WK1 - Therapies Flashcards
(23 cards)
Identify psychosocial interventions
Group or Individual therapy
Music therapy
Education
Positive Self-talk
Self monitoring
Communication skills
Healthy relationships
Play therapy
Family consultation
Help understanding
Develop effective parenting skills
Teach about suicide
risksrecognize different types of talk and behavioral therapies
Talk =. Interpersonal Therapy Cognitive Behavioral Therapy Rational Emotive Therapy DBT Challenging “StinkinThinkin” (Cognitive Distortions)
Behavioral =
Modeling-role playing
Operant conditioning-tokens or +reinforcement
Systematic desensitization-exposure
Aversion therapy-negative stimulus leads to decreased bx
Biofeedback-control of body
identify the types of Behavioral therapy (5)
Modeling-role playing
Operant conditioning-tokens or +reinforcement
Systematic desensitization-exposure
Aversion therapy-negative stimulus leads to decreased bx
Biofeedback-control of body
3 cognitive therapies
cognitive behavioral
rational emotive
dialectic behavior
rational emotive therapy
RET focuses on of irrational thinking or beliefs
Identification of activating situations and negative emotions, leading to irrational beliefs
Desired outcome is client’s control of behavior & thinking and a change in thinking leading to positive change in behavior
A = activating event B = Beliefs C = Emotional consequence
rational emotive therapy
RET focuses on of irrational thinking or beliefs
Identification of activating situations and negative emotions, leading to irrational beliefs
Desired outcome is client’s control of behavior & thinking and a change in thinking leading to positive change in behavior
A = activating event B = Beliefs C = Emotional consequence
Dialectic Behavior Therapy (DBT)
Combines cognitive and behavioral techniques with mindfulness.
Emotional regulation Interpersonal effectiveness Distress tolerance Mindfulness Self Management skills
Dialectic Behavior Therapy (DBT)
Combines cognitive and behavioral techniques with mindfulness.
Emotional regulation Interpersonal effectiveness Distress tolerance Mindfulness Self Management skills
Identify group dynamics
Group work is a method whereby individuals with a common purpose come together and benefit by mutually giving and receiving feedback.
indentify types of groups
Psychoeducational
Therapeutic community meeting group
Support & self-help group
Group Psychotherapy
yalom’s therapeutic factors
Instillation of hope: Leader shares optimism about successes of group treatment, and members share their improvements
Universality: Members realize that they are not alone
Imparting of information: Participants receive formal teaching by the leader or advice from peers
Altruism: Members gain/profit from giving support to others improving self-value
Corrective recapitulation: Members repeat patterns of behavior in the group that they learned in their families; with feedback from the leader and peers, they learn about their own behavior
Development of socializing skills: Members learn new social skills based on others feedback and modeling
yalom’s therapeutic factors
Instillation of hope: Leader shares optimism about successes of group treatment, and members share their improvements
Universality: Members realize that they are not alone
Imparting of information: Participants receive formal teaching by the leader or advice from peers
Altruism: Members gain/profit from giving support to others improving self-value
Corrective recapitulation: Members repeat patterns of behavior in the group that they learned in their families; with feedback from the leader and peers, they learn about their own behavior
Development of socializing skills: Members learn new social skills based on others feedback and modeling
Imitative behavior: Members may copy behavior from leader or peers and can adopt healthier habits
Interpersonal learning: Gain insight based on feedback
Group Cohesiveness: This arises in a mature group when each member feels connected to the other members, the leader, and the group. Members can accept both positive feedback and constructive criticism.
Catharsis: Through experiencing and expressing feelings, therapeutic discharge of emotion is shared.
Existential resolution: Members examine aspect of life, (i.e. loneliness, mortality, responsibility) that affect everyone in constructing meaning.
recognize the advantages and disadvantages of working with groups
Advantages
+Engage multiple patients in treatment at the same time +Participants benefit from feedback, knowledge, and life experiences of others
+Provides a safe setting to try out new behaviors and communication skills
+Promotes a feeling of belonging
Disadvantages
+Time constraints an individual may feel cheated for participation time
+Concern for confidentiality
+Disruptive members
+Not all patients benefit from group treatment
describe the phases of group development
Planning Phase: Name, objectives, schedule, setting, types of patients for inclusion of the group
Orientation Phase: Leader structures atmosphere of respect, confidentiality and trust. Group purpose and rules are stated
Working Phase: Group leaders encourages a focus on problem solving. As group members begin to feel safe, conflicts may be expressed and pose a growth opportunity for the group
“storming, norming and preforming”
Termination Phase: Encourage members to reflect on progress made and identify post termination goals.
identify informal roles of group members
Individual Roles
Aggressor Blocker-oppositional Recognition seeker Play person Dominator
Task Roles:
Initiator–contributor: Suggests or proposes new ideas or different ways of regarding the problem or goal
Information seeker: Tries to clarify the group’s roles
Information giver: Provides facts or shares experiences as an authority figure
Coordinator: Shows or clarifies how ideas can work
Orienteer: Notes the groups progress toward goals
Recorder: Keeps notes and acts as the group memory
Challening member behaviors (3)
Monopolizing member =
Remind entire group to provide equal chances to contribute
Speak directly to member, privately when necessary
Demoralizing member =
Listen objectively; ask in private about cause of anger; empathize matter-of-factly
Silent member =
Determine cause; require response to ease group discomfort; provide extra time for member to think about a response and come back to them
Challening member behaviors (3)
Monopolizing member =
Remind entire group to provide equal chances to contribute
Speak directly to member, privately when necessary
Demoralizing member =
Listen objectively; ask in private about cause of anger; empathize matter-of-factly
Silent member =
Determine cause; require response to ease group discomfort; provide extra time for member to think about a response and come back to them
psychoeducational
: Groups to increase knowledge or skills about a specific psychological or somatic subject
Medication or Health education Dual-diagnosis Symptom management Goal Setting/Review Recreational Activity Interpersonal Skills
Therapeutic community meeting group
Every interaction occurring on an inpatient milieu has the potential to be therapeutic. The community meeting is the essential venue at which unit happenings are processed and integrated into treatment.
support and self help groups
These groups are structured to provide patients with the opportunity to maintain or enhance personal and social functioning through cooperation and shared understanding of life’s challenges (i.e. AA, survivors of Cancer, bereavement…)
group psychotherapy
This is a specialized group intervention requiring skilled leaders such as an advanced practice nurse. Expertise is necessary for this group since the goal is to bring about personality change.
building and maintenance roles
Encourager: praises and seeks input from others
Harmonizer: reconciles differences among members
Gatekeeper: facilitates and encourages the contributions of others, to keep communication open
Group observer: notes and reports what is occurring to the group process
Follower: goes along with the ideas of others, assuming an audience role
