All The Shit Flashcards

1
Q

What are the six conditions of therapeutic change?

A
  1. Two persons in psychological contact.
  2. Client is in a state of incongruence.
  3. Therapist is integrated/congruent.
  4. Therapist experience UPR
  5. Therapist experiences empathic understanding of client’s experience and communicates that.
  6. The communication of UPR and empathy is achieved.
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2
Q

What is a condition of worth?

A

A mental picture one holds of one’s self, which must be experienced as true (congruent with reality) or else anxiety develops.

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3
Q

What the fuck is SOLER?

A
  1. Square (yourself to the client)
  2. Open (your posture)
  3. Lean in
  4. Eye Contact (But don’t be creepy asshole)
  5. Relax!
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4
Q

What is the theory of personality in person-centered therapy?

A
  1. Experienced Self
  2. Ideal Self

When they don’t match up muthafuckas be crazy…

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5
Q

What is the mechanism of change in person-centered therapy?

A

Client grows naturally by being unconditionally accepted and empathized with. Like a goddamn flower in springtime…

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6
Q

What is entailed in the SOAP note?

A
  1. Subjective Content (WTF you say?!)
  2. Objective Observations (WTF u doin?)
  3. Assessment (U batshit cray)
  4. Plan (WTF we gone do bout u?)
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7
Q

What are the 4 encouragers/microskills?

A
  1. Paraphrase
  2. Restatements
  3. Reflection
  4. Summarizations
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8
Q

ADDRESSING Model

A

If you can’t remember this by now then you should just GTFO…

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9
Q

What are the 4 stages of becoming a clinician?

A
  1. Unconscious Incompetence
  2. Conscious Incompetence
  3. Unconscious Competence
  4. Conscious Competence
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10
Q

What is issue specific countertransference?

A

Like if you were to anxious to help a client with their snake phobia because you saw a shitty Samuel L. Jackson movie once.

(Snakes on a Plane, good god get some culture)

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11
Q

What is stimulus specific countertransference?

A

Like if you didn’t like working with someone because every time they said “Malk” instead of “Milk” you wanted to punch them in their goddamn face.

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12
Q

What is trait specific countertransference?

A

If there is a part of you that is a total dick face, then you’re gonna be a total dick face to everyone.

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13
Q

What is client specific countertransference?

A

Countertransference toward a specific type of client.

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14
Q

What are the situations where confidentiality can be broken with clients?

A
  1. Harm to self or others

2. Abuse

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15
Q

One mandatory ethic is Autonomy, can you say what the hell that is?

A

Stay the fuck out your client’s business and let them make their own damn decisions!

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16
Q

One mandatory ethic is Beneficence, can you say what the hell that is?

A

Just be nice for god’s sake.

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17
Q

One mandatory ethic is Maleficence, can you say what the hell that is?

A

Don’t be an asshole on purpose or otherwise.

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18
Q

One mandatory ethic is Justice, can you say what the hell that is?

A

Be fair in the way that you treat your clients.

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19
Q

One mandatory ethic is Fidelity, can you say what the hell that is?

A

Be honorable and loyal to your clients. Basically think of your golden retriever…

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20
Q

One mandatory ethic is Veractiy, can you say what the hell that is?

A

Don’t be lazy dumbass…commit yourself to being a good clinician in every way.

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21
Q

What is the difference between a paraphrase and a restatement?

A

Client: I’m so mad at my girlfriend for dumping me!?

Restatement: “You’re mad.”

Paraphrase: “You’re angry at her for what she did.”

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22
Q

What is a reflection?

A

When you hunt emotions down like a bloodhound and point them out.

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23
Q

What is a summary?

A

An overview of part (or all) of a session in order to mark something important–like a beginning or and ending.

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24
Q

What are the three areas of cultural competence?

A
  1. Cultural Awareness
  2. Cultural Knowledge
  3. Cultural Skills
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25
Q

In which area of cultural competence is it important to reflect on personal prejudices, stereotypes, and heritage?

