748 Choice Theory/Reality Therapy Flashcards

1
Q

Basic Assumptions

A

Symptoms are the result of choices we’ve made
We can choose to think, feel and behave differently
Reality therapy is based on Choice Theory

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2
Q

Basic Assumptions

A

Emphasis is on personal responsibility

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3
Q

Basic Assumptions

A

Therapist’s function is to keep therapy focused on the present and not on symptoms

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4
Q

Basic Assumptions

A

We often mistakenly choose misery in our best attempt to meet our needs

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5
Q

Basic Assumptions

A

We act responsibly when we meet our needs without keeping others from meeting their needs

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6
Q

Basic Assumptions

A

The notion of transference is rejected by reality therapists

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7
Q

Basic Human Needs

A

All internally motivated behavior is geared toward meeting one or more of our basic genetically encoded needs:

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8
Q

Basic Human Needs

A
Love and belonging
Power
Freedom
Fun
Survival (physiological needs)
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9
Q

Our Quality World

A

Our quality world consists of our visions of specific people, activities, events, beliefs, and situations that will fulfill our needs

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10
Q

Our Quality World

A

Our quality world is like a picture album of specific wants as well as precise ways to satisfy these wants

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11
Q

Our Quality World

A

Getting into the clients’ quality world is the art of therapy

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12
Q

Total Behavior

A

Doing – active behaviors

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13
Q

Total Behavior

A

Thinking – thoughts, self-statements

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14
Q

Total Behavior

A

Feelings – anger, joy, pain, anxiety

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15
Q

Total Behavior

A

Physiology – bodily reactions

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16
Q

Cycle of Counseling

A

Creating the counseling environment

Supportive, challenging, and non coercive

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17
Q

Cycle of Counseling

A

Implementing specific procedures that lead to changes in behavior
-WDEP

18
Q

The “WDEP” System

A

Procedures That Lead to Change:
W Wants - What do you want to be and do?

D Doing and Direction - What are you doing?
Where do you want to go?

E Evaluation - Does your present behavior have a reasonable chance of getting you what you want?

P Planning – “SAMIC3”

19
Q

Planning For Change. SAMIC3

A
S	Simple
	A	Attainable
	M	Measurable
 	I	Immediate and involved
	C	Controlled by the planner, committed to, and 	consistently done
20
Q

Application to Group Counseling

A

Group leaders and members jointly determine goals and plans of action

21
Q

Application to Group Counseling

A

Members explore new courses of behavior that will bring them closer to getting what they want out of life

22
Q

Application to Group Counseling

A

Leaders challenge members to evaluate for themselves if what they are currently doing is working for them

23
Q

Application to Group Counseling

A

Feedback from leaders and members can help individuals design realistic and attainable plans

24
Q

Application to Group Counseling

A

Group setting encourages members to take an active stance in attaining change in their lives

25
Q

Strengths from a Diversity Perspective

A

Therapists demonstrate their respect for their clients’ cultural values by helping them explore how satisfying their current behavior is to themselves and others

26
Q

Strengths from a Diversity Perspective

A

It is a sign of respect that the reality therapist refrains from deciding what behaviors should be changed

27
Q

Strengths from a Diversity Perspective

A

With a focus on thinking and acting rather than on feelings, many clients are less likely to display resistance

28
Q

Strengths from a Diversity Perspective

A

The principles underlying choice theory are universal, which makes choice theory applicable to all people

29
Q

Strengths from a Diversity Perspective

A

Reality therapy is an open system that allows for flexibility in application based on the needs of culturally diverse individuals

30
Q

Limitations from a Diversity Perspective

A

Reality therapy gives only limited attention to helping people address environmental and social problems

31
Q

Limitations from a Diversity Perspective

A

Some reality therapists may not pay enough attention to systemic and environmental factors that can limit the potential for choice

32
Q

Limitations from a Diversity Perspective

A

Some clients are very reluctant to directly verbally express what they need

33
Q

Contributions of Reality Therapy

A

RT has a relatively short-term focus and deals with conscious behavioral problems

34
Q

Contributions of Reality Therapy

A

The existential underpinnings of choice theory are a major strength of this approach, which accentuates taking responsibility for what we are doing

35
Q

Contributions of Reality Therapy

A

With the emphasis on responsibility and choice, individuals can acquire a sense of self-direction and empowerment

36
Q

Contributions of Reality Therapy

A

RT can be effectively used with individuals who manifest reluctance and who are highly resistant

37
Q

Contributions of Reality Therapy

A

RT has been effectively used in addiction treatment and recovery programs for over 30 years

38
Q

Limitations of Reality Therapy

A

Some feel RT does not adequately address important psychological concepts such as insight, the unconscious, dreams and transference

39
Q

Limitations of Reality Therapy

A

Clinicians may have trouble viewing all psychological disorders (including serious mental illness) as behavioral choices

40
Q

Limitations of Reality Therapy

A

More empirical support of RT is needed

41
Q

Limitations of Reality Therapy

A

Some therapists may impose personal views on clients by deciding for them what constitutes responsible behavior

42
Q

Limitations of Reality Therapy

A

RT is often construed as simple and easy to master when in fact it requires much training to implement properly