
    2.opening
    3.Body
  2. Closing
  3. Termination
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11
Q

Shea 1998 model can be applied where?

A

It is generic and theoretical, it can be applied virtually all interviewing situations

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12
Q

Introduction begins with?

A

Clinician and the patient first see one another, it ends when the clinician feels comfortable enough to being an inquiry into the reasons the patient has sought help

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13
Q

Where does the intro begins?

A

The intro may begin online via telephone, setting up the initial appointment or initial face to face meeting shaking hands offering tea or water

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14
Q

How should you approach the client?

A

With there first and last name at first

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15
Q

Establishing rapport

A

Defined as having an especially harmonious connection with another person; this connection may occur immediately or require extended interaction

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16
Q

What do you say when clients have fears or doubts about therapy?

A

“Since we don’t know each other well, counseling can feel awkward at first but we’ll start getting comfortable today”

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17
Q

How do you put clients at ease?

A

By explaining what is going to happen, making small talk “how was traffic, did you find the office okay?”

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18
Q

Personalismo and cultural connections (when working with clients from diverse culture)

A

Therapist need to speak casually and informally about social commonalities (this helps transform the clinician from an authority figure to a real person)

19
Q

Role induction

A

Involves educating clients about their role and what to expect in the assessment and treatment process

20
Q

Opening

A

Is nondirected or unstructured interview stage lasting about 5 to 8 mins!

21
Q

What is the main task of the opening?

A

To listen and stay out of the way so that clients can begin telling their stories, it signals clients that small talk and intros are over)

22
Q

What is a good opening response?

A

What brings you here? How can I help?

23
Q

The clients opening response can determine what?

A

How they will respond throughout the session

24
Q

Rehearsed client responses

A

Some clients will sound as if they rehearsed what they are discussing

25
What do you do when clients are continuously talking?
With clients who are very verbal, you may need to progressively add more closed questions to interrupt the client
26
Body
The longest clinical interview stage. It’s where most of the assessment and helping activities are implemented
27
Assessment
Making serious judgments about the client by inserting there coping skills or the level of interpersonal skills whether they are normal or deviant
28
How do we define mental disorders?
With the ICD codes in DSM
29
4 principles to ask in assessment
-does the behavior or condition interfere with important social or occupational functioning -does the behavior cause significant personal distress -do other people consistently find the behavior disturbing -is the behavior rationally or culturally justifiable or caused by a medical condition
30
Applying the four principles
They can be applied to almost any clinical observation that takes place during an interview
31
When do interventions happen?
Usually after a suitable assessment has been completed but can happen simultaneously
32
When do interventions happen?
Usually after a suitable assessment has been completed but can happen simultaneously
33
Closing
Reflecting on the session (“we are about halfway done with our session and I’m wondering how you’re feeling about our time together”)
34
How do you reassure and support your clients?
First they need to have their expressive capabilities noticed and supported and acknowledge there fears about therapy
35
Role induction revisited (clients worry about)
If they have discussed the right things, but assure them this is safe place to speak openly
36
Summarizing specific ways clients want to improve
They will be more likely to return to see you or follow your recommendations, come to another appointment
37
Case formulation
Involves integrating assessment information with a theoretically supported or evidence based approach to guide subsequent therapeutic work
38
Progress monitoring (PM)
Is an evidence based approach that involves using brief symptom oriented questionnaire to elicit client feedback about therapy progress
39
Instilling hope
Such as “you’ve made a wise decision to try counseling. I think this will help”
40
Tying up loose ends
Such as dealing with any fees or scheduling the next appointment
41
Termination (ending the session)
Watching the clock, guiding or controlling the ending, facing termination
42
Watching the clock
Identifying when it’s time to end the session
43
Guiding or controlling the ending
Escorting clients out, sometimes clients will end the sessions too because they are done talking before the session is ovet
44
Facing termination (time limits)
Time limits are important, don’t let someone go over the time