A

Cultural Awareness

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26
Q

In which area of cultural competence is it important to reflect on one’s understanding of other groups?

A

Cultural Knowledge

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27
Q

In which area of cultural competence is it important to reflect on one’s interpersonal and communication skills?

A

Cultural Skills

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28
Q

What types of ruptures can occur in a therapeutic relationship?

A

Withdrawal & Confrontation

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29
Q

In which type of rupture would a client grow silent, change a topic, or become overly compliant?

A

Withdrawal…duh

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30
Q

In which type of rupture would a client grow angry, controlling, too friendly, or seductive?

A

Confrontation

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31
Q

What three types of questions encourage self disclosure?

A
  1. Open-ended Questions
  2. Systemic Questioning (Like an intake)
  3. Clarifying Questions
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32
Q

10 Types of questions that SUCK…DON’T FUCKING TRY THEM!

A
  1. Suggestive
  2. Assumptive
  3. Pseudoquestions
  4. Judgmental
  5. Attacking
  6. Controlling/Intrusive
  7. Tangential
  8. Content diverse…two-in-one questions
  9. Closed (Yes/No) Questions
  10. Shotgun Questions (Lots of closed Qs)
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33
Q

What was the goal of the DSM 5 compared to the DSM-IV-TR?

A

Shift to a dimensional approach compared to a categorical approach.

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34
Q

What the hell is a dimensional approach?

A

Rather than seeing people as fitting within rigid categories, a dimensional approach places people on a continuum of several factors in order to create a better profile of emotional functioning.

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35
Q

Did the DSM 5 succeed at switching to a dimensional approach?

A

Not even close :P

36
Q

The categorical organization of the DSM came from the medical field, what 2 assumptions does the medical model make regarding psychodiagnosis?

A
  1. Dx have specific etiologies, pathologies, tx’s

2. Mental illnesses are categorically different from normal functioning as well as from all other Dx’s

37
Q

What are some problems with the categorical system of classification in the DSM 5?

A
  1. Does not account for comorbidity.
  2. Some dx’s don’t have clear boundaries (e.g. personality disorders).
  3. Symptoms would be better viewed on a continuum.
38
Q

What does “dual diagnosis” mean?

A

Means someone has a mental disorder AND is on the juice (or some other substance).

Often have poorer functioning and a higher risk of suicide.

39
Q

Which populations have the most dual diagnoses?

A
Bipolar
Schizophrenia
Paranoid Traits
Major Depression
Anxiety Disorders
40
Q

More than__% of inpatients meet the criteria for more than one disorder.

A

50%

41
Q

Why is the DSM 5 problematic for people of color?

A
  1. Most research based on the colonizers (Whites)

2. Symptoms linked to the colonizers may not be indicative of the same disorders in other ethnicities.

42
Q

What are the two poles a clinician must balance between when making ethical decisions?

A

You must balance between covering your own ass and helping your client.

43
Q

What are the 4 basic areas ethics were created for?

A
  1. Breaches of confidence
  2. Dual Relationships
  3. Payment
  4. Academic training
44
Q

What are the 5 areas where ethical breaches are reported?

A
  1. Direct complaints
  2. Administrative complaints by supervisors
  3. Complaints to OPA and APA
  4. Malpractice complaints to Board
  5. Lawsuits
45
Q

What are the 4 areas of practice that are especially vulnerable to ethical complaints?

A
  1. Domestic Disputes
  2. Forensic Evals
  3. Disability Evals
  4. Old Bills for Services
46
Q

What are the 10 domains for ethical standards?

A
  1. Resolving Ethical Issues
  2. Competence
  3. Human Relations
  4. Privacy and Confidentiality
  5. Advertising and shit
  6. Record Keeping
  7. Education and Training
  8. Research and publication
  9. Assessment
  10. Therapy
47
Q

What needs to be included in a HIPAA compliant document?

