week 5

Question 1

before treatment

Answer 1

adjustment of life style

• eat healthy and sleep regularly
• be physically active
• engage with nature
• don’t work too hard
• accept that life is tough sometimes

Question 2

the assessment: process

Answer 2

relax
be authentic
have an open, fluid conversation
be curious
keep asking questions

Question 3

the assessment: content

Answer 3

the problems itself
causes, effects and function of behaviour
duration
motivation for change
efforts to improve in the past
other dimensions(social, job, financial)
possible consequences of change 
keep eye open for: other problems, alcohol/drug use, any violence below the surface?, how are the children doing?, crisis?, suicidal thoughts?, serious psychopathology?

Question 4

consider inviting the client’s partner to:

Answer 4

1. gather information
2. allow the partner a role in improving things
3. perhaps the partner is part of the problem

Question 5

triangle

Answer 5

Feeling (difficult to influence)
Behaviour (easy to influence)
Thoughts (easy to influence)

Question 6

Many different approaches

Answer 6

-cognitive behavioural therapy
- client centred approach
-Rational emotive therapy(RET)
- running therapy
-medication
-group therapy
etc

Question 7

what approach do you use?

Answer 7

start with a good analysis
use methods that are supported by the best evidence
apply stepped care
apply matched care
make a shared (mutual decision)
use common sense
use only approaches for which you are qualified

Question 8

client centred approach- carl rogers

Answer 8

“three principles are sufficient for the client to heal”

• empathy
• unconditional positive regard
• congruence

Question 9

cognitive behaviour therapy

Answer 9

teaching a person new skills / focuses on their behaviour
Learning processes: operant conditioning, classic conditioning, be a good role model
provide clear rationale/ practice / rewards

Question 10

‘rational emotive therapy (RET) - albert ellis

Answer 10

a lot of our distress comes from irrational thoughts and if these thoughts are replaced by rational ones you will start feeling better
e.g. people don’t like me — I don’t know what people feel
Oh no i started drinking again — I am entitled to making mistakes

Question 11

frequent themes behind irrational thoughts:

Answer 11

• i must perform well
• i must be liked
• obstacles are terrible
• i am helpless

Question 12

effective factors in psychotherapy

Answer 12

1. Client factors - 30-40%
2. Therapeutic relationship - 22-30%
3. Therapist factors 9-20%
4. Placebo effect - 4-15%
5. Therapeutic models and techniques - 8-10%

Question 13

1. Client factors

Answer 13

30-40%

client makes the treatment work

Question 14

2. Therapeutic relationship -

Answer 14

22-30%
good working relationship - mutual acceptance, agreement on goals, mutual determination of tasks, in tune in communication

Question 15

3. Therapist factors

Answer 15

9-20%
appreciation for the therapist
personal characteristics: non judgmental and empathic, genuinely involved; warm; personal, have faith in client’s effort

Question 16

4. Placebo effect -

Answer 16

4-15%
hope and positive expectation are beneficial
60% improvement between first call and first session

Question 17

5. Therapeutic models and techniques -

Answer 17

8-10%

models provide structure and focus