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EPPP B1: Clinical Psychology > 08a_Diversity Issues: Psychotherapy with Specific Groups > Flashcards

08a_Diversity Issues: Psychotherapy with Specific Groups Flashcards

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1
Q

African Americans

Worldview

A

Interconnectedness of all things

Emphasis of group welfare over individual needs

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2
Q

African Americans

View of Family

A

Extended kinship network

Includes nuclear and extended family members, as well as nonbiological individuals

The church can also be an important part of the extended family

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3
Q

African Americans

Familial roles

A

Flexible–adults and children may adopt multiple roles

Egalitarian relationships between men and women

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4
Q

African Americans

“Healthy Cultural Paranoia”

A

Mistrust related to oppressive social history in U.S.

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5
Q

African Americans

Systems incorporated into treatment

A

Extended family and non-blood kin

The church and other community resources

Social service agencies

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6
Q

African Americans

Therapeutic approaches

A

Time-limited

Directive

Goal oriented

Problem-solving

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7
Q

African Americans

Therapeutic relationship

A

Foster empowerment by promoting egalitarianism

Address concerns/reactions if therapist is of a different racial background in initial session

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8
Q

Native Alaskans

Worldview

A

Spiritual and holistic orientation to life

Emphasis on harmony with nature

Illness is viewed as a result of disharmony

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9
Q

Native Alaskans

View of Family

A

Emphasis on extended family and tribe vs. individual needs

Consensual collateral social organization and decision-making

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10
Q

Native Alaskans

Perception of Passage of Time

A

Emphasis on personal and seasonal rhythms

Present-oriented

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11
Q

Native Alaskans

Interpersonal relations Values

A

Strong sense of cooperation and generosity

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12
Q

Native Alaskans

Is recommended that clinicians become familiar with:

A

Historical events that affected their lives

Their relationships with White Americans

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13
Q

Native Alaskans

Therapist preference

A

Therapist who helps them reaffirm the VALUES of their own culture

Distrustful of attempts to provide therapy in a “value-free” environment

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14
Q

Native Alaskans

Initial sessions Rapport /Trust building

A

Demonstrating familiarity with and respect for client’s culture admitting any lack of knowledge

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15
Q

Native Alaskans:

Therapeutic approaches

A

Collaborative

Problem solving

Client-centered

*Incorporating elders, and other traditional healers

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16
Q

Native Alaskans:

Therapeutic Style to Avoid

A

Do NOT use highly directive or confrontational techniques

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17
Q

Native Alaskans:

Network Therapy

A

Incorporation of family community members into treatment

Psychological problems are framed within context of family, workplace, community, and other social systems
(i.e., Network)

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18
Q

Asian Americans:

Essential Initial Information Gathering

A

Country of origin

Acculturation status

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19
Q

Asian Americans:

Country of Origin and Acculturation Status effect of therapy

A

Limiting customs

Social relationships

Attitudes toward mental illness

Attitudes toward psychotherapy

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20
Q

Asian Americans:

Family Dynamics

A

Hierarchical family structure

Traditional gender roles

21
Q

Asian Americans:

Emphases of Interpersonal Relationships

A

Harmony

Interdependence

Mutual loyalty and obligation

22
Q

Asian Americans:

Cultural Value of Restraining Strong Emotions

A

Prevent disruption of peace and harmony

Prevent bringing shame onto the family

23
Q

Asian Americans:

Preferred Therapeutic Approaches

A

Focus on alleviating specific symptoms

Directive

Structured

Goal-oriented

Problem-solving

24
Q

Asian Americans:

Role of therapist

A

Knowledgeable expert

Authority figure

Expected to give concrete advice

25
Q

Asian Americans: Therapy Guidelines

Formalism

A

Address family members in a way that reflects their status

Respect conversational distance

26
Q

Asian Americans:

Function of shame and obligation

A

Reinforce adherence to prescribed roles and responsibilities

27
Q

Asian Americans:

Modesty and self-deprecation

A

*Not necessarily signs of low self-esteem

28
Q

Asian Americans: Therapy Guidelines

Establishing credibility

A

Early in therapy, disclose information about educational background and experience

29
Q

Asian Americans: Therapy Guidelines

Preventing Premature Termination

A

Provide client with immediate and meaningful benefit

“therapeutic gifts”

30
Q

Asian Americans: Therapy Guidelines

Somatic complaints

A

Common to express mental-health problems as biological/physiological/medical complaints

31
Q

Asian Americans: Therapy Guidelines

Emotions vs. Behaviors

A

Primary focus on Behaviors often more effective

32
Q

Ways to Modify EBT’s for Increased Effectiveness with Asian American clients

A

Focus more on the family than on individual

Incorporate cultural and social factors

33
Q

Hispanic/Latino Americans:

Importance of Family

A

Family welfare is valued over individual welfare

Strong allegiance to family over other concerns

34
Q

Hispanic/Latino Americans:

Interpersonal Values

A

Interdependence is both healthy and necessary

High value on connectedness and sharing

35
Q

Hispanic/Latino Americans:

Attitudes toward personal disclosure

A

Discussing intimate personal details with strangers (e.g. therapist) is highly Unacceptable

Problems should be handled within the family

36
Q

Hispanic/Latino Americans:

Worldview

A

Concrete, tangible approach to life

Compared to abstract, long-term perspective

37
Q

Hispanic/Latino Americans:

Locus of control

A

External:

Luck

Supernatural forces

Acts of God

38
Q

Hispanic/Latino Americans:

Therapeutic approaches

A

Active

Directive

Multimodal approach

Family therapy

39
Q

Hispanic/Latino Americans:

Family therapy

A

Recommended for Hispanic/Latino clients

Reinforces view of “familismo” and extended family

40
Q

Hispanic/Latino Americans:

Family Dynamics and Roles

A

Patriarchal family structure

Inflexible sex roles

*Parent-child dynamic is often stronger than husband-wife and other family relationships

41
Q

Hispanic/Latino Americans:

Acculturation

A

Differences in the degree of acculturation within a family are often a source of individual and family problems

42
Q

Hispanic/Latino Americans:

Somatic complaints

A

Similar to Asian Americans, Hispanic clients may often express mental health problems as somatic complaints

43
Q

Sexual Minorities:

Etiology of higher rates of psychological problems

A

Due to prejudice and discrimination

*Not due to sexual orientation itself

44
Q

Sexual Minorities:

Effects of stigmatization

A

Withdrawal

Isolation

Internalized homophobia

45
Q

Sexual Minorities:

Internalized Homophobia

A

Acceptance of heterosexual society’s negative evaluations

Incorporation of evaluations into self-concept

46
Q

Sexual Minorities:

Consequences of Internalized Homophobia

A

Low self-esteem

Self-doubt/self-hatred

Sense of powerlessness

Denial of one’s sexual orientation

Self-destructive behavior

47
Q

Sexual Minorities:

Therapeutic approaches

A

Identifying and correcting cognitive distortions

Provided training in assertiveness and coping skills

Activating social support systems

48
Q

LGBT individuals are more likely to experience:

A

Depression

Anxiety

Substance Abuse

Higher risk for suicidality

EPPP B1: Clinical Psychology (24 decks)

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