A
  1. Rx Monitoring
  2. Start/Stop Times (to the minute)
  3. Type of therapy
  4. Frequency and # of sessions
  5. Results of clinical tests
  6. Summary of Dx, Functioning, Tx Plans, Sx, Prognosis, and Progress to Date
48
Q

What 4 things do you need to obtain authorization to share information?

A
  1. The name/identification of the person making the disclosure (Yeah that’s you).
  2. The name of person/org whom you are releasing the information to.
  3. Name of the patient
  4. The type of information and purpose for which it is released.
49
Q

What the fuck does HIPAA stand for?

A

Health Insurance Portability and Accountability Act

50
Q

What in the sam-hell is HIPAA supposed to do?! (3 things)

A
  1. Increased efficiency (technology bitch)
  2. Improved privacy
  3. Better security
51
Q

Who does HIPAA apply to?

A

LITERALLY ANYONE WHO HAS A PHONE COMPUTER, OR HARD DRIVE.

Just think about electronics.

52
Q

What is an NPI?

A

National Provider Number: It’s like your fingerprint as a medical biller.

53
Q

What is the “Red Flag” rule?

A

A rule stating that you must clarify a person’s identity if you bill using credit.

54
Q

What are the 4 D’s of Malpractice?

A
  1. Duty
  2. Damage
  3. Deviation
  4. Direct Link
55
Q

Psychological test are required to be:

A
  1. Reliable
  2. Valid
  3. Practical Utility
  4. Suitable to age, gender, culture, purpose
  5. Informed consent
  6. Competent Evaluators
56
Q

What are the risks to clients when attending therapy?

A
  1. Personal revelation
  2. Shame & Embarrassment
  3. Breach of confidentiality
  4. Prosecution or lawsuit
  5. Adverse job consequences
  6. Costs a shit ton
  7. Symptoms intensifying
  8. Relationships get worse
57
Q

What is the mean and standard deviation of a Standard Score?

A
M = 100
SD = 15

Used in IQ assessment and some other shit

58
Q

What is the mean and standard deviation of a transformed score (T-score).

A
m = 50
SD = 10
59
Q

What in fucking hell is reliability?

A

How consistent a test is. How likely it is you will get similar results if you take the test multiple times.

60
Q

Would someone please tell me what the FUCK validity is?!

A

Validity helps us know that we are measuring what we intend to measure. For example, does your depression measure actually measure depression? Or your love of puppies?

Puppies are the shit.

61
Q

What is the difference between privacy, confidentiality, and privileged?

A

Privacy = Keep that shit to yourself.

Confidentiality = Be careful who you say that shit to (limited sharing of info).

Privileged = Don’t fucking snitch in court!

62
Q

Can you name the 4 variables in that stupid-ass ethics equation for liability risk assessment?

A
P = Patient Risk
C = Context
D = Disciplinary Consequences
TF = Therapist Factors

Seriously what the fuck is this?

63
Q

True or False:

At birth, most neurons in the brain are present.

A

True.

Baby brains be dense as fuck!

64
Q

True or False:

By age 2, our brains are 80% of their adult size.

A

True.

Baby heads are so huge their own goddamn orbit.

65
Q

Brain development is not a genetic process, but a(n) ____ one.

A

Epigenetic

66
Q

When you’re studying the factors that control how genes are expressed, you are studying ____.

A

EPIGENETICS BITCHEZZZZ

67
Q

Of the 3 phases of prenatal development, the zygote phase occurs 1st, 2nd, or 3rd?

A

1st

That baby gets fertilized B) (Fertilization)

Then that baby takes root on the uterine wall. (Implantation)

The baby gets a waterbed (Placenta Development)

68
Q

Of the 3 phases of prenatal development, the embryo phase occurs 1st, 2nd, or 3rd?

A

2nd

This is when the baby goes from a blob to a structured form with internal organs.

69
Q

Of the 3 phases of prenatal development, the fetal phase phase occurs 1st, 2nd, or 3rd?

A

3rd

This is like when you put the oven on broil after making fries just so you can get them crispy.

Think “finishing phase.”

70
Q

What new shit happens in the FIRST trimester for the fetus?

A

Organs, muscles, nervous system begin to interconnect. Lungs expand and contract.

71
Q

What new shit happens in the SECOND trimester for the fetus?

A

By 20 weeks most of the organs have developed. Most of the brain’s neurons are developed.

72
Q

What new shit happens in the THIRD trimester for the fetus?

A

By 22-26 weeks, the beginnings of personality begin to take place.

73
Q

Six Stages of Social Development of the Baby

A
  • -Arousal at sight appears (2 months)
  • -Social Smiling
  • -Vocalizations and Cooing
  • -Reaching towards peers
  • -Reciprocity of gestures (6-9 months)
  • -Imitation
  • -Facial expressions
74
Q

Articulatory Development

A
  • -Cooing (3 months)
  • -Babbling (6 to 10 months)
  • -First words (1 year)
  • —Generally in simplified forms
75
Q

Erikson’s Stages of Development

A
  • -Trust .vs. Mistrust (<18 months)
  • -Autonomy .vs. Shame and Doubt (2-3 years)
  • -Initiative .vs. Guilt (3-5 years)
  • -Industry .vs. Inferiority (6-11)
  • -Identity .vs. Role Confusion
  • -Intimacy .vs. Isolation
  • -Generativity .vs. Stagnation
  • -Integrity .vs. Despair
76
Q

Piaget’s Four Stages of Development

A
  • -Sensorimotor (0-2)
  • -Preoperational (2-7)
  • -Concrete Operations (7-11)
  • -Formal Operations (12+)
77
Q

What is an AUTHORITATIVE parent?

A

HIGH demand – HIGH responsiveness

BEST parents. Remember authoritatiVe –> V for VICTORY!!!

78
Q

What is a PERMISSIVE parent?

A

LOW demand – HIGH responsiveness

These parents like their kids but DGAF

79
Q

What is an AUTHORITARIAN parent?

A

HIGH demand – LOW responsiveness

Asshole parents. DAGF about their kids emotions, only their accomplishments.

80
Q

What is a DISMISSIVE parent?

A

LOW demand – LOW responsiveness

Neglecting fuck-face parents.

81
Q

Describe Piaget’s 1st Stage of Moral Development

A

PREMORAL STAGE

  • -0-5 years
  • -Behavior regulated from the outside.
82
Q

Describe Piaget’s 2nd Stage of Moral Development

A

HETERONOMOUS / MORAL REALISM

  • -5-9 years
  • -Rigid rules given by adults/God
  • -Rules tell you what is right/wrong
  • -Consequences dictate moral severity, not intentions
83
Q

Describe Piaget’s 3rd Stage of Moral Development

A

AUTONOMOUS/MORAL RELATIVISM

  • -10+ years
  • -Emphasizes cooperation
  • -Rules depend on circumstance/consent
84
Q

Kohlberg’s Stages of Moral Development

A

Pre-conventional: Externally regulated
Conventional: Conformity
Post-Conventional/Principaled: Critical, moral thinking

85
Q

Marcia’s Stages of Identity Development

A

Achievement: HIGH Exploration, HIGH Commitment (Awesome People)

Moratorium: HIGH Exploration, LOW Commitment
(Hippies)

Foreclosure: LOW Exploration, HIGH Commitment
(Sheltered, Homeschool Kids)

Diffusion: LOW Exploration, LOW Commitment
(Sad People)

86
Q

Fowler’s Stages of Faith

A
Stage 0: Primal Faith
Stage 1: Intuitive-Projective
Stage 2: Mythic-Literal
Stage 3: Synthetic-Conventional
Stage 4: Individuative-Reflective
Stage 5: Conjunctive
Stage 6: Universalizing